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RECRUITING
NCT06399614

Occupational Therapy-led Services for Adults Presenting Acutely With a Hand Condition

Sponsor: University of Limerick

View on ClinicalTrials.gov

Summary

Traumatic hand injuries account for up to one third of acute hospital presentations. Current guidelines and standards of care recommend patients with hand trauma are seen by hand therapists, typically occupational therapists. The proposed study aims to explore the effectiveness of occupational therapy-led hand therapy services for the adult population presenting acutely to an injury unit or emergency department setting with a hand condition. The research project will consist of an analytical study, involving four different sites in Ireland to enrich findings, and to aid future service development. One site will be the comparison site, as it does not have access to occupational therapy, and will offer patients 'care as usual' upon attendance. Outcome measures will be used for all participants and will be completed at initial patient contact, at week eight and at six months. It is hoped the current proposed study will help shape future service development for those with hand injury including provision of evidence based occupational therapy assessment and intervention.

Official title: An Evidenced Based Analytical Study of Occupational Therapy-led Services for Adults Presenting Acutely With a Hand Condition

Key Details

Gender

All

Age Range

18 Years - Any

Study Type

OBSERVATIONAL

Enrollment

150

Start Date

2024-01-11

Completion Date

2025-11

Last Updated

2025-10-01

Healthy Volunteers

No

Conditions

Interventions

OTHER

Occupational Therapy-led Hand Therapy Service

Types of interventions provided by the therapist will include splinting, targeted exercises and activities, occupation-based intervention, edema management, scar management; desensitisation, functional tasks completion, and education. All interventions provided are within occupational therapists' scope of practice and are evidence based. Number of treatment sessions will be individualised to the patient and guided by stages of recovery.

OTHER

Care as usual

Care as usual group: Participants attending an emergency department of injury unit, do not have access to occupational therapy services and will undergo 'care as usual' in line with the services\' protocols and procedures. Care as usual involves standard nursing and medical care and may include: wound care, use of 'off the shelf' orthosis, education, and onward referral to other healthcare professionals.

Locations (5)

Beaumont Hospital

Dublin, Ireland

Tallaght University Hospital

Dublin, Ireland

Galway University Hospital

Galway, Ireland

Ennis General Hospital - ULHG

Limerick, Ireland

Nenagh General Hospital ULHG

Tipperary, Ireland