| 1. |
- Björk, Marie, et al.
(författare)
-
Self-efficacy corresponds to wrist function after combined plating of distal radius fractures
- 2020
-
Ingår i: Journal of Hand Therapy. - : Elsevier. - 0894-1130 .- 1545-004X. ; 33:3, s. 314-319
-
Tidskriftsartikel (refereegranskat)abstract
- STUDY DESIGN: A prospective cohort single-center study.INTRODUCTION: Self-efficacy (SE) refers to beliefs in ones capabilities to organize and execute the courses of action required to produce given goals. High SE is an important factor for recovery from injury/illness; people who believe in their capability will more likely reach a good outcome.PURPOSE OF THE STUDY: The aim of this study was to examine if SE has an effect to physical functioning, pain and patient-rated wrist function three months postoperatively in patients undergoing plating due to a distal radius fracture.METHODS: Sixty-seven patients undergoing plating for a distal radius fracture rated SE at the first appointment with the physiotherapist. At the three-month follow-up, the following assessments were administered: Patient-Rated Wrist Evaluation (PRWE), pain-scores, hand grip strength, and range of motion.RESULTS: The group with a high SE showed significantly better range of motion for flexion (P = .046) and supination (P = .045), hand grip strength (P = .001) and PRWE scores (P = .04). The NRS pain during activity was lower, although not significantly lower (P = .09). Using Spearman's rank correlation coefficient, there was a moderate correlation between SE and pain during activity, wrist flexion, and PRWE score.DISCUSSION: SE corresponds to wrist function after combined plating of distal radius fractures.CONCLUSION: Measurement of SE could possibly be useful to identify patients in special need of support during the postoperative rehabilitation.
|
|
| 2. |
- Carlsson, Ingela, et al.
(författare)
-
Hand-injured Patients' Experiences of Cold Sensitivity and the Consequences and Adaptation for Daily Life: A Qualitative Study.
- 2010
-
Ingår i: Journal of Hand Therapy. - : Elsevier BV. - 1545-004X .- 0894-1130. ; 23, s. 53-61
-
Tidskriftsartikel (refereegranskat)abstract
- STUDY DESIGN: Qualitative descriptive. INTRODUCTION: Cold sensitivity is a common and persistent complaint after hand injuries. PURPOSE OF THE STUDY: To explore the experiences of severe cold sensitivity, its consequences for daily life, and the strategies for enduring and enabling occupation. METHODS: Fifteen hand-injured patients with abnormal cold sensitivity were interviewed. The transcribed text was analyzed using manifest and latent content analysis. Experiences of triggering factors, symptoms, and relieving strategies were described. RESULTS: The consequences and adaptation in daily life entailed a change in life roles, a struggle to maintain self-image and changed occupational performance and/or occupational patterns. CONCLUSIONS: Our findings highlight the importance of a holistic approach, including a screening of patients' occupational roles and patterns as well as psychosocial needs, to obtain the information needed to support patients with severe cold sensitivity to achieve a sense of control and self-mastery. LEVEL OF EVIDENCE: not applicable.
|
|
| 3. |
|
|
| 4. |
- Edsfeldt, Sara, et al.
(författare)
-
Prognostic factors for digital range of motion after intrasynovial flexor tendon injury and repair : Long-term follow-up on 273 patients treated with active extension-passive flexion with rubber bands.
- 2019
-
Ingår i: Journal of Hand Therapy. - : Elsevier BV. - 0894-1130 .- 1545-004X. ; 32:3, s. 328-333
-
Tidskriftsartikel (refereegranskat)abstract
- Study Design: Observational cohort study.Introduction: Investigating prognostic factors using population-based data may be used to improve functional outcome after flexor tendon injury and repair.Purpose of the Study: The aim of this study is to investigate the effect of concomitant nerve transection, combined flexor digitorum profundus (FDP) and flexor digitorum superficialis (FDS) tendon transection and the age of the patient, on digital range of motion (ROM) more than 1 year after FDP tendon transection and repair in zone I and II.Methods: Two hundred seventy-three patients with a total of 311 fingers admitted for FDP injury in zone I and II were treated with active extension-passive flexion with rubber bands and followed for at least 1 year. We compared outcome by evaluating digital mobility using Strickland's evaluation system.Results: At 12 months 72% of patients aged > 50 had fair or poor ROM compared to 17% of patients aged 0-25 years. At 24 months the results for patients aged > 50 had improved to 33% with fair or poor ROM, whereas no improvement had occurred for patients aged 0-25 (17% with fair or poor ROM). Concomitant nerve transection and FDS tendon transection had no negative effects on digital mobility.Discussion: Age above 50 was significantly associated with impaired digital ROM during the first year after flexor tendon injury and repair but not at 2 years follow-up. Concomitant nerve transection and combined transection of FDP and FDS do not affect digital mobility.Conclusions: Older patients are likely to have a slower healing process and impaired digital ROM during the first year after surgery.
|
|
| 5. |
- Engstrand, Christina, et al.
