A systematic review of the literature related to effective occupational therapy interventions in rehabilitation of individuals with work-related forearm, wrist, and hand injuries and illnesses was conducted as part of the Evidence-Based Literature Review Project of the American Occupational Therapy Association. This review provides a comprehensive overview and analysis of 36 studies that addressed many of the interventions commonly used in hand rehabilitation. Findings reveal that the use of occupation-based activities has reasonable yet limited evidence to support its effectiveness. This review supports the premise that many client factors can be positively affected through the use of several commonly used occupational therapy-related modalities and methods. The implications for occupational therapy practice, research, and education and limitations of reviewed studies are also discussed.
Focused Clinical QuestionWhat occupational therapy interventions are effective in the rehabilitation of individuals with work-related injuries or conditions of the forearm, wrist, and hand?
Objectives of the Evidence-Based Literature ReviewOccupational therapy practitioners are interested in the ability of individuals to engage in meaningful and relevant occupations and therefore must address many factors of human structure and function that enable performance and allow for occupational engagement. Workers are a population susceptible to injuries to the arm and hand resulting from accidents and cumulative trauma occurring at the work site. Occupational therapy practitioners treat many of these injuries and conditions and the ensuing occupational dysfunction. This article highlights the evidence related to treatment of the hand, wrist, and forearm that can be used by clinicians to support interventions commonly provided to injured workers with the objective of returning them to full occupational engagement.