Journal articles: 'Hand Injuries rehabilitation'

1

Mayer, Vi, and Joe H. Gieck. "Rehabilitation of Hand Injuries in Athletes." Clinics in Sports Medicine 5, no. 4 (October 1986): 783–94. http://dx.doi.org/10.1016/s0278-5919(20)31090-5.

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Campbell, E., S. Pillai, SV Vamadeva, and GS Pahal. "Hand tendon injuries." British Journal of Hospital Medicine 81, no. 11 (November 2, 2020): 1–14. http://dx.doi.org/10.12968/hmed.2020.0141.

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This article provides a comprehensive overview of hand tendon injuries. It has been tailored towards healthcare professionals who will be the first to assess these injuries and instigate appropriate management. It discusses the essential hand anatomy to be aware of, how to assess tendon injuries, their initial management and also the definitive surgical interventions used, if required. Rehabilitation techniques are also discussed, as this is also key to good functional outcomes. Missed injuries, or delay in their diagnosis and referral to specialist hand surgeons, can cause a large amount of morbidity for patients and therefore it is important that they are picked up in a timely manner.

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Skirven, Terri M. "REHABILITATION AFTER TENDON INJURIES IN THE HAND." Hand Surgery 07, no. 01 (July 2002): 47–59. http://dx.doi.org/10.1142/s0218810402000807.

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Tendon rehabilitation has evolved over the last several decades, and has been based on the evolving understanding of tendon nutrition and healing and the factors that influence it as well as on the development of surgical technique. This evolution is reflected in the progression in clinical practice from initial immobilisation of repaired tendons, to early controlled passive motion, to most recently, immediate active motion.

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Cowan, April C., and Caroline W. Stegink-Jansen. "Rehabilitation of hand burn injuries: Current updates." Injury 44, no. 3 (March 2013): 391–96. http://dx.doi.org/10.1016/j.injury.2013.01.015.

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Pilling, T., and P. Govender (née Naidoo). "Profile and management of the firework-injured hand." South African Family Practice 58, no. 2 (March 1, 2016): 1. http://dx.doi.org/10.4102/safp.v58i2.5674.

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Background: Numerous studies internationally highlight the devastating effects of firework-related injuries and the costs involved in treating these injuries, in addition to the calls to alter legislation to prevent these injuries from occurring. There has, however, been a paucity of research studies in the South African context that describes the complexity of the injuries sustained. The aim of this study was thus to profile the firework-injured hand and to review the management from a surgical and rehabilitation perspective.Methods: A retrospective file audit was conducted on patients who had sustained firework injuries between 2009 and 2014 (n = 65) in two hospitals in KwaZulu-Natal (KZN), South Africa.Results: The firework-injured hand has a varied profile, which appears to be dependent on the blast capacity. The thumb, index and middle fingers were predominantly affected at the level of the distal phalanges and distal interphalangeal joints resulting in amputation due to severe soft tissue injury and resultant fractures. Hand Injury Severity Scores indicated a large percentage of cases within the severe category. Medical and surgical interventions occurred within the first three to six hours post-injury and involved washout, cleaning, debridement and suturing. Formalisation of amputation was the predominant course of action. Rehabilitation was focused on assessment and hand therapy to ensure functional outcomes.Conclusions: From this study, the authors conclude that the firework-injured hand should be managed according to the resultant diagnosis, be it an amputation, fracture, or soft tissue injury, whilst managing the symptoms of oedema, pain and stiffness, which will all impact on hand function outcomes.

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Taylor, Jamie, and Kevin Curran. "Glove-Based Technology in Hand Rehabilitation." International Journal of Innovation in the Digital Economy 6, no. 1 (January 2015): 29–49. http://dx.doi.org/10.4018/ijide.2015010103.

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Injuries to the hand are more common than those of any other body region and can have considerable financial, time-measured and psychological impact on not only the victim but the community as a whole. Hand rehabilitation aims to return people to their pre-injury roles and occupations and has proved largely successful in doing so with the potential for technology to improve these results further. However, most technology used in hand rehabilitation is based on expensive and non-durable glove-based systems and issues with accuracy are common among those which are not glove-based. The authors outline an accurate, affordable and portable solution wherein the authors use the Leap Motion as a tool for hand rehabilitation. User feedback will be given primarily through an animated 3d hand model as the user performs rehabilitative exercises. Exercise results will be recorded for later viewing by patients and clinicians. The system will also include Gamification aspects, techniques which (while proven to increase participation) have seen little to no use in hand-rehabilitation systems.

