Background: Metacarpal fractures, one of the most prevalent upper limb fractures, account for 10% of all bony injuries.
Objective: Our systematic review aimed to review, appraise and collate available evidence on hand rehabilitation programmes for the management of second to fifth metacarpal fractures in an adult human population after conservative and surgical management. Since 2008, no review on a similar topic has been performed, thus informing clinical practice for physiotherapists and occupational therapists.
Methods: Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) principles guided the reporting. Experimental, quasi-experimental, cohort and case-control studies between January 2008 and September 2018 were included. Searches were conducted on Medline, Academic Search Ultimate, CINAHL, CAB Abstracts, Health Source - Consumer Edition, Health Source: Nursing/Academic Edition, SPORTDiscus, Africa-Wide Information and MasterFILE Premier, Web-of-Science and Scopus. Screening, selection, appraisal and data extraction were independently performed by two reviewers. No meta-analysis was performed.
Results: A total of 1015 sources were identified, 525 duplicates removed and 514 excluded. Three articles were included in the final data extraction: one randomised controlled trial (RCT) and two observational studies.
Conclusion: Limited evidence is available that a well-designed, well-implemented home-based exercise programme results in statistically significant improved hand function ( ˂ 0.0001) and digital total active motion (TAM) ( = 0.013) compared with traditional physiotherapy (PT) post-surgically.
Clinical Implications: Our study contributes to the knowledge base of hand rehabilitation after an individual sustained a second to fifth metacarpal fracture. The authors identified a gap where future studies should further investigate the effect of hand rehabilitation after conservative and surgical management.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8182452 | PMC |
| http://dx.doi.org/10.4102/sajp.v77i1.1536 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
A valid and reliable 3D-printed electronic grip strength assessment tool.
J Hand Ther
January 2025
School of Health, University of the Sunshine Coast, Sippy Downs, QLD, Australia. Electronic address:
The intermetacarpal distance method for assessment of active thumb radial abduction has excellent test-retest agreement, reliability, and precision in persons with non-operative thumb carpometacarpal osteoarthritis.
J Hand Ther
January 2025
Program in Occupational Therapy, Center for Allied Health Programs, University of Minnesota, Minneapolis, MN, USA; Program in Rehabilitation Science, Medical School, University of Minnesota, Minneapolis, MN, USA.
Background: Limitations in thumb radial abduction (i.e., carpometacarpal extension) are commonly experienced by persons with thumb carpometacarpal osteoarthritis.
View Article and Find Full Text PDFEffects of high-intensity laser therapy in patients with De Quervain's tenosynovitis: A systematic review and meta-analysis.
J Hand Ther
January 2025
Physiotherapeutic Resources Research Laboratory, Department of Physical Therapy, Federal University of São Carlos (UFSCar), São Paulo, Brazil; Department of Rehabilitation Sciences, University of Hartford, West Hartford, CT, USA.
Background: De Quervain's tenosynovitis (QT) is common among individuals performing repetitive manual tasks and significantly affects daily activities due to pain. While traditional treatments often provide limited relief, high-intensity laser therapy (HILT) shows as a potential analgesic resource.
Purpose: This systematic review aimed to evaluate the analgesic effects of HILT in patients with QT.
The course of physical fitness and nutritional status in patients following prehabilitation before esophageal cancer surgery: Results from the PRIOR study.
Eur J Surg Oncol
January 2025
Research Center for Healthy and Sustainable Living, Research Group Innovation of Movement Care, HU University of Applied Sciences Utrecht, Heidelberglaan 7, 3584, CS, Utrecht, the Netherlands; Department of Rehabilitation, Physiotherapy Science and Sport, Brain Center, University Medical Center Utrecht, Heidelberglaan 100, 3584, CX, Utrecht, the Netherlands. Electronic address:
Introduction: This study evaluates the course of physical fitness and nutritional status during curative therapy for esophageal cancer, after implementation of a prehabilitation program. Additionally, the impact of baseline physical fitness level and severe postoperative complications on the course of individual patients were explored.
Materials And Methods: This multicenter, observational cohort study included patients with esophageal cancer following curative treatment.
Merging motoneuron and postural synergies in prosthetic hand design for natural bionic interfacing.
Sci Robot
January 2025
Department of Bioengineering, Imperial College of London, London, UK.
Despite the advances in bionic reconstruction of missing limbs, the control of robotic limbs is still limited and, in most cases, not felt to be as natural by users. In this study, we introduce a control approach that combines robotic design based on postural synergies and neural decoding of synergistic behavior of spinal motoneurons. We developed a soft prosthetic hand with two degrees of actuation that realizes postures in a two-dimensional linear manifold generated by two postural synergies.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!