1. Feedback-guided exercises performed on a tablet touchscreen improve return to work, function, strength and healthcare usage more than an exercise program prescribed on paper for people with wrist, hand or finger injuries: a randomised trial.
- Author
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Blanquero, Jesús, Cortés-Vega, María-Dolores, Rodríguez-Sánchez-Laulhé, Pablo, Corrales-Serra, Berta-Pilar, Gómez-Patricio, Elena, Díaz-Matas, Noemi, and Suero-Pineda, Alejandro
- Subjects
COMPARATIVE studies ,COMPUTER input-output equipment ,CONFIDENCE intervals ,EMPLOYEES ,EMPLOYMENT reentry ,EXERCISE therapy ,FINGER injuries ,BONE fractures ,HAND injuries ,HOME care services ,WORK-related injuries ,LIFE skills ,MEDICAL care ,MUSCLE strength ,PORTABLE computers ,QUESTIONNAIRES ,REHABILITATION ,RESEARCH funding ,STATISTICAL sampling ,SELF-evaluation ,SOFT tissue injuries ,TELEMEDICINE ,THERAPEUTICS ,WRIST injuries ,RANDOMIZED controlled trials ,TREATMENT effectiveness ,MOBILE apps ,DATA analysis software ,DESCRIPTIVE statistics - Abstract
In people with bone and soft tissue injuries of the wrist, hand and/or fingers, do feedback-guided exercises performed on a tablet touchscreen hasten return to work, reduce healthcare usage and improve clinical recovery more than a home exercise program prescribed on paper? Randomised, parallel-group trial with concealed allocation, assessor blinding and intention-to-treat analysis. Seventy-four workers with limited functional ability due to bone and soft tissue injuries of the wrist, hand and/or fingers. Participants in the experimental and control groups received the same in-patient physiotherapy and occupational therapy. Participants in the experimental group received a home exercise program using the ReHand tablet application, which guides exercises performed on a tablet touchscreen with feedback, monitoring and progression. Participants in the control group were prescribed an evidence-based home exercise program on paper. The primary outcome was the time taken to return to work. Secondary outcomes included: healthcare usage (number of clinical appointments); and functional ability, pain intensity, and grip and pinch strength 2 and 4 weeks after randomisation. Compared with the control group, the experimental group: returned to work sooner (MD –18 days, 95% CI –33 to –3); required fewer physiotherapy sessions (MD –7.4, 95% CI –13.1 to –1.6), rehabilitation consultations (MD –1.9, 95% CI –3.6 to 0.3) and plastic surgery consultations (MD –3.6, 95% CI –6.3 to –0.9); and had better short-term recovery of functional ability and pinch strength. In people with bone and soft-tissue injuries of the wrist, hand and/or fingers, prescribing a feedback-guided home exercise program using a tablet-based application instead of a conventional program on paper hastened return to work and improved the short-term recovery of functional ability and pinch strength, while reducing the number of required healthcare appointments. ACTRN12619000344190 [ABSTRACT FROM AUTHOR]
- Published
- 2020
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