ArticleHand (New York, N.Y.)2026
Telerehabilitation After Zone 1 and 2 Flexor Tendon Repairs: Comparison With In-Person Therapy.
Article in Hand (New York, N.Y.), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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4 authors.
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Abstract
backgroundTelerehabilitation (TR) gained prominence during the COVID-19 pandemic, showing promising outcomes for remote hand therapy tendon repairs. This study compares remote and in-person hand therapy outcomes for flexor tendon repairs.
methodsThis prospective, nonrandomized comparative clinical study included 23 patients, 25 fingers with flexor tendon repairs in zones 1 and 2. Participants were divided into 2 groups: telerehabilitation (TR) group, 9 patients (10 fingers), and in-person therapy (IP) group, 14 patients (15 fingers). All surgeries were performed under wide-awake anesthesia, followed by early controlled active motion therapy with a dorsal blocking orthosis. Telerehabilitation sessions were conducted via a smartphone video conferencing app. Total active motion (TAM) and disability levels (the Disabilities of the Arm, Shoulder, and Hand Questionnaire [DASH]) were evaluated at 6, 8, and 12 weeks postoperatively. Groups were compared based on TAM scores, DASH scores, and extension deficit degrees.
resultsThe TR group included 3 women (33.3%) and the IP group did 6 women (42.9%) while median age was 27 years in TR and 33 years in IP group. Both groups showed significant improvements in TAM and DASH scores over time (
conclusionClinical outcomes indicate that remote and in-person hand therapy provide similar results for patients with flexor tendon repairs in zones 1 and 2. Telerehabilitation is a viable alternative to traditional hand therapy and can be integrated into clinical practice due to its comparable results.
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