(författare)
-
Evaluation of Activity Limitation and Digital Extension in Dupuytrens Contracture Three Months after Fasciectomy and Hand Therapy Interventions
- 2009
-
Ingår i: Journal of Hand Therapy. - : Elsevier BV. - 0894-1130 .- 1545-004X. ; 22:1, s. 21-26
-
Tidskriftsartikel (refereegranskat)abstract
- Background: Working while exposed to motions, physically and psychologically affects a person. Traditionally, motion sickness symptom reduction has implied use of medication, which can lead to detrimental effects on performance. Non-pharmaceutical strategies, in turn, often require cognitive and perceptual attention. Hence, for people working in high demand environments where it is impossible to reallocate focus of attention, other strategies are called upon. The aim of the study was to investigate possible impact of a mitigation strategy on perceived motion sickness and psychophysiological responses, based on an artificial sound horizon compared with a non-positioned sound source. Methods: Twenty-three healthy subjects were seated on a motion platform in an artificial sound horizon or in non-positioned sound, in random order with one week interval between the trials. Perceived motion sickness (Mal), maximum duration of exposure (ST), skin conductance, blood volume pulse, temperature, respiration rate, eye movements and heart rate were measured continuously throughout the trials. Results: Mal scores increased over time in both sound conditions, but the artificial sound horizon, applied as a mitigation strategy for perceived motion sickness, showed no significant effect on Mal scores or ST. The number of fixations increased with time in the non-positioned sound condition. Moreover, fixation time was longer in the non-positioned sound condition compared with sound horizon, indicating that the subjects used more time to fixate and, hence, assumingly made fewer saccades. Conclusion: A subliminally presented artificial sound horizon did not significantly affect perceived motion sickness, psychophysiological variables or the time the subjects endured the motion sickness triggering stimuli. The number of fixations and fixation times increased over time in the non-positioned sound condition.
|
|
| 6. |
- Engstrand, Christina, et al.
(författare)
-
Factors affecting functional recovery after surgery and hand therapy in patients with Dupuytren's disease
- 2015
-
Ingår i: Journal of Hand Therapy. - : Elsevier. - 0894-1130 .- 1545-004X. ; 28:3, s. 255-260
-
Tidskriftsartikel (refereegranskat)abstract
- Study design: Prospective cohort study. Introduction: The evidence of the relationship between functional recovery and impairment after surgery and hand therapy are inconsistent. Purpose of the study: To explore factors that were most related to functional recovery as measured by DASH in patients with Dupuytrens disease. Methods: Eighty-one patients undergoing surgery and hand therapy were consecutively recruited. Functional recovery was measured by the Disability of the Arm, Shoulder and Hand (DASH) questionnaire. Explanatory variables: range of motion of the finger joints, five questions regarding safety and social issues of hand function, and health-related quality of life (Euroqol). Results: The three variables "need to take special precautions", "avoid using the hand in social context", and health-related quality of life (EQ-5D index) explained 62.1% of the variance in DASH, where the first variable had the greatest relative effect. Discussion: Safety and social issues of hand function and quality of life had an evident association with functional recovery. Level of evidence: IV.
|
|
| 7. |
|
|
| 8. |
|
|
| 9. |
- Hansen, Alice Ørts, et al.
