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Evaluating the effectiveness of a patient-oriented hand rehabilitation programme.

Authors
  • Harth, A
  • Germann, G
  • Jester, A
Type
Published Article
Journal
Journal of Hand Surgery (European Volume)
Publisher
SAGE Publications
Publication Date
Dec 01, 2008
Volume
33
Issue
6
Pages
771–778
Identifiers
DOI: 10.1177/1753193408091602
PMID: 18694913
Source
Medline
License
Unknown

Abstract

This study evaluated the effectiveness of a patient-oriented, hand rehabilitation programme compared to a standard programme regarding functional outcomes, return to work, patient satisfaction and costs. Patients were recruited in two consecutive cohorts. One cohort received the standard treatment programme (n = 75) and the other a programme based on principles of patient orientation (n = 75). Data were collected at the beginning and end of rehabilitation and 6 months after discharge. Clinical variables included range of motion, grip and pinch strength. Self-reported measures included pain, upper extremity functioning, health status, satisfaction and job situation. Analysis of variance for repeated measurements was used to calculate the main effects. The patient-oriented group showed more favourable results with respect to DASH scores (P <.05), pain (P <.001) and patient satisfaction (P <.0001). More patients returned to their former jobs and time off sick was reduced. We concluded that the patient-oriented approach was more effective and cost-saving.

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