Rehabilitation approach in patients with multiple hand injuries

Hand trauma presents a demanding therapeutic challenge due to the complexity of the cases and the importance of the goal pursued: the recovery of hand functionality and the psychosocial reintegration of the patient. A carefully designed, individualized and efficient functional hand recovery protocol can significantly improve the healing process and lead to the restoration of the affected hand's functions. The objective of the study was to assess the effectiveness of a structured hand rehabilitation program on improving grip strength, range of motion and quality of life in patients after hand trauma.

The study included 26 patients who had experienced complex hand injuries and subsequently underwent surgical interventions. Participants underwent a standardized rehabilitation program consisting of targeted exercises and therapies three times per week for 3 months. Outcomes were measured at baseline, 4 weeks and 3 months using the dynamometer Jamar for grip strength, a goniometer for range of motion, and for quality of life we used the arithmetic mean of the percentages for the VAS score, the GAD-7 score and the Quick Dash score.

The data analysis highlights improvements in all measured outcomes. Grip strength and range of motion showed significant increases at 1 and 3 months compared to baseline. Quality of life assessments also demonstrated notable enhancements, correlating with physical improvements. In conclusion, the findings suggest that structured hand rehabilitation significantly improves functional outcomes in patients’ post-hand trauma. These results underscore the importance of implementing comprehensive rehabilitation protocols to restore function and enhance quality of life.