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dc.creatorBlanquero, J.es
dc.creatorCortés Vega, María Doloreses
dc.creatorGarcía-Frasquet, M. Á.es
dc.creatorRodríguez Sánchez Laulhé, P.es
dc.creatorNieto Díaz de los Bernardos, María Isabeles
dc.creatorSuero-Pineda, A.es
dc.date.accessioned2019-07-23T10:39:41Z
dc.date.available2019-07-23T10:39:41Z
dc.date.issued2019-04
dc.identifier.citationBlanquero, J., Cortés Vega, M.D., García-Frasquet, M.Á., Sánchez Laulhé, P.R., Nieto Díaz de los Bernardos, M.I. y Suero-Pineda, A. (2019). Exercises using a touchscreen tablet application improved functional ability more than an exercise program prescribed on paper in people after surgical carpal tunnel release: a randomised trial. Journal of Physiotherapy, 65 (2), 81-87.
dc.identifier.issn1836-9553es
dc.identifier.issn1836-9561es
dc.identifier.urihttps://hdl.handle.net/11441/88167
dc.description.abstractQuestion: In people who have undergone surgical carpal tunnel release, do sensorimotor-based exercises performed on the touchscreen of a tablet device improve outcomes more than a conventional home exercise program prescribed on paper? Design: Randomised, parallel-group trial with concealed allocation, assessor blinding, and intention-to-treat analysis. Participants: Fifty participants within 10 days of surgical carpal tunnel release. Intervention: Each participant was prescribed a 4-week home exercise program. Participants in the experimental group received the ReHand tablet application, which administered and monitored exercises via the touchscreen. The control group was prescribed a home exercise program on paper, as is usual practice in the public hospital system. Outcome measures: The primary outcome was functional ability of the hand, reported using the shortened form of the Disabilities of the Arm, Shoulder and Hand (QuickDASH) questionnaire. Secondary outcomes were grip strength, pain intensity measured on a 10-cm visual analogue scale, and dexterity measured with the Nine-Hole Peg Test. Outcomes were measured by a blinded assessor at baseline and at the end of the 4-week intervention period. Results: At Week 4, functional ability improved significantly more in the experimental group than the control group (MD –21, 95% CI –33 to –9) on the QuickDASH score (0 to 100). Although the mean estimates of effect on the secondary outcome also all favoured the experimental group, none reached statistical significance: grip strength (MD 5.6 kg, 95% CI –0.5 to 11.7), pain (MD –1.4 cm, 95% CI –2.9 to 0.1), and dexterity (MD –1.3 seconds, 95% CI –3.7 to 1.1). Conclusion: Use of the ReHand tablet application for early rehabilitation after carpal tunnel release is more effective in the recovery of functional ability than a conventional home exercise program. It remains unclear whether there are any benefits in grip strength, pain or dexterity. Trial registration: ACTRN12618001887268.es
dc.formatapplication/pdfes
dc.language.isoenges
dc.publisherAustralian Physiotherapy Associationes
dc.relation.ispartofJournal of Physiotherapy, 65 (2), 81-87.
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 Internacional*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.subjectCarpal tunnel syndromees
dc.subjectExercise therapyes
dc.subjectFeedback sensoryes
dc.subjectMobile applicationses
dc.titleExercises using a touchscreen tablet application improved functional ability more than an exercise program prescribed on paper in people after surgical carpal tunnel release: a randomised triales
dc.typeinfo:eu-repo/semantics/articlees
dc.type.versioninfo:eu-repo/semantics/publishedVersiones
dc.rights.accessRightsinfo:eu-repo/semantics/openAccesses
dc.contributor.affiliationUniversidad de Sevilla. Departamento de Fisioterapiaes
dc.relation.publisherversionhttp://doi.org/10.1016/j.jphys.2019.02.008es
dc.identifier.doi10.1016/j.jphys.2019.02.008es
idus.format.extent7 p.es
dc.journaltitleJournal of Physiotherapyes
dc.publication.volumen65es
dc.publication.issue2es
dc.publication.initialPage81es
dc.publication.endPage87es

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