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Cetin, Alp. "Rehabilitation of Flexor Tendon Injuries of the Hand." Critical Reviews in Physical and Rehabilitation Medicine 15, no. 1 (2003): 19. http://dx.doi.org/10.1615/critrevphysrehabilmed.v15.i1.10.

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Burnett, Wendy R. "REHABILITATION TECHNIQUES FOR LIGAMENT INJURIES OF THE HAND." Hand Clinics 8, no. 4 (November 1992): 803–15. http://dx.doi.org/10.1016/s0749-0712(21)00745-9.

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Rizzo, Thomas D. "Rehabilitation of Hand and Wrist Injuries in Sports." Physical Medicine and Rehabilitation Clinics of North America 5, no. 1 (February 1994): 115–31. http://dx.doi.org/10.1016/s1047-9651(18)30540-0.

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Hemsley, Kathryn. "Rehabilitation of Athletic Hand Injuries: Five Case Studies." Athletic Therapy Today 6, no. 2 (March 2001): 19–24. http://dx.doi.org/10.1123/att.6.2.19.

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Bíró, Vilmos. "New tendencies in hand surgery." Orvosi Hetilap 154, no. 27 (July 2013): 1049–54. http://dx.doi.org/10.1556/oh.2013.29648.

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The author summarizes the new therapeutic tendencies in hand surgery at the past one and a half decade. He discusses the development of hand surgery, as an independent field, in a form of a short historical summary, then he reviews in detail new therapeutic methods considered important such as rehabilitation procedures after tendon injuries, present position of complete hand transplantation, new operations of regeneration of the injured skin and repair of nerve damages, as well as the conservative therapeutic options of Dupuytren’s disease. Finally he outlines the modified, new operative procedures in bone and joint injuries of the hand. He concludes that constant development of hand surgical knowledge will likely result in further novel therapeutic methods. Orv. Hetil., 2013, 154, 1049–1054.

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Otthiers, Jacques. "Rehabilitation of Ligamentous Injuries of the Wrist." British Journal of Hand Therapy 3, no. 3 (September 1998): 6–7. http://dx.doi.org/10.1177/175899839800300305.

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Wong, Simon K. M., and Cecilia W. P. Li-Tsang. "Development of Hand Rehabilitation in Mainland China." Hong Kong Journal of Occupational Therapy 20, no. 1 (June 2010): 19–24. http://dx.doi.org/10.1016/s1569-18611070054-1.

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Hand rehabilitation has been a major area of practice for occupational therapists in Hong Kong when the profession first emerged in the early 1970s. It was a time when the economy of Hong Kong relied heavily on small industries and assembly work mainly for export to western countries. Due to lack of awareness of occupational health and safety, most of the workers were injured at work while operating on machines without protective guard. Occupational therapists were trained to handle a huge volume of workers with hand trauma with the goal of helping them maximize hand function so that they could return to the work force. Similar situation occurs in Mainland China nowadays, particularly in the Southern part of the Mainland where industries and factories are densely built to support the industrialization. This paper attempts to review the development of hand rehabilitation postsurgery and to discuss the current assets and challenges in meeting the needs of patients with hand injuries in Mainland China.

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O’SULLIVAN, M. E., and J. COLVILLE. "The Economic Impact of Hand Injuries." Journal of Hand Surgery 18, no. 3 (June 1993): 395–98. http://dx.doi.org/10.1016/0266-7681(93)90072-n.

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The socio-economic effect of 156 hand injuries was studied prospectively. The average cost per injury was IR£474. 28 of the more serious injuries utilized two-thirds of the resources and resulted in 83% of the days lost from work. In the working population approximately 50% of hand injuries occurred at work. In assessing the economic impact of hand injuries, labour costs account for 55 to 65% of costs. Amputation and complicated laceration were the most costly and resulted in more days lost at work. Injuries at work result in greater costs because they involve more serious injuries, and because workers requiring manual skills need a higher level of hand rehabilitation to return to work. Unless the labour costs are taken into account, the true impact of hand injuries is greatly underestimated.

