The strongest evidence supports postsurgical early active motion protocol s and splinting for various conditions .
Very few studies have examined occupation-based interventions .
Occupational therapy practitioners are key health care providers for people with musculoskeletal disorders of the distal upper extremity .
It is imperative that practitioners underst and the most effective and efficient means for remediating impairments and supporting clients in progressing to independence in purpose ful occupations .
This systematic review provides an up date to a previous review by summarizing articles published between 2006 and July 2014 related to the focused question , What is the evidence for the effect of occupational therapy interventions on functional outcomes for adults with musculoskeletal disorders of the forearm , wrist , and h and ?
Comparing three postoperative treatment protocols for extensor tendon repair in zones V and VI of the hand.
OBJECTIVE This pilot study compared the effectiveness of 3 postoperative rehabilitation protocol s for patients with Zones V and VI extensor tendon lacerations . METHOD Twenty-seven patients were recruited from 3 sites and r and omly assigned to 1 of 3 established treatment protocol s : immobilization , early passive motion ( EPM ) , and early active motion ( EAM ) . Outcome measures were collected at 3 , 6 , and 12 wk after treatment and included total active motion ( TAM ) . RESULTS At the end of Week 12 , data on 24 injured digits of 18 patients were available for analysis . When data at Weeks 3 , 6 , and 12 were compared , patients in all groups showed steady improvement in TAM , but digits under the EAM treatment improved to a greater extent over time ( F[2 , 46 ] = 75.6 , p < .001 ) . CONCLUSION Patients with Zones V and VI extensor tendon injuries treated with the EAM protocol recovered range of motion more rapidly
The strongest evidence supports postsurgical early active motion protocol s and splinting for various conditions .
Very few studies have examined occupation-based interventions .
Occupational therapy practitioners are key health care providers for people with musculoskeletal disorders of the distal upper extremity .
It is imperative that practitioners underst and the most effective and efficient means for remediating impairments and supporting clients in progressing to independence in purpose ful occupations .
This systematic review provides an up date to a previous review by summarizing articles published between 2006 and July 2014 related to the focused question , What is the evidence for the effect of occupational therapy interventions on functional outcomes for adults with musculoskeletal disorders of the forearm , wrist , and h and ?