Effect of Occupation-Based Intervention Using the ADOC-H Combined With Physical Function-Based Intervention on Patients With Distal Radius Fractures: A Retrospective Case-Control Study

Abstract

Objectives Occupation-based intervention (OBI) involves daily and meaningful activities for evaluation and intervention. Recently, the “aid for decision-making in occupation choice for hand” (ADOC-H) was developed to facilitate OBI in patients with hand injuries. We aimed to examine the efficacy of OBI using the ADOC-H combined with physical function-based interventions (PBI) for patients with distal radius fractures (DRF). Material and methods Patients with DRF were retrospectively allocated to two groups, ADOC-H group ( n = 14) and PBI group ( n = 14), and compared. Results Improvements in the Pain Catastrophizing Scale magnification and Hospital Anxiety and Depression Scale and Disabilities of the Arm, Shoulder, and Hand questionnaire scores were significantly higher in the ADOC-H group than in the PBI group ( p < .05). The groups showed no differences in measure of physical function, such as range of motion and grip strength. Conclusion OBI using the ADOC-H combined with PBI is clinically useful for patients with DRF as it promotes use of the injured hand for daily activities in a step-by-step approach, improving psychological difficulties in using the hand.