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Coel, Rachel A. "Hand Injuries in Young Athletes." Athletic Therapy Today 15, no. 4 (July 2010): 42–45. http://dx.doi.org/10.1123/att.15.4.42.

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16

Zhang, Fuhai, Lei Hua, Yili Fu, Hongwei Chen, and Shuguo Wang. "Design and development of a hand exoskeleton for rehabilitation of hand injuries." Mechanism and Machine Theory 73 (March 2014): 103–16. http://dx.doi.org/10.1016/j.mechmachtheory.2013.10.015.

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17

HAESE, JULIA B. "Psychological Aspects of Hand Injuries their Treatment and Rehabilitation." Journal of Hand Surgery 10, no. 3 (October 1985): 283–87. http://dx.doi.org/10.1016/s0266-7681_85_80044-9.

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Psychological factors related to the treatment and rehabilitation of hand-injured patients were identified by interviewing of thirty patients under treatment. Findings were compared with those reported in the literature. Concern for inactivity, desire to return to work, and effort toward recovery were identified as significantly common factors; pain and fear of disfigurement were not. Patients perceived themselves as making the greatest effort toward recovery but not that this was the most important factor in the recovery process. Responsibility varied significantly among the early, middle, and final phases of treatment. The results of the investigation were discussed in relation to hand-rehabilitation and implications for counselling and occupational therapy.

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HAESE, J. "Psychological aspects of hand injuries their treatment and rehabilitation." Journal of Hand Surgery: British & European Volume 10, no. 3 (October 1985): 283–87. http://dx.doi.org/10.1016/s0266-7681(85)80044-9.

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19

Hansen, Alice Ørts, Hanne Kaae Kristensen, Henrik H. Lauridsen, Ragnhild Cederlund, and Hans Tromborg. "Client-Centered Rehabilitation for Outpatients With Hand-Related Injuries." HAND 11, no. 1_suppl (September 2016): 142S. http://dx.doi.org/10.1177/1558944716660555jx.

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20

McCue, Frank C., and Keith Meister. "Common Sports Hand Injuries." Sports Medicine 15, no. 4 (April 1993): 281–89. http://dx.doi.org/10.2165/00007256-199315040-00005.

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21

Noble, Clive. "Hand injuries in boxing." American Journal of Sports Medicine 15, no. 4 (July 1987): 342–46. http://dx.doi.org/10.1177/036354658701500408.

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22

McMurray, Robert G., J. W. Strickland, and A. C. Rettig. "Hand Injuries in Athletes." Medicine & Science in Sports & Exercise 24, no. 8 (August 1992): 952. http://dx.doi.org/10.1249/00005768-199208000-00019.

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23

Pulos, Nicholas, and Sanjeev Kakar. "Hand and Wrist Injuries." Clinics in Sports Medicine 37, no. 2 (April 2018): 217–43. http://dx.doi.org/10.1016/j.csm.2017.12.004.

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24

Boyle, James C. "Hand Injuries in Athletes." Clinical Journal of Sport Medicine 3, no. 3 (July 1993): 201. http://dx.doi.org/10.1097/00042752-199307000-00016.

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25

Ellis, Bridget. "Hand Injuries: A therapeutic approach." Physiotherapy 74, no. 4 (April 1988): 169. http://dx.doi.org/10.1016/s0031-9406(10)63501-8.

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26

Hongaiah, Deepak, Dinesh Kumar Sathanantham, and Spurthi Sanganbhonia. "Angry young man syndrome: anger based dominant hand injuries." International Surgery Journal 5, no. 12 (November 28, 2018): 3986. http://dx.doi.org/10.18203/2349-2902.isj20185031.

