Evaluation of outcomes for patients attending a rehabilitation group after complex hand injury.

Introduction. A rehabilitation group intervention has been an established treatment programme for patients with complex hand injuries requiring intensive therapy input.Methods. A prospective audit of 20 patients was carried out to evaluate the outcomes of those attending the group with regard to imp...

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Bibliographic Details
Published in:Hand Therapy Vol. 17; no. 3; pp. 68 - 73
Main Authors: Adams, Zoë, Newington, Lisa, Blakeway, Megan
Format: research tables/charts Journal Article
Published: Sage Publications, Ltd. Sep2012
Online Access:View this record in EBSCOhost
Description
Summary:Introduction. A rehabilitation group intervention has been an established treatment programme for patients with complex hand injuries requiring intensive therapy input.Methods. A prospective audit of 20 patients was carried out to evaluate the outcomes of those attending the group with regard to improving hand function. The Disabilities of the Arm, Shoulder and Hand assessment was employed as a before and after measure of outcome.Results. Nineteen out of 20 patients demonstrated an improvement in their hand function following group intervention. Patients with injuries uncomplicated by complex regional pain syndrome (CRPS) demonstrated the highest level of improvement. Patients with CRPS demonstrated the lowest level of improvement.Discussion. Group therapy programmes are a valuable tool in delivering intensive therapy intervention to patients with complex hand injuries. Patients with injuries complicated by CRPS may benefit more from individualized therapy intervention.