(författare)
-
An occupation-based intervention in patients with hand-related disorders grouped using the sense of coherence scale—A randomized controlled trial
- 2020
-
Ingår i: Journal of Hand Therapy. - : Elsevier BV. - 0894-1130. ; 33:4, s. 455-469
-
Tidskriftsartikel (refereegranskat)abstract
- Study Design: A nonblinded randomized controlled trial. Introduction: Occupation-based interventions are superior to physical exercise–based interventions in patients with activity limitations. However, only a few studies have examined the effect in patients with hand-related disorders. Patients recover heterogeneously, which could be due to personal factors, such as sense of coherence (SOC). Purpose of the study: To investigate the effectiveness of an occupation-based intervention for patients with hand-related disorders and whether SOC can give an indication of the expected effects. Methods: A total of 504 patients were stratified into three SOC groups and then randomized to either an occupation-based intervention, including physical exercises (OBI) or a physical exercise–based occupation-focused intervention. The primary outcome, functioning, was measured using the Disability of the Arm, Shoulder and Hand questionnaire. Primary endpoint was at three months. Patients were followed up for a year. Results: No significant difference was found in primary outcome analysis. Nevertheless, patients receiving OBI had a statistically significant and greater change in satisfaction with their occupational performance at one, two, and three months follow-up. Patients with a weak SOC had worse functioning and lower health-related quality of life than those in the other groups, at all times. Conclusions: OBI as delivered in this study was not superior to physical exercise–based occupation-focused intervention in this patient group. However, in taking a client-centered approach, we recommend that OBI be based on individual needs, given that patients had a statistically greater change in score regarding satisfaction with their occupational performance. It is evident that patients with a weaker SOC have a lower level of functioning. This knowledge should inform clinical practice.
|
|
| 10. |
- Kristjansdottir, Freyja, et al.
(författare)
-
Social participation in persons with upper limb amputation receiving an esthetic prosthesis
- 2020
-
Ingår i: Journal of Hand Therapy. - : Elsevier BV. - 0894-1130. ; 33:4, s. 520-527
-
Tidskriftsartikel (refereegranskat)abstract
- Study Design: Qualitative study. Introduction: An amputation injury to the hand may lead to not only impaired hand function but also psychosocial consequences. Purpose of the Study: The purpose of the study was to explore personal experiences of social participation for persons provided with an esthetic prosthesis after acquired upper limb amputation. Methods: Thirteen persons with acquired upper limb amputation, who were in need of and had received an esthetic prosthesis, were interviewed. The transcribed text was subjected to content analysis. Results: The emotional reactions to a visibly different hand were linked to a changed appearance and a feeling of being exposed. Recollecting the accident could result in nightmares and sleeping disorders. A change of personality, due to sadness after the amputation was expressed, as well as social insecurity and impact on relations and life roles. Adapting to social challenges comprised hiding or exposing the hand, using personal internal resources and receiving support from others. The esthetic prosthesis contributed to an intact appearance and could serve as a facilitator for initial or long-term social participation. The time that had passed since the injury made it easier to deal with the consequences or in achieving acceptance. Discussion: Coping with emotions and social relations after an acquired amputation can be difficult and complex. Conclusions: Individual needs must be considered and questions about appearance and how it may affect social participation must be asked. An esthetic prosthesis can normalize the appearance and offer the confidence needed to facilitate social participation in those struggling with appearance-related concerns.
|
|
| 11. |
- Larsson, Sara, et al.
(författare)
-
Patients' experiences before and after total wrist fusion or total wrist arthroplasty:A qualitative study of patients with wrist osteoarthritis
- 2022
-
Ingår i: Journal of Hand Therapy. - : Elsevier BV. - 0894-1130. ; 35:1, s. 41-50
-
Tidskriftsartikel (refereegranskat)abstract
- Introduction: For patients with advanced wrist osteoarthritis (OA), total wrist fusion (TWF) is the standard surgical treatment, although total wrist arthroplasty (TWA) has become a plausible motion-preserving alternative. Purpose: To explore patients' experiences of living with advanced wrist OA before and after surgery with either a TWF or a TWA. Furthermore, we wanted to explore the expectations of surgery, appraisal of results, and the adaptation strategies used to overcome challenges in everyday life. Study Design: Qualitative descriptive. Methods: A purposive sample of 13 patients with advanced wrist OA surgically treated with TWF (n = 7) or TWA (n = 6) was recruited. Semistructured interviews were conducted and analyzed using qualitative content analysis. Results: Four categories are described: the problematic wrist, the breakpoint, appraisal of the results, and adaptation to challenges in everyday life. Pain relief was the primary expectation of surgery, and involvement in the discussion regarding different surgical options had a positive effect on the appraisal of results. The participants' ability to perform tasks in everyday life appeared to be more related to their level of pain than the range of wrist motion. Successful coping strategies were developed, enabling the participants to become more independent and adapt to challenges in daily life. Conclusions: Previous surgical experiences, occupation, and amount of wrist motion influenced the participants' expectations, surgical choice with either a TWF or a TWA, and the appraisal of results. The findings contribute valuable insights to both surgeons and hand therapists about the importance of having the patient's individual expectations and needs in focus.
|
|
| 12. |
- Linnertz, Pär, et al.
