title: Integration of occupation based intervention in hand injury rehabilitation: A Randomized Controlled Trial.
abstract: METHODS
  Randomized Controlled Trial (RCT).
  
  
  BACKGROUND
  Engagement in daily occupations and day to day activities helps to restore function in individuals with injured hands and provides a platform to practise selected occupations.
  
  
  OBJECTIVE
  The purpose of this study was to investigate the effectiveness of a combination of Occupation Based Intervention (OBI) and Therapeutic Exercise (TE) compared to TE alone for the rehabilitation of hand injuries.
  
  
  METHODS
  A single center RCT, parallel group was conducted at the Kuala Lumpur General Hospital (KLGH), Malaysia. Forty-six adult clients with hand injuries who consented to participate were randomly allocated to either the OBI + TE group or to the TE group.
  
  
  RESULTS
  Following a ten week intervention program, statistical significance differences were found in DASH score (TE = 18.64 ± 14.84 vs OBI + TE = 9.50 ± 9.14, p = 0.02); total active motion (TE = 1035.85 ± 179.84 vs OBI + TE = 1203.65 ± 133.60, p = 0.01); neuropathic pain (TE = 2.90 ± 2.79 vs OBI + TE = 1.05 ± 2.01, p = 0.02); COPM performance (TE = 7.62 ± 2.03 vs OBI + TE = 9.53 ± 0.64, p < 0.001); and COPM satisfaction (TE = 7.60 ± 2.11 vs OBI + TE = 9.49 ± 0.76, p < 0.001) in favor of OBI + TE group.
  
  
  CONCLUSIONS
  This study highlighted the integration of OBI into hand injury rehabilitation improved outcomes for clients.
authors: Discipline of Occupational Therapy, School of Healthcare Sciences, Division of Tropical Health and Medicine, James Cook University, Townsville, Queensland 4811, Australia; Department of Occupational Therapy, Faculty of Health Sciences, Universiti Teknologi Mara, Puncak Alam 32000, Selangor, Malaysia. Electronic address: ahmadzamir.chedaud@my.jcu.edu.au.
authors: Ahmad Zamir
authors: AZ
authors: Che Daud
authors: Discipline of Occupational Therapy, School of Healthcare Sciences, Division of Tropical Health and Medicine, James Cook University, Townsville, Queensland 4811, Australia.
authors: Matthew K
authors: MK
authors: Yau
authors: Institute of Sport and Exercise Science, School of Healthcare Sciences, Division of Tropical Health and Medicine, James Cook University, Townsville, Queensland 4811, Australia.
authors: Fiona
authors: F
authors: Barnett
authors: Division of Tropical Health and Medicine, James Cook University, Townsville, Queensland 4811, Australia; Anton Breinl Centre for Health Systems Strengthening, James Cook University, Townsville, Queensland 4811, Australia.
authors: Jenni
authors: J
authors: Judd
authors: School of Marine and Tropical Biology, James Cook University, Townsville, Queensland 4811, Australia.
authors: Rhondda E
authors: RE
authors: Jones
authors: Hand and Upper Limb Unit, Department of Orthopaedic and Traumatology, Kuala Lumpur General Hospital, Malaysia.
authors: Rashdeen Fazwi
authors: RF
authors: Muhammad Nawawi
mesh_terms: D000328:Adult; D004185:Disability Evaluation; D005081:Exercise Therapy; D005260:Female; D006230:Hand Injuries / Q000534:rehabilitation*; D018737:Hand Strength; D006801:Humans; D008297:Male; D009437:Neuralgia / Q000628:therapy; D009788:Occupational Therapy; D017060:Patient Satisfaction; D016059:Range of Motion, Articular
keywords: Exercise therapy; Hand injuries; Occupations; Randomized Controlled Trial