Symptoms and General Pathology

All Conditions

Musculoskeletal Diseases

Wounds and Injuries

Nervous System Diseases

Neoplasms

Skin and Connective Tissue Diseases

Diseases and Abnormalities at or Before Birth

Rare Diseases

Syndrome

Osteoarthritis

Fractures, Bone

Carpal Tunnel Syndrome

Radius Fractures

Wrist Fractures

Soft Tissue Injuries

Contracture

Dupuytren Contracture

Median Neuropathy

Mononeuropathies

Peripheral Nervous System Diseases

Neuromuscular Diseases

Nerve Compression Syndromes

Charcot-Marie-Tooth Disease

Hereditary Sensory and Motor Neuropathy

Cumulative Trauma Disorders

Sprains and Strains

Forearm Injuries

Arm Injuries

Wrist Injuries

Fibroma

Neoplasms, Fibrous Tissue

Neoplasms, Connective Tissue

Neoplasms, Connective and Soft Tissue

Neoplasms by Histologic Type

Muscular Diseases

Connective Tissue Diseases

Hereditary Motor and Sensory Neuropathy

Hereditary Neuropathy With Liability to Pressure Palsies

Roussy Levy Syndrome

A protocol of exercises based on the current scientific evidence will be provided through a tablet application. A follow-up of the use of the application will be carried out. A minimum of 4-week home exercise intervention will be performed, which will have to be carried out daily by the patient autonomously at home for at least 5 days per week, starting after baseline measurement.

The exercise program will be individualized according to each pathology.

In the control condition, participants will receive a home exercise program on paper. The exercise program will be the conventionally prescribed one by the Andalusian Public Health Service. Participants will be told to perform exercises during a minimum of 4 week at home for at least 5 days per week, starting after baseline measurement.

Experimental: Tablet application

Comparator: Conventional treatment

Trauma and soft injuries of the wrist, hand and fingers have a high incidence, and large social and healthcare costs are generated, mainly due to productivity loss. Therapeutic exercises must be part of the treatment and in the last 10 years the scientific literature highlights the need for the inclusion of the sensorimotor system in both surgical and rehabilitative approaches. Current methods as leaflets or videos lacks of adherence control, evolution control and knowledge of how the patient do the exercises which compromise the expected results. Touch-screens of Tablet devices have showed a large potential to cover these needs and for the retraining of sensorimotor system. ReHand is a Tablet digital tool (Android and iOS) to prescribe and monitor exercise programs based on sensorimotor approach and developed under the guidelines of various healthcare professionals (hand surgeons, physiotherapists, rehabilitators and occupational therapists) to implement home exercise programs and monitor patients. Subjects are selected by emergency, hand surgery, rehabilitation and physiotherapy services of six hospitals from Andalusian Public Health Service through consecutive sampling. Concretely, patients over 18 years of age with trauma and soft injuries of the wrist, hand and fingers, no more than 10 days after surgery or removal of immobilization. Experimental group will receive access to ReHand app to perform a monitored home exercises program. Control group will receive the conventional method employed: a home exercise program in paper with recommendations. Clinical variables will be assessed at baseline before group allocation, 4 weeks, 3 months and 6 months. At the end of the study, cost-utility variables will be analyzed.

Effectiveness of a Tele-Rehabilitation Evidence-based Tablet App for Rehabilitation in Traumatic Bone and Soft Injuries of the Hand, Wrist and Fingers.

Clinical and Economic Effectiveness of a Tele-rehabilitation Evidence-based Tablet Application for Rehabilitation in Traumatic Bone and Soft Injuries of the Hand, Wrist and Fingers.

The shortened form of the DASH questionnaire (Disabilities of the Arm, Shoulder and Hand questionnaire) is an 11-item questionnaire that measures patient's ability to complete tasks, absorb forces, and severity of symptoms.

The PRWE comprises a 5-item pain subscale and a 10-item function subscale. The final score is between 0 - 100 points with higher scores indicating more disability.

This test consists of placing nine small cylinders in the nine holes in the base or container of the "Nine Hole Peg Test".

The Maximun power of the hand muscles used to firmly grasp an object by wrapping the fingers around it, pressing it against the palm, and using the thumb to apply counter-pressure, using a Hydraulic grip dynamometer.

Participants report their pain intensity using the 0 to 10 VAS, where 0 refers to "no pain" and 10 refers to "the worst imaginable pain".

A test to evaluate the ability to accurately reproduce a specific joint angle without the vision of the joint.

Brief questionnaire which evaluated health state is in 5 domains: mobility, capacity for self-care, conduct of usual activities, pain or discomfort and anxiety or depression

Wrist flexion and extension range of movement assessed using a standard goniometer.

Absence due to illness, use of health resources (number of consultations to specialist doctor, physiotherapy occupational therapy sessions, emergency department), time frame in rehabilitation services.

Study title	NCT ID	Conditions	Interventions	Eligibility	Organization	Link
Effectiveness of a Tele-Rehabilitation Evidence-based Tablet App for Rehabilitation in Traumatic Bone and Soft Injuries of the Hand, Wrist and Fingers.	NCT04669704	Soft Tissue Inj... Distal Radius F... Metacarpal Frac... Carpal Fracture Carpal Tunnel S... Thumb Osteoarth... Dupuytren's Dis...	Experimental: T... Comparator: Con...	18 Years -	University of Seville
Effectiveness of a Tele-Rehabilitation Evidence-based Tablet App for Rehabilitation in Traumatic Bone and Soft Injuries of the Hand, Wrist and Fingers.	NCT04669704	Soft Tissue Inj... Distal Radius F... Metacarpal Frac... Carpal Fracture Carpal Tunnel S... Thumb Osteoarth... Dupuytren's Dis...	Experimental: T... Comparator: Con...	18 Years -	University of Seville

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