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Background: The incidence of self-inflicted anger related upper extremity injuries due to punching glass, involving dominant hand has increased in recent years even in our rural population of less than 1.5 million in District of Kolar, Karnataka, India. Although hospital stay is short, these patients require long term follow up, physiotherapy and occupational rehabilitation.Methods: This study is a case series involving a a retrospective analysis from June 1, 2015, to July 31, 2017. Our study involved only glass cut injury following an angry intention.Results: This study included 9 eligible patients who were all young male aged between 18 to 28 years (median age: 23.4 years) who had triggering factor before punching the glass pane. All patients had tendon injuries, flexors (n=4), extensor (n=3), both (n=2), muscle injuries (n=1), median nerve (n=2), radial artery (n=3). All injuries required operative intervention. Mean hospital stay was 5.2 days. Mean rehabilitation period was 5.2 months.Conclusions: These types of injuries can be prevented by regular counseling for stress/anger management as a part of rehabilitation to prevent further recurrences.

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Helal, B. "Hand Injuries in Athletes." British Journal of Sports Medicine 27, no. 2 (June 1, 1993): 138. http://dx.doi.org/10.1136/bjsm.27.2.138-b.

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MEd, Susan Foreman,, and Joe Gieck, EdD. "Rehabilitative Management of Injuries to the Hand." Clinics in Sports Medicine 11, no. 1 (January 1992): 239–52. http://dx.doi.org/10.1016/s0278-5919(20)30566-4.

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Goggins, Theresa, David Syme, and S. Raj Murali. "(iv) Acute flexor tendon injury and rehabilitation of hand injuries." Orthopaedics and Trauma 28, no. 4 (August 2014): 219–24. http://dx.doi.org/10.1016/j.mporth.2014.07.010.

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30

McCue, Frank C., and Vi Mayer. "Rehabilitation of Common Athletic Injuries of the Hand and Wrist." Clinics in Sports Medicine 8, no. 4 (October 1989): 731–76. http://dx.doi.org/10.1016/s0278-5919(20)30784-5.

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31

Walsh, Katie. "Rehabilitation of Postsurgical Hand and Finger Injuries in the Athlete." Athletic Therapy Today 6, no. 2 (March 2001): 13–18. http://dx.doi.org/10.1123/att.6.2.13.

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32

BULSTRODE, N. W., N. BURR, A. L. PRATT, and A. O. GROBBELAAR. "Extensor Tendon Rehabilitation a Prospective Trial Comparing Three Rehabilitation Regimes." Journal of Hand Surgery 30, no. 2 (April 2005): 175–79. http://dx.doi.org/10.1016/j.jhsb.2004.10.016.

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Forty-two patients with 46 complete extensor tendon injuries were prospectively allocated to one of three rehabilitation regimes: static splintage; interphalangeal joint mobilization with metacarpophalangeal joint immobilization or; the “Norwich” regime. All 42 patients were operated on by one surgeon and assessed by one hand therapist. At 4 weeks the total active motion in the static splintage group was significantly reduced but by 12 weeks there was no difference between the regimes. There was no difference in total active motion between the repaired and uninjured hand at 12 weeks, with all patients achieving good or excellent results. However, grip strength at 12 weeks was significantly reduced compared to the uninjured hand after static splintage. There was no difference in hand therapy input between the regimes.

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Erçalik, Tülay, Füsun ŞŞahin, Cem ErÇalik, Beril DoĞĞu, Serap Dalgiç, and Banu Kuran. "Psychometric characteristics of Duruoz Hand Index in patients with traumatic hand flexor tendon injuries." Disability and Rehabilitation 33, no. 17-18 (January 2011): 1521–27. http://dx.doi.org/10.3109/09638288.2010.533244.

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Jebson, Peter J. L., and Curtis M. Steyers. "Hand Injuries in Rock Climbing." Physician and Sportsmedicine 25, no. 5 (May 1997): 54–63. http://dx.doi.org/10.3810/psm.1997.05.1341.

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Rettig, Arthur C. "Hand Injuries in Football Players." Physician and Sportsmedicine 19, no. 11 (November 1991): 55–64. http://dx.doi.org/10.1080/00913847.1991.11704890.

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Rettig, Arthur C. "Hand Injuries in Football Players." Physician and Sportsmedicine 19, no. 12 (December 1991): 97–107. http://dx.doi.org/10.1080/00913847.1991.11710213.

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37

Pyne, John I. B., and Brian D. Adams. "Hand Tendon Injuries in Athletics." Clinics in Sports Medicine 11, no. 4 (October 1992): 833–50. http://dx.doi.org/10.1016/s0278-5919(20)30488-9.