(författare)
-
Shape-texture-identification—STI—A test for tactile gnosis : Concurrent validity of STI2
- 2019
-
Ingår i: Journal of Hand Therapy. - : Elsevier BV. - 0894-1130. ; 32:4, s. 470-475
-
Tidskriftsartikel (refereegranskat)abstract
- Study Design: Cross-sectional study. Introduction: The shape-texture-identification (STI) test (Össur Nordic AB, Sweden) is used to evaluate one aspect of tactile gnosis in nerve disorders, and it has proven good methodological properties. Purpose of the Study: A new version of the STI test was recently introduced—STI2 (www.sensory-test.com). The purpose of this study was to test the concurrent validity in STI2. Methods: Using a cross-sectional design, this methodological study compared STI2 to the original version based on 2 cohorts; 1 including 20 persons (1 affected finger and corresponding finger on in opposite hand) with affected sensibility after hand injuries and 1 healthy group including 20 persons (digits II and V in both hands). The agreement between the 2 versions of the instrument was calculated statistically by a percentage comparison of the test results and weighted kappa. Results: The 112 tested fingers showed a complete agreement, or 1-point accepted deviation, between the 2 tests in 92% with weighted kappa of 0.74 and 95% confidence interval of 0.63-0.89. The result showed that there is no significant deviation between the 2 versions of the test. Discussion: The use of standardizes and evidence based assessment tools in clinical practice is paramount for a patient centered healthcare. Previous research has shown good psychometric proprties in the STI-test. This study contributes to the scientific evidence of the instrument. Conclusion: As the new STI2 proved good agreement within the accepted deviation, we conclude that there is evidence to use the new STI2 test in assessment of tactile gnosis.
|
|
| 13. |
- Millkvist, Helena, et al.
(författare)
-
The impact of a soft robotic glove on activity performance and body function for brachial plexus birth injury patients : a longitudinal case series
- 2024
-
Ingår i: Journal of Hand Therapy. - : Elsevier. - 0894-1130 .- 1545-004X.
-
Tidskriftsartikel (refereegranskat)abstract
- Background: A brachial plexus birth injury (BPBI) can cause reduced ability to use the arm and hand in daily activities due to reduced grip strength and endurance. A soft robotic glove can increase the number of activities performed and improve activity performance for patients with neurological disease. The use of a soft robotic glove for patients with BPBI has not been studied.Purpose: To investigate if a soft robotic glove can improve activity performance and body function for patients with BPBI.Study design: Longitudinal Case Series.Methods: A convenience sample of patients with BPBI, treated by the Brachial plexus injury service in Umeå, Sweden were studied. Eight patients used a soft robotic glove, (Carbonhand®), at home for three months. Data on activity performance and satisfaction with activity performance, active range of motion and strength were collected at baseline, and at three and four months. A patient evaluation form was filled out at three months, all patients kept a diary for three out of 12 weeks.Results: Six out of eight patients wanted to continue using the device and improved their self-perception of activity performance and satisfaction with the performance due to a more secure grip, compared to when not using the device. All patients had improved maximum strength and endurance in elbow flexion at three months. The device was useful as an assisting device and as a training tool.Conclusion: A soft robotic glove (Carbonhand) may improve activity performance and perceived satisfaction and increase the number of activities that a person with BPBI can perform in everyday life. It is possible to increase strength in elbow flexion after using such a device. Due to this limited material, more research is needed.
|
|
| 14. |
- Omar, Mohammed T. A., et al.
