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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

Authors :
Universidad de Sevilla. Departamento de Fisioterapia
Universidad de Sevilla. CTS954: Innovaciones en Salud y Calidad de Vida
Blanquero, Jesús
Cortés Vega, María Dolores
Rodríguez Sánchez Laulhé, P.
Corrales Serra, Berta Pilar
Gómez Patricio, Elena
Díaz Matas, Noemí
Suero Pineda, Alejandro
Universidad de Sevilla. Departamento de Fisioterapia
Universidad de Sevilla. CTS954: Innovaciones en Salud y Calidad de Vida
Blanquero, Jesús
Cortés Vega, María Dolores
Rodríguez Sánchez Laulhé, P.
Corrales Serra, Berta Pilar
Gómez Patricio, Elena
Díaz Matas, Noemí
Suero Pineda, Alejandro
Publication Year :
2020

Abstract

Question 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? Design Randomised, parallel-group trial with concealed allocation, assessor blinding and intention-to-treat analysis. Participants Seventy-four workers with limited functional ability due to bone and soft tissue injuries of the wrist, hand and/or fingers. Intervention 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. Outcome measures 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. Results 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. Conclusion 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 hea

Details

Database :
OAIster
Notes :
English
Publication Type :
Electronic Resource
Accession number :
edsoai.on1410808217
Document Type :
Electronic Resource