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38

Abbas, Paulette, Mia Choe, Elika Ridelman, Beth A. Angst, Justin D. Klein, and Christina M. Shanti. "737 Treadmill Friction Hand Injuries in the Pediatric Patient." Journal of Burn Care & Research 41, Supplement_1 (March 2020): S200—S201. http://dx.doi.org/10.1093/jbcr/iraa024.320.

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Abstract Introduction Pediatric friction hand injuries are prevalent, likely due to the increasing presence of home exercise equipment. While friction injuries often appear deeper on initial assessment, not all are treated surgically during the acute phase. We sought to characterize our experience with outcomes based on acute (< 30 days) surgical intervention compared to delayed intervention. Methods Patients were queried from a single institution, verified pediatric burn center database. A retrospective chart review of pediatric patients (< 18 years) over a 5 year period was performed. Data collected included demographics, treatment methods (acute vs. delayed), dressing type, scar management, and follow-up. Outcomes included additional surgical and non-surgical adjuncts to treat the sequela of injury. Results Our institution treated 23 treadmill hand injuries over the 5-year period. There was a slight predominance of female (n=13, 57%) vs. male (n=10, 43%) patients. Median age at injury was 2 years (IQR 1–3). Thirteen patients (57%) sustained an injury equivalent to a second degree burn and ten (43%) to third degree. Injuries were initially treated with silvadene (n=14) and/or xeroform (n=21). Involvement of left and right hands were equally divided and all injuries involved the digits. The median number of digits involved was 2 (range 1–4). The most commonly injured digits were the middle and ring fingers (19 each). Average length of stay was 14 hours. All but one patient followed-up with a median number of 4 clinic visits. All of these patients were reported as healed at time of last follow-up. Median time to healing was 31.5 days (IQR 29 – 58). Overall, 4 patients (17%) underwent acute surgical intervention with a median of 7 days from injury (IQR 1.75–13.5). Of these 4 patients, 2 (50%) required additional operations for scar management and 2 (50%) required non-surgical management. Of the 19 (83%) who did not undergo early surgical management, only 1 patient (6%) required a Z-plasty, 12 (63%) were managed with non-surgical intervention and 6 (31%) needed no further treatment after healing. Conclusions Pediatric friction hand injuries often affect multiple digits and lead to a median of 4 clinic visits. Our data suggest that early surgical intervention in this cohort did not minimize future surgical procedures or non-surgical management. Rather, delayed intervention appears to allow for fewer surgical procedures and similar non-surgical management. Larger studies are required to validate this finding; however, this data suggests that continued initial management with a combination of silvadene and xeroform may be a safe option. Applicability of Research to Practice Our study provides guidance in the evaluation and treatment of pediatric treadmill friction injury. This data supports delaying surgical interventions on these seemingly deep hand injuries.

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Szczechowicz, Jakub, and Marek Pieniążek. "Rehabilitation of patients after traumatic injuries to the hand and during the course of upper limb enthesopathic syndromes using personal electronic devices - a preliminary report." Rehabilitacja Medyczna 22, no. 1 (June 4, 2018): 49–53. http://dx.doi.org/10.5604/01.3001.0012.0774.

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Introduction: Along with technological progress, various types of computerized testing systems, assessment and documentation of the course of treatment are used more and more often in upper limb rehabilitation after traumatic injuries. The necessity to individualize exercise programs is also emphasized. The large possibilities of adapting modern technological achievements used during treatment to achieve the expected and intended goals in the rehabilitation process are emphasized. Study aim: The aim of the work is to present the possibility of using a tablet during rehabilitation of patients after selected traumatic upper limb injuries. Research material and methods: This study material comprises patients rehabilitated due to various traumatic injuries and entesopathic syndromes of the upper limb at the Specialist Centre of Hand Rehabilitation in Krakow. The presented exercises, which were part of a wider, comprehensive program to rehabilitate these patients, were also carried out at home. Particular attention was paid to the possibility of using a tablet and personal mobile phone (smartphones) in its course. Summary: Professional literature on the issues of rehabilitation in patients after traumatic injuries to the hand, as well as in the course of entesopathic syndromes, more and more frequently refers to the possibility of using modern programs and electronic devices in this process, including tablets and personal mobile phones. The use of these devices allows to conduct a rehabilitation program both in outpatient clinical conditions and home settings. physical therapy, hand rehabilitation, innovation in rehabilitation, smartphone, tablet

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Bollen, S. R., and C. K. Gunson. "Hand injuries in competition climbers." British Journal of Sports Medicine 24, no. 1 (March 1, 1990): 16–18. http://dx.doi.org/10.1136/bjsm.24.1.16.

