Tablet-based exercise in hand, wrist and fingers injuries

...is it more effective than a conventional home exercise programme?

The hand is the body segment most frequently affected by traumatic occupational injuries. Such injuries generate high healthcare costs, require prolonged time off from work and impair physical and mental health. Home exercise programs are beneficial after such injuries to restore range of movement, strength, dexterity and function.

A recent trial conducted in Spain compared the effect of the traditional home exercise programme (prescribed on paper) to a home exercise program that is performed on the touchscreen of a tablet device. The software provides on-screen targets for the exercises, gives feedback to the patient, progresses the exercises according to algorithms, monitors the patient's adherence, and communicates with the physiotherapist about the patient's progress.

Other advantages were that fewer healthcare appointments were required, there was greater short-term recovery on functional ability (12 points better on the QuickDASH score of function), and that there was greater short-term recovery of strength (pinch strength was about 1 kg stronger than the control group within 2 weeks).

> From: Blanquero, J Physiother 66 (2020) 236-242 . All rights reserved to Australian Physiotherapy Association. Click here for the online summary.

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