Suero-Pineda Alejandro, Oliva-Pascual-Vaca Ángel, Durán Manuel Rodríguez-Piñero, Sánchez-Laulhé Pablo Rodríguez, García-Frasquet María Ángeles, Blanquero Jesús
Physiotherapy Department, Faculty of Nursing, Physiotherapy and Podiatry, University of Sevilla, Sevilla, Spain.
Service of Physical Medicine and Rehabilitation, Hospital Universitario Virgen Macarena, Seville, Spain.
J Telemed Telecare. 2025 Jan;31(1):29-40. doi: 10.1177/1357633X231172245. Epub 2023 May 20.
To evaluate whether, in patients with trauma and soft tissue injuries of the wrist, hand and/or fingers, an exercise program performed on a touchscreen tablet-based app reduces the consumption of face-to-face resources and improves clinical recovery, compared to a conventional home exercise program prescribed on paper.
Pragmatic, multicentre, parallel, two-group, controlled clinical trial with blinded assessor.
Eighty-one patients with traumatic bone and/or soft tissue injuries of the hand, wrist and/or fingers recruited in four hospitals of the Andalusian Public Health System.
The experimental group received a home exercise program using a touchscreen tablet application and the control group received a home exercise program on paper. Both groups received the same treatment of face-to-face physiotherapy.
Number of physiotherapy sessions. Secondary outcomes were the duration of physiotherapy and clinical variables such as functional ability, grip strength, pain and manual dexterity.
The experimental group required fewer physiotherapy sessions (MD -11,5 sessions; 95% CI -21.4 to -1.4), showed a shorter duration of physiotherapy (MD -3.8 weeks, 95% CI -7 to -1) and had better recovery of grip strength, pain and dexterity compared to the control group.
In patients with trauma and soft tissue injuries of the wrist, hand and/or fingers, an exercise program performed on a touchscreen tablet-based app in combination with face-to-face physiotherapy reduces the consumption of face-to-face resources and improves clinical recovery, compared to conventional home exercise program prescribed on paper.
评估对于手腕、手部和/或手指创伤及软组织损伤患者，与基于纸质处方的传统家庭锻炼计划相比，在基于触摸屏平板电脑应用程序上进行的锻炼计划是否能减少面对面资源的消耗并改善临床恢复情况。
实用、多中心、平行、两组、有盲法评估者的对照临床试验。
从安达卢西亚公共卫生系统的四家医院招募了81名手部、手腕和/或手指创伤性骨和/或软组织损伤患者。
实验组接受使用触摸屏平板电脑应用程序的家庭锻炼计划，对照组接受纸质的家庭锻炼计划。两组都接受相同的面对面物理治疗。
物理治疗疗程数。次要结局包括物理治疗持续时间以及功能能力、握力、疼痛和手部灵活性等临床变量。
与对照组相比，实验组所需的物理治疗疗程更少（平均差 -11.5个疗程；95%置信区间 -21.4至 -1.4），物理治疗持续时间更短（平均差 -3.8周，95%置信区间 -7至 -1），并且握力、疼痛和灵活性的恢复情况更好。
对于手腕、手部和/或手指创伤及软组织损伤患者，与基于纸质处方的传统家庭锻炼计划相比，在基于触摸屏平板电脑应用程序上进行的锻炼计划结合面对面物理治疗可减少面对面资源的消耗并改善临床恢复情况。