(författare)
-
Hand grip strength and dexterity function in children aged 6-12 years : a cross-sectional study
- 2018
-
Ingår i: Journal of Hand Therapy. - : HANLEY & BELFUS-ELSEVIER INC. - 0894-1130 .- 1545-004X. ; 31:1, s. 93-101
-
Tidskriftsartikel (refereegranskat)abstract
- Study Design: Cross-sectional and clinical measurement. Introduction: Assessment of hand function considers an essential part in clinical practice. Purpose of the Study: To develop normative values of hand grip strength and dexterity function for 6-12 year -old children in Saudi Arabia. Methods: Grip strength and dexterity function was measured in 525 children using Grip Track hand dynamometer (JTECH Medical, Midvale, UT, USA) and 9-hole pegboard test respectively. Results: The grip strength and dexterity function was improved as age progressed regardless of gender. Across all age groups, the hand grip strength of boys was significantly higher than girls for dominant hand (31.75 +/- 10.33 vs 28.24 +/- 9.35; P < .001) and nondominant hand (31,01 +/- 10.27 vs 27.27 +/- 9.30; P < .001). The girls performed slightly faster than boys for dominant hand (19.70 vs 20.68; P < .05) and nondominant hand (21.79 vs 23.46; P < .05). In general, girls completed a 9-HPT faster than boys in the 2 of 7 age groups: 11 years (9-HPT scores = 2.10 seconds; P < .01) and 12 years (9-HPT scores = 1.93 seconds; P < .01). Discussion: The overall patterns of hand grip strength and dexterity function observed in the present study are similar to the previous studies that established acceleration of grip strength with advanced age, and faster performance scores in older children than younger children in both genders. Conclusions: Norms of hand grip strength and dexterity enable therapists to identify some developmental characteristics of hand function among Saudi children, determine the presence of impairment, and compare scores from children in different clinical settings.
|
|
| 15. |
- Porter, Susann
(författare)
-
Occupational performance and grip function following distal radius fracture : A longitudinal study over a six-month period
- 2013
-
Ingår i: Journal of Hand Therapy. - : Sage Publications. - 0894-1130 .- 1545-004X. ; 18:4, s. 118-128
-
Tidskriftsartikel (refereegranskat)abstract
- IntroductionRecovery following distal radius fracture (DRF) is generally achieved within six months. However, a minority of patients experience functional impairments over a longer period. Traditional outcome measures are grip strength and range of movement. However, this may not reflect all parameters that are important. This study focuses on grip function as well as occupational performance in these patients over a six-month period.MethodA longitudinal study with follow-up at three to four weeks (n = 27) and six months (n = 22) after plaster removal. Patients with a DRF treated with cast or with closed reduction and cast immobilisation were included. Instruments used were the Sollerman Hand Function Test, Visual Analogue Scale, Patient-Rated Wrist Evaluation Outcome Questionnaire and Disabilities of the Arm, Shoulder and Hand. Changes over time and correlation between grip function, pain after grip function test and occupational performance were calculated.ResultsImprovements in grip function, experienced pain after grip test and occupational performance were significant. A significant correlation was found between grip function and feeling of capability, confidence and usefulness. Grip function was close to normal after six months with no differences between the two treatment methods. A wide distribution of the result in occupational performance after six months indicates the possibility of multi-dimensional reasons for remaining problems.DiscussionThe results highlight the importance of a combination of functional assessment and questionnaires addressing complexity in order to acquire a more complete picture of limitations following a DRF.Keywords Distal radius fracture, Sollerman’s Hand Function Test, VAS, PRWE, DASH
|
|
| 16. |
|
|
| 17. |
- Rosvall, F., et al.
(författare)
-
Intrarater reliability test of the ISOmetric power device—A new instrument for assessment of isometric force in six directions of wrist motion
- 2021
-
Ingår i: Journal of Hand Therapy. - : Elsevier BV. - 0894-1130 .- 1545-004X. ; 34:1, s. 100-108
-
Tidskriftsartikel (refereegranskat)abstract
- Study Design: Descriptive reliability study. Introduction: A well-functioning wrist requires sufficient range of motion accompanied by adequate strength in every movement and direction—factors that are not regularly measured simultaneously in patients with wrist problems today. The ISOmetric Power device (ISOP) is a new instrument that measures isometric wrist force in all six directions of motion, but its intrarater reliability in a healthy population has not yet been evaluated. Purpose of the Study: The purpose of this study was to perform an intrarater reliability test of the ISOP in healthy participants. Methods: Thirty-two healthy study participants (16 women/16 men; mean age 38.3 years; SD 6.5) were included. With a standardized testing protocol, the three planes of wrist motion— wrist flexion/extension, radial/ulnar deviation, pro/supination—were measured at one time interval (T1) and repeated after one week (T2). The results were analyzed using the intraclass correlation coefficient (ICC). A paired-samples t-test was also performed to determine if a statistically significant difference (P < .05) existed between the first and the second test values. Measurements with Jamar Dynamometer were performed at both time intervals, for internal control of measurement intrarater reliability. Results: Excellent correlations (ICC: 0.90-0.99) were found for all test-retests performed. The lowest value (ICC: 0.90) was seen for supination and the highest value (ICC: 0.99) for flexion of the left hand. No statistically significant differences were found in any of the pairs (P > .05) in terms of test-re-test, which additionally strengthen the correlation between the first and second test values. Discussion: Contrary to the Jamar Dynamometer, the ISOP is not designed for measuring grip strength, but for assessing the isometric muscle force in flexion, extension, pronation, supination, and radial and ulnar deviation. A systematic review has reported a moderate to strong correlation between isometric strength and dynamic performances. Thus, the ISOP is a more complete and applicable instrument for evaluating the functional strength in different directions in the upper extremity. Conclusions: The ISOmetric Power device shows excellent intrarater reliability and is proposed to be a possible valuable wrist strength assessment tool to aid in both diagnostics and outcome measures of wrist and upper extremity disorders. © 2020 Hanley & Belfus
|
|
| 18. |
|
|
| 19. |
- Turesson, Christina, 1969-, et al.
