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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.

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2019-03-26

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Blanquero, Jesús
Cortés-Vega, María Dolores
García-Frasquet, María Ángeles
Sánchez-Laulhé, Pablo Rodríguez
Nieto Díaz de Los Bernardos, María Isabel
Suero-Pineda, Alejandro

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Abstract

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? Randomised, parallel-group trial with concealed allocation, assessor blinding, and intention-to-treat analysis. Fifty participants within 10 days of surgical carpal tunnel release. 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. 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. 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). 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. ACTRN12618001887268.

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MeSH Terms

Adult
Carpal Tunnel Syndrome
Computers, Handheld
Disability Evaluation
Exercise Test
Exercise Therapy
Female
Hand Strength
Humans
Male
Middle Aged
Pain Measurement
Single-Blind Method
Therapy, Computer-Assisted
User-Computer Interface

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Keywords

Carpal tunnel syndrome, Exercise therapy, Feedback sensory, Mobile applications

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