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Does a DVD improve compliance with home exercise programs for people who have sustained a traumatic hand injury? Results of a feasibility study
Journal article   Peer reviewed

Does a DVD improve compliance with home exercise programs for people who have sustained a traumatic hand injury? Results of a feasibility study

Gail A Kingston, Gary Williams, Marion Gray and Jenni Judd
Disability and Rehabilitation: Assistive Technology, Vol.9(3), pp.188-194
2014
DOI: https://doi.org/10.3109/17483107.2013.806600
url
https://doi.org/10.3109/17483107.2013.806600View
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Abstract

compliance DVD home exercise program traumatic hand injury
Purpose: This feasibility study sought to determine if compliance and understanding of a home exercise program following a traumatic hand injury is improved when patients are provided with a DVD and a brochure when compared to using brochures only. Method: Patients who presented with a traumatic hand injury and commenced on a hand therapy protocol were randomly assigned into two groups. The control group received brochures while the experimental group were provided with exercise instructions on DVD as well as brochures. Compliance was measured through the use of exercise diaries, clinic attendance, a checklist to measure correctness and understanding of exercises and a follow-up survey. Results: No significant improvement was found in the mean exercise compliance score (p¼0.344) between the intervention and control groups. From the survey results almost half of all participants reported that pain interfered in their ability to perform their home exercises and a third acknowledged that time limited their ability to perform their exercises. Conclusion: Findings demonstrate the multidimensional nature of compliance. The provision of DVD technology, while not shown to cause a statistically significant change in overall compliance, did help improve understanding of exercises; as such DVDs could be utilised as part of a program that facilitates the patient-therapist relationship.

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Rehabilitation

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