TY  - JOUR
PY  - 2016//
TI  - Integration of occupation based intervention in hand injury rehabilitation: a randomized controlled trial
JO  - Journal of hand therapy
A1  - Che Daud, Ahmad Zamir
A1  - Yau, Matthew K.
A1  - Barnett, Fiona
A1  - Judd, Jenni
A1  - Jones, Rhondda E.
A1  - Muhammad Nawawi, Rashdeen Fazwi
SP  - 30
EP  - 40
VL  - 29
IS  - 1
N2  - STUDY DESIGN: Randomized Controlled Trial (RCT). <br><br>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. <br><br>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. <br><br>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. <br><br>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. <br><br>CONCLUSION: This study highlighted the integration of OBI into hand injury rehabilitation improved outcomes for clients. LEVEL OF EVIDENCE: 1b.<p />  <p>Language: en</p>
LA  - en
SN  - 0894-1130
UR  - http://dx.doi.org/10.1016/j.jht.2015.09.004
ID  - ref1
ER  -