(författare)
-
Experiences of men living with Dupuytren's disease : Consequences of the disease for hand function and daily activities
- 2020
-
Ingår i: Journal of Hand Therapy. - : HANLEY & BELFUS-ELSEVIER. - 0894-1130 .- 1545-004X. ; 33:3, s. 386-393
-
Tidskriftsartikel (refereegranskat)abstract
- Study Design: Qualitative descriptive. Introduction: Dupuytren's disease (DD) is a chronic hand condition causing impairment in hand function. Research describing persons' experiences of living with DD is limited. Understanding the subjective experience of illness is valuable for planning and implementing health-care services. Purpose of the Study: To explore experiences among men living with an impaired hand function due to DD and the consequences of the disease for daily activities. Methods: Interviews were conducted with 21 men before surgery. The model of the patient evaluation process guided data collection. Data were analyzed using problem-driven content analysis. Results: Participants described DD as a chronic disease caused by heredity, previous injury, hard work, or aging. DD was, according to the participants, an uncomfortable and sometimes painful condition, causing a feeling of constant stiffness in the affected hand. DD could cause participants to have fear of hurting the hand, feelings of shame or embarrassment, and a sense of being old. Participants handled the deteriorating hand function by avoiding or refraining from activities, adapting their performance, or performing activities with less quality. The ideal hand function was seen as being able to use the hands without effort. Discussion: The diverse experiences of DD and if the hand is experienced as something that causes distress can be understood further using body-self dialectic and Gadow's states of embodiment, as well as the process of adapting and learning to live with the functional limitations. Conclusions: A clinical implication for hand therapy is to acknowledge patients' individual experiences and support self-modifications and development of new skills.
|
|
| 20. |
- Vikström, Pernilla, et al.
(författare)
-
Patients' views on early sensory relearning following nerve repair-a Q-methodology study
- 2018
-
Ingår i: Journal of Hand Therapy. - : Elsevier BV. - 0894-1130. ; 31:4, s. 443-450
-
Tidskriftsartikel (refereegranskat)abstract
- Study Design: Descriptive study. Introduction: Early sensory relearning where the dynamic capacity of the brain is used has been shown to improve sensory outcome after nerve repair. However, no previous studies have examined how patients experience early sensory relearning. Purpose of the Study: To describe patient's views on early sensory relearning. Methods: Statements' scores were analyzed by factor analysis. Results: Thirty-seven consecutive adult patients with median and/or ulnar nerve repair who completed early sensory relearning were included. Three factors were identified, explaining 45% of the variance: (1) "Believe sensory relearning is meaningful, manage to get an illusion of touch and complete the sensory relearning"; (2) "Do not get an illusion of touch easily and need support in their sensory relearning" (3) "Are not motivated, manage to get an illusion of touch but do not complete sensory relearning". Discussion: Many patients succeed in implementing their sensory relearning. However, a substantial part of the patient population need more support, have difficulties to create illusion of touch, and lack motivation to complete the sensory relearning. To enhance motivation and meaningfulness by relating the training clearly to everyday occupations and to the patient's life situation is a suggested way to proceed. Conclusion: The three unique factors indicate motivation and sense of meaningfulness as key components which should be taken into consideration in developing programs for person-centered early sensory relearning. Level of Evidence: 3.
|
|
| 21. |
|
|
| 22. |
|
|
| 23. |
|
|
