Evidence map›Paper›PMID 41429917›Full record

ArticleNPJ digital medicine2025

Immersive virtual reality for functional hand and finger rehabilitation: results from a randomized controlled trial in 150 patients after traumatic hand injuries.

Cosima Prahm, Michael Bressler, Tanja Gohlke, Alexander Hönning, Leila Harhaus-Wähner, Adrien Daigeler, Jonas Kolbenschlag

Abstract read
In one paragraph

Article in NPJ digital medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Cosima PrahmDepartment of Hand-, Replantation- and Microsurgery, BG Klinikum Unfallkrankenhaus Berlin, Chair of Hand-, Replantation- and Microsurgery, Charité - Universitätsmedizin, Berlin, Germany. cosima.prahm@charite.de.
Michael BresslerDepartment of Hand-, Replantation- and Microsurgery, BG Klinikum Unfallkrankenhaus Berlin, Chair of Hand-, Replantation- and Microsurgery, Charité - Universitätsmedizin, Berlin, Germany.
Tanja GohlkeDepartment of Hand, Plastic, Reconstructive and Burn Surgery, Eberhard Karls University Tübingen, BG Klinik Tübingen, Tübingen, Germany.
Alexander HönningCenter for Clinical Research, BG Klinikum Unfallkrankenhaus Berlin, Berlin, Germany.
Leila Harhaus-WähnerDepartment of Hand-, Replantation- and Microsurgery, BG Klinikum Unfallkrankenhaus Berlin, Chair of Hand-, Replantation- and Microsurgery, Charité - Universitätsmedizin, Berlin, Germany.
Adrien DaigelerDepartment of Hand, Plastic, Reconstructive and Burn Surgery, Eberhard Karls University Tübingen, BG Klinik Tübingen, Tübingen, Germany.
Jonas KolbenschlagDepartment of Hand, Plastic, Reconstructive and Burn Surgery, Eberhard Karls University Tübingen, BG Klinik Tübingen, Tübingen, Germany.

Funding

Deutsche Gesetzliche Unfallversicherung FR-0327
6 · The paper itself

Abstract

Traumatic hand injuries frequently result in prolonged functional impairment. Adherence to conventional rehabilitation is frequently limited by pain, fatigue, and low engagement. Virtual reality systems may increase training volume, but many rely on handheld controllers and lack integration. StableHandVR is an immersive, gamified VR application using optical hand tracking for task-oriented functional hand and finger rehabilitation. In a single-center randomized controlled trial, 150 inpatients undergoing rehabilitation after traumatic hand injuries were assigned to either the StableHandVR intervention (n = 75) or an active control (n = 75) performing untargeted hand exercises during passive 360° VR exposure. Both groups completed 12 supervised sessions over three weeks. The primary outcome was active range of hand motion (ROM); secondary outcomes included thumb opposition (Kapandji), grip strength, upper-limb function (DASH), pain (NRS), quality of life (SF-36), usability (SUS), intrinsic motivation (IMI), and training adherence. The intervention group achieved significantly greater gains in wrist ROM (+27.8° vs. +17.3°; p < 0.001), and thumb opposition (p = 0.04). Pain during movement decreased in both groups. Patients using StableHandVR voluntarily exceeded the prescribed training volume by 63%, reporting higher perceived effort (p < 0.001), usefulness (p = 0.018), and excellent usability (SUS = 85.3). StableHandVR was found to enhance motor recovery, engagement, and adherence, supporting its integration into clinical rehabilitation pathways.

Identifiers

PMID41429917
PMCPMC12749975

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.