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41

Sampaio, Rosana Ferreira, Marisa Cotta Mancini, Fabiana Caetano Martins Silva, Ieda Maria Figueiredo, Daniela Virgínia Vaz, and Gisele Beatriz De Oliveira Alves. "Work-related hand injuries: Case analyses in a Brazilian rehabilitation service." Disability and Rehabilitation 28, no. 12 (January 2006): 803–8. http://dx.doi.org/10.1080/09638280500404503.

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Maldonado Carrasco, Claudia Lucía, Manuel Edmundo Espinoza Espinoza, Rómulo Augusto Idrovo Carrasco, and Luis Alberto Tinoco Cazorla. "Reporte de un caso clínico: Reimplante de mano." Revista Médica del Hospital José Carrasco Arteaga 13, no. 1 (July 31, 2021): 125–30. http://dx.doi.org/10.14410/2021.13.2.cc.20.

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BACKGROUND: The upper limb plays a vital role in our daily function; injuries to this vital structure can result in devastating consequences to functional, psychological and social well-being; especially traumatic amputations of the upper limb are challenging to manage and deciding which patients would benefit from limb salvage versus amputation is critical. CASE REPORTS: A 52-year-old male patient, who suffered a traumatic partial amputation in the distal third of his right forearm with an industrial machine, presenting an ulnar and radius fracture, with severe soft tissue injuries, who underwent a replantation surgery after 12 hours of ischemia. EVOLUTION: Patient presented good postsurgical outcome. 24 hours after surgery he presented normal Allen’s test results, adequate temperature, pink coloration, hypoesthesia and 2/5 muscle strength in the injured limb. He was discharged 7 days after surgery with follow-up and rehabilitation prescription. The percutaneous needles were removed 13 weeks after, with proper bone healing of the fracture. 5 months after surgery, he presented a DASH Score of 60.83. CONCLUSION: The replantation field has become very sophisticated in recent years; the decision to perform replantation of the amputated limb must be individualized to each patient, based on several established factors such as the characteristics of the injury, patient related factors, and the functional recovery capacity.

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Alexy, Cheri, and Mark De Carlo. "REHABILITATION AND USE OF PROTECTIVE DEVICES IN HAND AND WRIST INJURIES." Clinics in Sports Medicine 17, no. 3 (July 1998): 635–55. http://dx.doi.org/10.1016/s0278-5919(05)70106-x.

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Singletary, Shannon, and William B. Geissler. "Bracing and Rehabilitation for Wrist and Hand Injuries in Collegiate Athletes." Hand Clinics 25, no. 3 (August 2009): 443–48. http://dx.doi.org/10.1016/j.hcl.2009.05.012.

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Dovelle, Sam, and Patricia Kulis Heeter. "The Washington Regimen: Rehabilitation of the Hand Following Flexor Tendon Injuries." Physical Therapy 69, no. 12 (December 1, 1989): 1034–40. http://dx.doi.org/10.1093/ptj/69.12.1034.

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Naidoo, Jenousha, Pragashnie Govender, and Deshini Naidoo. "Taking hold of hand trauma in KwaZulu-Natal, South Africa." African Health Sciences 21, no. 4 (December 14, 2021): 1784–93. http://dx.doi.org/10.4314/ahs.v21i4.35.

