Article

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.
CI - Copyright (c) 2016 Hanley & Belfus. Published by Elsevier Inc. All rights
reserved.

Langue : ANGLAIS