Integration of occupation based intervention in hand injury rehabilitation: A Randomized Controlled Trial

Che Daud AZ 1 , Yau MK 2 , Barnett F 3 , Judd J 4 , Jones RE 5 , Muhammad Nawawi RF 6

Affiliations 

  • 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: [email protected]
  • 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
J Hand Ther, 2016 Jan-Mar;29(1):30-40.
PMID: 26847318 DOI: 10.1016/j.jht.2015.09.004

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.
KEYWORDS: Exercise therapy; Hand injuries; Occupations; Randomized Controlled Trial

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.

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