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Background: Trauma in KwaZulu-Natal province in South Africa constitutes at least 17.8% of overall emergency cases, with hand trauma being common. Aim: Based on these statistics, the authors of this study aimed to identify and describe the most common traumatic hand injuries managed in the province including current trends and intervention practices of occupational therapists to inform future intervention. Methods: Using a mixed-method convergent parallel design, 41 therapists completed an online survey, and 12 therapists participated in two focus group discussions. Survey responses were analysed using descriptive statistics, and the audio-recorded and transcribed focus group discussions were analysed deductively using thematic analysis.Findings: Flexor tendon injuries (88%), extensor tendon injuries (73%), fractures (83%) and combined hand injuries (73%) were the most common injuries noted. Sufficient theoretical knowledge (95%), clinical judgement (93%), available resources (88%), relevant practical experience (83%) and surgeon hand therapy protocols (88%) were identified as essential in managing traumatic hand injuries. Challenges included having limited resources, late referrals and poor communication hindering multidisciplinary practice. Conclusion: Therapists face challenges in managing traumatic hand injuries, which inhibits optimal intervention planning. These factors may inevitably negatively influence outcomes achieved through occupational therapy for this group of patients. Keywords: Occupational therapy; traumatic hand injuries; hand rehabilitation.

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WATTS, A. M. I., M. GREENSTOCK, and R. P. COLE. "Outcome Following the Rehabilitation of Hand Trauma Patients." Journal of Hand Surgery 23, no. 4 (August 1998): 485–89. http://dx.doi.org/10.1016/s0266-7681(98)80128-9.

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Objective measures of hand function have been used to assess the outcome of rehabilitation following trauma. However, subjective assessments of function have been avoided by clinicians due to the difficulty in proving their validity and reliability. We have developed a subjective hand function scoring system (HFS), based on an activities of daily living assessment, which is used in planning and monitoring progress through rehabilitation. The HFS for 64 traumatic hand injuries were assessed on admission and discharge, and a significant improvement was found. There was a positive correlation between the HFS on admission and both the severity of injury, and the length of time off work. This scoring system is not validated, but this study illustrates the use of subjective functional scoring systems in the planning, delivery and evaluation of rehabilitation.

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Rosenthal, Erik A., and Carol W. Stoddard. "Questions Hand Therapists Ask about Treatment of Tendon Injuries." Journal of Hand Therapy 18, no. 2 (April 2005): 313–18. http://dx.doi.org/10.1197/j.jht.2005.02.006.

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Simmons, Barry P., and Jeffrey L. Lovallo. "Hand and Wrist Injuries in Children." Clinics in Sports Medicine 7, no. 3 (July 1988): 495–512. http://dx.doi.org/10.1016/s0278-5919(20)30906-6.

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Nikolic, Jelena, Marija Marinkovic, Dragana Lekovic, and Isidora Djozic. "Evaluation of hand injury management at the emergency department - are we getting better?" Vojnosanitetski pregled, no. 00 (2021): 35. http://dx.doi.org/10.2298/vsp200308035n.

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Introduction. Hand injuries are one of the most common injuries seen in emergency departments. Inadequate treatment can lead to prolonged healing, complications, significant morbidity and serious disability. The aim of this study was to evaluate epidemiology, risk factors and treatment of hand injuries in one tertiary care level clinical center in order to be able to suggest targeted strategies for better management of injuries. Methods. This study was designed as a descriptive retrospective epidemiological study that involved all patients with hand injuries that were treated in Clinical center of Vojvodina in a seven year period. Authors collected sociodemographic and clinical data such as age, gender, mechanism of injury, type of injury, days of hospitalization, type of defect reconstruction, time of injury, timing of surgery and reasons for operative treatment delay. For every hospitalized patient modified hand injury severity score (MHISS) was calculated. All data was analyzed using SPSS IBM 21.0 software. Results. There were 34796 patients from 2012. to 2018. treated for hand injury at the Clinical Center of Vojvodina, with 554 (1,6%) being hospitalized. Mean age of patients was 43.2, majority (87.55%) were men and most of them were injured at home (47,2%). Most injuries occurred during knife handling. Average length of stay for hospitalized patients was 4 days. MHISS score for most patients was over 50 and was classified as severe. Waiting time for operation was observed to get shorter throughout selected years. Conclusion. Hand injuries present a complex problem that can be sometimes underestimated by patients. Requirement of highly specialized hand surgeons, sometimes special equipment (e.g. microscope), multiple operations, prolonged rehabilitation, possible invalidity and high cost of treatment calls for careful evaluation of problem and development of proper strategies in order to be able to lower the costs and obtain better medical care for all people with higher injury risk.

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Journal articles on the topic 'Hand Injuries rehabilitation'

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