Evaluating the effectiveness of a patient-oriented hand rehabilitation programme

J Hand Surg Eur Vol. 2008 Dec;33(6):771-8. doi: 10.1177/1753193408091602. Epub 2008 Aug 11.

Abstract

This study evaluated the effectiveness of a patient-oriented, hand rehabilitation programme compared to a standard programme regarding functional outcomes, return to work, patient satisfaction and costs. Patients were recruited in two consecutive cohorts. One cohort received the standard treatment programme (n = 75) and the other a programme based on principles of patient orientation (n = 75). Data were collected at the beginning and end of rehabilitation and 6 months after discharge. Clinical variables included range of motion, grip and pinch strength. Self-reported measures included pain, upper extremity functioning, health status, satisfaction and job situation. Analysis of variance for repeated measurements was used to calculate the main effects. The patient-oriented group showed more favourable results with respect to DASH scores (P <.05), pain (P <.001) and patient satisfaction (P <.0001). More patients returned to their former jobs and time off sick was reduced. We concluded that the patient-oriented approach was more effective and cost-saving.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Analysis of Variance
  • Chi-Square Distribution
  • Disability Evaluation
  • Employment / statistics & numerical data
  • Female
  • Germany
  • Hand Injuries / rehabilitation*
  • Hand Strength
  • Humans
  • Linear Models
  • Longitudinal Studies
  • Male
  • Middle Aged
  • Outcome Assessment, Health Care*
  • Pain Measurement
  • Patient Satisfaction
  • Patient-Centered Care*
  • Program Evaluation
  • Range of Motion, Articular
  • Recovery of Function
  • Treatment Outcome