The relationship between adherence to hand therapy and short-term outcome after distal radius fracture
Abstract
This study aimed to examine the relationship between adherence to hand therapy and short-term outcome after fracture of the distal radius. Attendance at hand therapy appointments, therapist-rated adherence during appointments, and home-exercise diaries were used to monitor adherence in 15 people undertaking rehabilitation after a wrist fracture. Outcome measures were change in impairment (wrist extension, grip strength, and pain rating) and change in activity (modified Levine questionnaire, Jebsen Test of Hand Function) from initial assessment (after cast removal) to follow-up (six weeks later). Multiple regression analysis found over 50% of variance in wrist extension change, Levine questionnaire change, and change on the simulated feeding item of the Jebsen Test of Hand Function to be predicted by adherence. Home exercise adherence was the most important predictor of the adherence measures. These results highlight the importance of adherence to home exercises prescribed by a hand therapist after fracture of the distal radius.
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The association between the number of logins and outcomes in e-therapies targeting physical health is similar to the positive relationship observed between session attendance and outcome in physical rehabilitation and to the dose-response curve seen in medication therapy.
“The association between the number of logins and outcomes in e-therapies targeting physical health is similar to the positive relationship observed between session attendance and outcome in physical rehabilitation [67-70] and to the dose–response curve seen in medication therapy.”
From A Systematic Review of the Impact of Adherence on the Effectiveness of e-Therapies (2011) · cites this paper as [69]
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- Authors
- Lyngcoln, A., Taylor, N., Pizzari, T., & Baskus, K.
- Affiliations
- La Trobe University (AU)
- Box Hill Hospital (AU)
- Corresponding author
- Taylor, Nicholas
- Venue
- Journal of Hand Therapy
- Publisher
- Elsevier BV
- Published
- 2005-01
- Volume
- 18
- Issue
- 1
- Pages
- 2-8
- ISSN
- 0894-1130 (ISSN-L)
- OpenAlex
- W2100417677
- Cited by
- 102
- References
- 50
- Citations by year
- 2026: 4 · 2025: 3 · 2024: 5 · 2023: 12 · 2022: 5 · 2021: 9 · 2020: 7 · 2019: 3 · 2018: 1 · 2017: 3 · 2016: 4 · 2015: 4 · 2014: 8 · 2013: 5 · 2012: 2
- FWCI
- 3.17
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Hand Therapy (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Orthopedic Surgery and Rehabilitation
- Health Sciences › Medicine › Epidemiology › Bone fractures and treatments
- Health Sciences › Medicine › Family Practice › Medication Adherence and Compliance
- Keywords
- distal radius fracture, wrist fractures, hand therapy, medication adherence, home-based exercise, hand rehabilitation, wrist extension, grip strength, activity level, pain
- MeSH terms
- Aged, Australia, Casts, Surgical, Female, Humans, Male, Pain Measurement, Patient Compliance, Surveys and Questionnaires, Radius Fractures, Outcome Assessment, Health Care, Physical Therapy Modalities
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