Hand therapy interventions, outcomes, and diagnoses evaluated over the last 10 years: A mapping review linking research to practice

Takata, Sandy C.; Wade, Emily; Roll, Shawn C.

doi:10.1016/j.jht.2017.05.018

Cited by 29 publications

(16 citation statements)

References 26 publications

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“…Optimising quality of care and effectiveness of interventions in occupational therapy, relies on sufficient accessible evidence 10 . The requisite for research from developing countries is further necessitated by the unique additional factors at play in such a context (further explored in this article).…”

Section: Introductionmentioning

confidence: 99%

Introducing early active mobilisation following flexor tendon repair in the context of care in a developing country: A randomised feasibility study

Naude¹,

Klerk²

2019

S. Afr. j. occup. ther.

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Introduction: Flexor tendon injuries remain one of the most difficult hand injuries to manage post-operatively. Early active mobilisation protocols are considered 'best practice' internationally but have not been well researched in the developing country context. The feasibility of such research, and use of these protocols, need to be determined by considering the potential for improved functional outcomes for patients, together with various contextual and resource challenges. Purpose: To explore aspects of feasibility related to the recruitment, consent and retention rates in consideration of a future definitive Randomised Control Trail. In addition, preliminary results of an early active therapy protocol compared to an early passive therapy protocol were reported on, together with patient satisfaction and demographics. Methods: A parallel randomised pilot trial design was used. Thirty-one participants were recruited into one of two therapy groups (active or passive). Fourteen of these participants completed their therapy and eight-week assessments including: Total Active Motion, grip strength, the Michigan Hand Questionnaire and the Smith Hand Function Evaluation. 95% Confidence intervals examined feasibility data. Non-parametric data analysis was done primarily using medians and ranges. Results: Feasibility results of 37% recruitment rate, 97% consent rate and 45% retention rate, did not meet the criteria for success, deeming a trial in the present design, not feasible. Discussion: Due to the dearth of research from public health clinical settings in developing countries, this study contributes rich contextual data, but the challenges discussed need to be addressed before further research will achieve success.

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Section: Introductionmentioning

confidence: 99%

Introducing early active mobilisation following flexor tendon repair in the context of care in a developing country: A randomised feasibility study

Naude¹,

Klerk²

2019

S. Afr. j. occup. ther.

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“…Furthermore, pain intensity, catastrophic thinking, and magnitude of disability can be largely explained by psychological factors (Teunis et al, 2015). Unfortunately, psychological factors are often overlooked both in research and in clinical practice within hand therapy (Chown et al, 2018;Hannah 2011;Takata et al, 2019). Participants in our study experiencing stress or anxiousness upon arriving at therapy conveyed how these factors were somewhat reduced by the mind-body interventions, providing impetus for continued investigation of how mind-body interventions can mitigate psychological symptoms.…”

Section: Discussionmentioning

confidence: 83%

Fostering Holistic Hand Therapy: Emergent Themes of Client Experiences of Mind–Body Interventions

Takata

Hardison

Roll

2019

OTJR: Occupational Therapy Journal of Research

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Mind–body interventions are a viable holistic approach to rehabilitation; however, evidence for mind–body approaches in hand therapy is lacking. This study explored the experiences of clients with musculoskeletal disorders undergoing two mind–body interventions within hand therapy. Qualitative data were obtained from clients who received mindfulness meditation and sonographic biofeedback as part of hand therapy. Semi-structured interviews conducted after four therapy sessions elicited participants’ experiences and acceptability. Emergent themes were identified through an iterative, qualitative descriptive process. The following three themes emerged as results: insight on the body, relaxation and relief, and I am in control. A fourth theme was identified in the acceptability data, that is, mindfulness as a meaningful activity. At least one of the interventions was acceptable to each participant. Positive participant experiences support further consideration of mind–body interventions as a useful holistic approach in hand therapy to support wellness, quality of care, and participation in recovery.

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“…Researchers have acknowledged this limitation and recommended alternative interventions in hand therapy which allow individuals to participate in meaningful activities. 16,[25][26][27] Kinesio tape is one such intervention, as it has been shown in this study to result in greater internal and external mastery.…”

Section: Occupational Adaptation Frameworkmentioning

confidence: 80%

“…14,15 Moreover, although CTS is the third most studied diagnosis for distal upper limb rehabilitation less than five percent of studies have explored patient experiences using qualitative methods. 16 Such studies are needed to better answer clinical questions regarding successful intervention options, the impact of self-efficacy on performance, and adapted responses to environmental tasks. In the absence of recent evidence regarding perceptions of interventions for CTS outside of surgical interventions, and no evidence regarding perceptions of Kinesio tape as a treatment option, there is a need to further explore and understand individuals’ experiences when using Kinesio tape.…”

Section: Introductionmentioning

confidence: 99%

Participants’ perceptions of Kinesio tape for carpal tunnel syndrome: A qualitative study

et al. 2019

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Introduction: Kinesio tape is an alternative non-surgical treatment approach for addressing symptoms of carpal tunnel syndrome. The purpose of the study was to investigate individuals' experiences with the dorsal application of Kinesio tape for carpal tunnel syndrome management and its impact on pain and function. Method: The study design was a limited phenomenological design study embedded in a randomized controlled trial. Daily symptom journals and semi-structured interviews were completed with 15 participants who were purposefully recruited and randomly allocated to the intervention group of a single blind randomized controlled trial. Kinesio tape was applied dorsally on the affected forearm, wrist, and digits for a duration of two weeks. Transcribed data were analyzed using descriptive coding, coding schemes, and frequency charts to identify emerging themes. Results: Three themes emerged: Kinesio tape was positively perceived to be effective on decreasing pain, increasing self-efficacy, and improving daily functional performance on tasks previously avoided or abandoned. The most common problem identified was maintaining Kinesio tape on the hands and fingers, to which the majority of participants expressed a desire to learn application. Discussion: Results of this study suggest that Kinesio tape is a positively perceived intervention for decreasing pain and increasing function for individuals with carpal tunnel syndrome and warrants further consideration as an alternative conservative intervention for carpal tunnel syndrome.

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Hand therapy interventions, outcomes, and diagnoses evaluated over the last 10 years: A mapping review linking research to practice

Abstract: Not applicable.

Cited by 29 publications

References 26 publications

Introducing early active mobilisation following flexor tendon repair in the context of care in a developing country: A randomised feasibility study

Introducing early active mobilisation following flexor tendon repair in the context of care in a developing country: A randomised feasibility study

Fostering Holistic Hand Therapy: Emergent Themes of Client Experiences of Mind–Body Interventions

Participants’ perceptions of Kinesio tape for carpal tunnel syndrome: A qualitative study

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