Hand injuries in low- and middle-income countries: systematic review of existing literature and call for greater attention

Siotos, Charalampos; Ibrahim, Zuhaib; Bai, Jie; Payne, Rachael M.; Seal, Stella; Lifchez, Scott D.; Hyder, Adnan A.

doi:10.1016/j.puhe.2018.05.016

Cited by 18 publications

(16 citation statements)

References 29 publications

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“…Many hand-injured patients are young and otherwise healthy, and may be deprived of their independence, self-sufficiency and working ability for the rest of their lives with severe consequences for any related family. Although the extent of persistent disability after severe hand injuries in LMIC is not well studied, it is reasonable to assume that upper extremity trauma accounts for considerable financial loss for individuals and community in these countries [4]. With increased economic development and rapid industrialization in LMICs, the incidence of hand injuries is even forecasted to rise [4].…”

Section: Hand Surgery In a Global Perspectivementioning

confidence: 99%

“…Although the extent of persistent disability after severe hand injuries in LMIC is not well studied, it is reasonable to assume that upper extremity trauma accounts for considerable financial loss for individuals and community in these countries [4]. With increased economic development and rapid industrialization in LMICs, the incidence of hand injuries is even forecasted to rise [4]. Thus, hand surgical expertise can make a significant difference in a global perspective [5,10].…”

Section: Hand Surgery In a Global Perspectivementioning

confidence: 99%

“…In sub-Saharan Africa, there is an urgent need for improved access to emergency services, rehabilitation facilities, surgical equipment and highly trained surgical and allied health personnel to perform critical orthopaedic procedures [3]. Also, the global hand surgery landscape has been emphasized in this context, although high-quality data on the epidemiology, management and consequences of hand injuries in LMICs is lacking [4][5][6]. The International Federation of Societies for Surgery of the Hand (IFSSH) has recently raised the issue of inadequate access to safe surgical and postoperative management of hand injuries and urges high income countries (HICs) to help LMICs in building local capacity through education [7].…”

Section: Introductionmentioning

confidence: 99%

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Global Rehabilitation – Addressing the Need for Early, Safe, Continuous and Widespread Rehabilitation in Low- and Middle-Income Countries

Brogren¹,

Vikström²,

Johansson³

et al. 2021

CMR

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Background: Scaling-up surgical care is one of the most important goals in improving global health and long-term development, where specific attention is directed towards diagnosis and treatment of traumatic injuries, as well as to certain conditions, with varying frequencies between continents and countries. Successful outcome after surgery depends also on safe, efficient and widespread rehabilitation, including both short-and long-term engagement of physiotherapists and occupational therapists. However, relatively little attention has been paid to rehabilitation after trauma and surgery for injuries and various conditions in a global perspective. In fact, the access to rehabilitation in low-and middle-income countries (LMIC) is believed to be enormous. Objective: Through a shared project between two University Hospitals in Zimbabwe and Sweden, our objective was to create an academic partnership with the goal of improving rehabilitation after hand injuries in Zimbabwe. Results: Except geographical, political and patient-related factors, we found that prolonged or inadequate immobilisation after hand injuries and poor teamwork between surgeons and therapists were important factors that complicated the patient care. We give examples on how educational programs in rehabilitation could be organized with focus on creating a close alliance between surgeons and therapists. Conclusion: Creating academic partnerships between universities and hospitals can be of mutual benefit and may be a model for spreading knowledge and strengthen health care systems. Collaboration between therapists and surgeons can be strengthened through integrated courses adapted to existing local circumstances, exchange programs and on-line education, which can be organized between specific departments in different countries. We launch the concept of Global Rehabilitation and give examples of how teaching posttraumatic and postoperative management of hand surgical injuries and common conditions could be structured.

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Section: Hand Surgery In a Global Perspectivementioning

confidence: 99%

Section: Hand Surgery In a Global Perspectivementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Global Rehabilitation – Addressing the Need for Early, Safe, Continuous and Widespread Rehabilitation in Low- and Middle-Income Countries

Brogren¹,

Vikström²,

Johansson³

et al. 2021

CMR

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“…The official statistics of the Bureau of Labour of the USA indicated that cuts and lacerations of hand accounted for 64.8% of all cut and laceration incidents [3]. Hand injuries lead to a substantial economic burden, with both high health-care expenditures and productive costs [4,5]. Hand protections at work are essential for both the safety and health of workers but also for the welfare and well-beings of workers' families [5].…”

Section: Introductionmentioning

confidence: 99%

“…Hand injuries lead to a substantial economic burden, with both high health-care expenditures and productive costs [4,5]. Hand protections at work are essential for both the safety and health of workers but also for the welfare and well-beings of workers' families [5].…”

Section: Introductionmentioning

confidence: 99%

Assessments of Work Gloves in Terms of the Strengths of Hand Grip, One-Handed Carrying, and Leg Lifting

Zhao

2021

Applied Sciences

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Gloves are used at workplaces to protect hands and fingers from potential hazards. Three types of work gloves were assessed in terms of the strength of grip, carrying, and lifting. Thirty adults (14 males and 16 females) joined as human participants. The strength data were measured under bare hand and three gloved conditions. The grip spans in the grip strength measurements included 45 mm, 55 mm, 65 mm, and 75 mm. The carrying strength was measured for both dominant and non-dominant hands under leg straight and semi-squat postural conditions. The lifting strength was measured at a semi-squat posture. The results showed that glove (p < 0.0001), grip span (p = 0.001), gender (p < 0.0001), and handedness (p < 0.0001) all affected grip strength significantly. Wearing the gloves tested in this study led to a decrease of grip strength up to 22.9%, on average, depending on gender, grip span, and hand tested. Wearing the cotton gloves led to a decrease of one-handed carrying strength ranged from 3.5% to 9.7% for female participants. All the participants took advantages in carrying strength when wearing the cut-resistant gloves. The leg lifting strength data indicated that the effects of the gloves were insignificant. The information of this study is beneficial for practitioners in the design of manual materials handling tasks concerning the use of work gloves.

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The impact of socioeconomic status on hand injury severity

Sayyari¹,

Kardar²,

Sadeghian³

et al. 2022

Hand Surgery and Rehabilitation

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Hand injuries in low- and middle-income countries: systematic review of existing literature and call for greater attention

Cited by 18 publications

References 29 publications

Global Rehabilitation – Addressing the Need for Early, Safe, Continuous and Widespread Rehabilitation in Low- and Middle-Income Countries

Global Rehabilitation – Addressing the Need for Early, Safe, Continuous and Widespread Rehabilitation in Low- and Middle-Income Countries

Assessments of Work Gloves in Terms of the Strengths of Hand Grip, One-Handed Carrying, and Leg Lifting

The impact of socioeconomic status on hand injury severity

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