Occupational Therapy Programme, Centre for Rehabilitation and Special Need Studies, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Jalan Raja Muda Abdul Aziz, Kuala Lumpur, 50300, Malaysia.
Hand and Upper Limb Centre, Pantai Hospital Kuala Lumpur, Kuala Lumpur, Malaysia.
Trials. 2024 Mar 12;25(1):184. doi: 10.1186/s13063-024-08008-w.
Occupational Therapists use craft-making activities as therapeutic interventions to improve physical and psychological functioning of injured people. Despite the therapeutic effects, craft-making is not routinely used in hand rehabilitation as an intervention for patients with upper limb fractures. These patients often experience physical and psychosocial issues; however, without supportive evidence, therapists hesitate to integrate craft-making into upper limb rehabilitation.
This study aims to determine the effect of a conventional therapy combined with therapeutic craft-making on disability, post-traumatic stress, and physical performance in patients with lower-third forearm fractures.
Priori analysis determined that 38 patients will be needed for this superiority randomized controlled trial to be conducted in a hand and upper limb rehabilitation center. Eligible participants must comprehend English, be diagnosed with lower-third forearm fracture(s) stabilized by open reduction internal fixation, and referred to therapy within 2-4 weeks of surgery. Following the CONSORT guidelines, participants will be randomly assigned to a Control (conventional therapy) group or an Intervention (conventional therapy and craft) group. Twice weekly for 6 weeks, Therapist A will provide both groups with 1-h of conventional therapy while the Intervention group will also receive 15 min of craft-making supervised by the Researcher. The primary outcome of disability will be measured with the Quick-Disabilities of Arm, Shoulder and Hand. The secondary outcome measurements include the Patient-Rated-Wrist-Evaluation; Impact of Event Scale-revised and physical performance, i.e., the Purdue Pegboard Test, AROM, and grip strength. All outcome measures will be obtained by Therapist B prior to the 1st therapy visit and after the 12th visit. Descriptive analysis will be done for the categorical and continuous data and a mixed model ANOVA for analysis of the initial and final assessment scores within and between groups.
This study is ongoing.
The intent of this study is to determine if therapeutic crafts have value as an intervention when used in combination with conventional therapy for patients with lower-third forearm fractures. If the value of crafts is supported, this evidence may reduce hesitancy of therapists to implement craft-making with patients referred to hand therapy after upper limb fracture.
This study is ongoing.
ANZCTR, ACTRN12622000150741. Retrospectively registered on 28 January 2022 https://anzctr.org.au/Trial/Registration/TrialReview.aspx?id=382676&isReview=true ..
职业治疗师使用手工艺制作活动作为治疗干预措施，以改善受伤人员的身体和心理功能。尽管手工艺制作具有治疗效果，但它并未作为上肢骨折患者手部康复的干预措施常规使用。这些患者经常经历身体和心理社会问题；然而，由于缺乏支持性证据，治疗师在将手工艺制作纳入上肢康复治疗时犹豫不决。
本研究旨在确定常规治疗结合治疗性手工艺制作对下三分之一前臂骨折患者的残疾、创伤后应激和身体表现的影响。
预先分析确定，这项在手部和上肢康复中心进行的优势随机对照试验需要 38 名患者。合格的参与者必须能够理解英语，被诊断为接受切开复位内固定术稳定的下三分之一前臂骨折，并在手术后 2-4 周内转介至治疗。按照 CONSORT 指南，参与者将被随机分配到对照组（常规治疗）或干预组（常规治疗和手工艺）。治疗师 A 将每周两次为两组提供 1 小时的常规治疗，而干预组还将在研究人员的监督下接受 15 分钟的手工艺制作。残疾的主要结果将使用 Quick-Disabilities of Arm、Shoulder and Hand 进行测量。次要结果测量包括患者评定腕关节评估；修订后的事件影响量表和身体表现，即 Purdue Pegboard 测试、AROM 和握力。所有结果测量都将在治疗师 B 进行第 1 次治疗访问之前和第 12 次访问之后进行。将对分类和连续数据进行描述性分析，并对组内和组间的初始和最终评估分数进行混合模型方差分析。
这项研究正在进行中。
本研究的目的是确定治疗性手工艺制作作为下三分之一前臂骨折患者常规治疗的辅助治疗是否具有价值。如果手工艺制作的价值得到支持，这一证据可能会减少上肢骨折后转介到手部治疗的患者的治疗师实施手工艺制作的犹豫。
这项研究正在进行中。
ANZCTR，ACTRN12622000150741。2022 年 1 月 28 日回顾性注册 https://anzctr.org.au/Trial/Registration/TrialReview.aspx?id=382676&isReview=true 。
