title: The relationship between adherence to hand therapy and short-term outcome after distal radius fracture.
abstract: This study aimed to examine the relationship between adherence to hand therapy and short-term outcome after fracture of the distal radius. Attendance at hand therapy appointments, therapist-rated adherence during appointments, and home-exercise diaries were used to monitor adherence in 15 people undertaking rehabilitation after a wrist fracture. Outcome measures were change in impairment (wrist extension, grip strength, and pain rating) and change in activity (modified Levine questionnaire, Jebsen Test of Hand Function) from initial assessment (after cast removal) to follow-up (six weeks later). Multiple regression analysis found over 50% of variance in wrist extension change, Levine questionnaire change, and change on the simulated feeding item of the Jebsen Test of Hand Function to be predicted by adherence. Home exercise adherence was the most important predictor of the adherence measures. These results highlight the importance of adherence to home exercises prescribed by a hand therapist after fracture of the distal radius.
authors.affiliation: Peninsula Private Hospital, Franksron, Australia.
authors.forename: Anthony
authors.initials: A
authors.lastname: Lyngcoln
authors.forename: Nicholas
authors.initials: N
authors.lastname: Taylor
authors.forename: Tania
authors.initials: T
authors.lastname: Pizzari
authors.forename: Kris
authors.initials: K
authors.lastname: Baskus
mesh_terms: D000368:Aged; D001315:Australia; D002370:Casts, Surgical; D005260:Female; D006801:Humans; D008297:Male; D017063:Outcome Assessment, Health Care; D010147:Pain Measurement; D010349:Patient Compliance; D026741:Physical Therapy Modalities; D011885:Radius Fractures / Q000534:rehabilitation*; D011795:Surveys and Questionnaires