Ahmad Zamir Che Daud1, Matthew K Yau2, Fiona Barnett3, Jenni Judd4, Rhondda E Jones5, Rashdeen Fazwi Muhammad Nawawi6. 1. Discipline of Occupational Therapy, School of Healthcare Sciences, Division of Tropical Health and Medicine, James Cook University, Townsville, Queensland 4811, Australia; Department of Occupational Therapy, Faculty of Health Sciences, Universiti Teknologi Mara, Puncak Alam 32000, Selangor, Malaysia. Electronic address: ahmadzamir.chedaud@my.jcu.edu.au. 2. Discipline of Occupational Therapy, School of Healthcare Sciences, Division of Tropical Health and Medicine, James Cook University, Townsville, Queensland 4811, Australia. 3. Institute of Sport and Exercise Science, School of Healthcare Sciences, Division of Tropical Health and Medicine, James Cook University, Townsville, Queensland 4811, Australia. 4. Division of Tropical Health and Medicine, James Cook University, Townsville, Queensland 4811, Australia; Anton Breinl Centre for Health Systems Strengthening, James Cook University, Townsville, Queensland 4811, Australia. 5. School of Marine and Tropical Biology, James Cook University, Townsville, Queensland 4811, Australia. 6. Hand and Upper Limb Unit, Department of Orthopaedic and Traumatology, Kuala Lumpur General Hospital, Malaysia.
Abstract
STUDY DESIGN: Randomized Controlled Trial (RCT). INTRODUCTION: Engagement in daily occupations and day to day activities helps to restore function in individuals with injured hands and provides a platform to practise selected occupations. PURPOSE: The purpose of this study was to investigate the effectiveness of a combination of Occupation Based Intervention (OBI) and Therapeutic Exercise (TE) compared to TE alone for the rehabilitation of hand injuries. METHOD: A single center RCT, parallel group was conducted at the Kuala Lumpur General Hospital (KLGH), Malaysia. Forty-six adult clients with hand injuries who consented to participate were randomly allocated to either the OBI + TE group or to the TE group. RESULTS: Following a ten week intervention program, statistical significance differences were found in DASH score (TE = 18.64 ± 14.84 vs OBI + TE = 9.50 ± 9.14, p = 0.02); total active motion (TE = 1035.85 ± 179.84 vs OBI + TE = 1203.65 ± 133.60, p = 0.01); neuropathic pain (TE = 2.90 ± 2.79 vs OBI + TE = 1.05 ± 2.01, p = 0.02); COPM performance (TE = 7.62 ± 2.03 vs OBI + TE = 9.53 ± 0.64, p < 0.001); and COPM satisfaction (TE = 7.60 ± 2.11 vs OBI + TE = 9.49 ± 0.76, p < 0.001) in favor of OBI + TE group. CONCLUSION: This study highlighted the integration of OBI into hand injury rehabilitation improved outcomes for clients.
RCT Entities:
STUDY DESIGN: Randomized Controlled Trial (RCT). INTRODUCTION: Engagement in daily occupations and day to day activities helps to restore function in individuals with injured hands and provides a platform to practise selected occupations. PURPOSE: The purpose of this study was to investigate the effectiveness of a combination of Occupation Based Intervention (OBI) and Therapeutic Exercise (TE) compared to TE alone for the rehabilitation of hand injuries. METHOD: A single center RCT, parallel group was conducted at the Kuala Lumpur General Hospital (KLGH), Malaysia. Forty-six adult clients with hand injuries who consented to participate were randomly allocated to either the OBI + TE group or to the TE group. RESULTS: Following a ten week intervention program, statistical significance differences were found in DASH score (TE = 18.64 ± 14.84 vs OBI + TE = 9.50 ± 9.14, p = 0.02); total active motion (TE = 1035.85 ± 179.84 vs OBI + TE = 1203.65 ± 133.60, p = 0.01); neuropathic pain (TE = 2.90 ± 2.79 vs OBI + TE = 1.05 ± 2.01, p = 0.02); COPM performance (TE = 7.62 ± 2.03 vs OBI + TE = 9.53 ± 0.64, p < 0.001); and COPM satisfaction (TE = 7.60 ± 2.11 vs OBI + TE = 9.49 ± 0.76, p < 0.001) in favor of OBI + TE group. CONCLUSION: This study highlighted the integration of OBI into hand injury rehabilitation improved outcomes for clients.
Authors: Natália Sanches Silva; Pedro Henrique Tavares Queiroz de Almeida; Paulo Vinicius Braga Mendes; Caio Sadao Medeiros Komino; José Marques Novo Jùnior; Daniel Marinho Cezar Da Cruz Journal: Hong Kong J Occup Ther Date: 2017-02-16 Impact factor: 0.917