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

 -  Age over 18

 -  Patients with trauma or soft tissue injuries of the wrist, hand and fingers.
 Dupuytren, carpal tunnel syndrome, rizarthrosis, distal radius fracture, carpal
 fracture or metacarpal fracture.

 Exclusion Criteria:

 -  Neurological pathology that affects the upper limb.

 -  Non-cooperative.

 -  Psychiatric illness.