Journal of Hand Therapy最新文献

{"title":"Pediatric normative data for the Complete Minnesota Dexterity Test","authors":"Tami L. Konieczny ,&nbsp;Nellie P. Butler ,&nbsp;Lynne Allen-Taylor ,&nbsp;Ashley M. Binkowski ,&nbsp;David D. Sherry ,&nbsp;Sabrina Gmuca","doi":"10.1016/j.jht.2025.02.011","DOIUrl":"10.1016/j.jht.2025.02.011","url":null,"abstract":"<div><h3>Background</h3><div>Previous research has established normed and validated assessments to measure manual dexterity in children. However, there currently are no validated brief assessment tools that are specifically designed to measure unilateral and bimanual dexterity in this population.</div></div><div><h3>Purpose</h3><div>The main purpose of this study was to develop normative data for the Complete Minnesota Dexterity Test (CMDT) for children and adolescents. Additionally, we assessed the CMDT’s test-retest reliability and concurrent validity with the Box and Blocks Test (BBT).</div></div><div><h3>Study Design</h3><div>Cross-sectional observational quantitative study.</div></div><div><h3>Methods</h3><div>Participants were 181 healthy children, aged 7–18 years, with no known physical, cognitive, or emotional conditions which could impact performance. The five subtests of the CMDT were completed for two trials with each hand, and one trial of the BBT was completed with each hand. Age group norms for each CMDT subtest were computed using means and standard deviations. Test-retest reliability was computed using test-retest correlations. Validation of the CMDT was examined using Pearson correlations between the first trial of each CMDT subtest and the BBT score.</div></div><div><h3>Results</h3><div>A total of 98 females and 83 males participated and were divided into eight age groups, with 19–26 participants per group. Normative data were obtained for the placing, turning, displacing, and one-hand and two-hand turning subtests. Reliability measures for all subtests were high, with test-retest correlations ranging from 0.89 to 0.93 (<em>p</em> &lt; 0.0001). There was a high degree of correlation between the CMDT and BBT (<em>r</em> = −0.64 to −0.82, <em>p</em> &lt; 0.0001).</div></div><div><h3>Conclusions</h3><div>The CMDT’s robust construct validity supports its use for the assessment of manual dexterity in children. There were not clinically meaningful improvements on retesting, therefore one trial of each subtest is sufficient.</div></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"38 4","pages":"Pages 871-877"},"PeriodicalIF":1.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143992347","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effectiveness of hand therapy for breast cancer survivors experiencing aromatase inhibitor-associated musculoskeletal syndrome in the hands and wrists","authors":"Wanda Weimer MA, OT, CHT, CLT, CEAS,&nbsp;Miriam Sleven RN, MS, OCN","doi":"10.1016/j.jht.2025.01.007","DOIUrl":"10.1016/j.jht.2025.01.007","url":null,"abstract":"<div><h3>Background</h3><div><span>Musculoskeletal problems, or aromatase inhibitor-associated musculoskeletal syndrome, in the hands and wrists is a known side effect<span> of aromatase inhibitor medication, often prescribed for 5</span></span> <!-->years or more for breast cancer survivors. No studies were found on the effectiveness of hand therapy for breast cancer survivors experiencing aromatase inhibitor-associated musculoskeletal syndrome in the hands and wrists.</div></div><div><h3>Purpose</h3><div>The primary objective of this study is to determine the effectiveness of hand therapy on reducing hand and wrist pain<span>, improving grip strength, improving upper extremity function, and improving health related quality of life in breast cancer survivors diagnosed with aromatase inhibitor-associated musculoskeletal syndrome in the hands and wrists.</span></div></div><div><h3>Study Design</h3><div>Longitudinal case series.</div></div><div><h3>Methods</h3><div>A pre-post design was used to compare the results of standardized testing from initial evaluation to discharge. Participants were evaluated using standard hand therapy methods. Outcome measurements studied were pain levels, grip strength, upper extremity function, and breast cancer health related quality of life, measured with a patient-reported outcome measure specific to this population. A multimodal client centered treatment plan was utilized with each participant. Frequency and duration of the treatment was determined through collaboration with the participant.</div></div><div><h3>Results</h3><div>Thirty-two participants enrolled and 29 completed the study. Comparison of pre and post data for all four outcome measures revealed statistically significant improvements (<em>p</em> <!-->&lt;<!--> <!-->0.05). Cohen’s d analysis demonstrated large effect for pain, moderate effects for upper extremity function and health related quality of life, and low effect for grip strength. Trigger finger was noted to be present in 62.1% of participants.</div></div><div><h3>Conclusions</h3><div>This study demonstrates that hand therapy resulted in statistically and clinically significant improvement in pain, grip strength, upper extremity function, and health related quality of life. The results support the effectiveness of hand therapy for breast cancer survivors experiencing aromatase inhibitor-associated musculoskeletal syndrome in the hands and wrists.</div></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"38 4","pages":"Pages 753-761"},"PeriodicalIF":1.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143630987","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Systematic review of the quality of the cross-cultural adaptations and validation of Michigan Hand Outcome Questionnaire (MHQ) and meta-analysis","authors":"Ravinder Kaur Marwaha MPTh (msk), PhD scholar,&nbsp;Yagna Shukla MPT(MSK), PhD(physiotherapy) (Principal)","doi":"10.1016/j.jht.2025.01.009","DOIUrl":"10.1016/j.jht.2025.01.009","url":null,"abstract":"<div><h3>Background</h3><div>The Michigan Hand Questionnaire (MHQ) is a widely used patient-reported outcome measure (PROM) for assessing hand function. Cross-cultural adaptations are necessary to ensure its applicability and validity in diverse cultural contexts. However, the quality and psychometric properties of these adaptations remain unclear.</div></div><div><h3>Purpose</h3><div>This systematic review<span><span> and meta-analysis aim to evaluate the psychometric properties, specifically reliability and </span>content validity, of cross-cultural adaptations of the MHQ.</span></div></div><div><h3>Study Design</h3><div>Systematic review and meta-analysis.</div></div><div><h3>Methods</h3><div>A systematic review<span> following preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines was conducted across four electronic databases, encompassing studies published between 1998 and 2024. Quality and content validity assessment was performed using the COSMIN methodology. Random effects meta-analysis was conducted for interclass correlation coefficient (ICC) and Cronbach’s alpha.</span></div></div><div><h3>Results</h3><div>Twenty-one studies were included. We identified two studies with high-quality evidence for content validity and ICC, and two studies demonstrating strong internal consistency<span>. The MHQ demonstrated strong internal consistency (Cronbach's alpha: 0.73–0.99) and moderate to high test-retest reliability (ICC: 0.91–0.93). However, significant heterogeneity was observed in Cronbach's alpha and ICC values across domains, likely due to factors beyond test-retest duration. Meta-regression analysis revealed publication bias, possibly influenced by participant and study characteristics.</span></div></div><div><h3>Conclusion</h3><div>This meta-analysis supports the reliability of the MHQ for assessing hand function across cultures. However, variability in ICC values suggests a need for further investigation into factors influencing reliability. While the MHQ is a valuable tool, future research should address limitations in structural validity and explore cultural factors to enhance its cross-cultural applicability.</div></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"38 4","pages":"Pages 762-774"},"PeriodicalIF":1.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143659663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editorial Board / Masthead / ASHT Officers","authors":"","doi":"10.1016/S0894-1130(25)00194-2","DOIUrl":"10.1016/S0894-1130(25)00194-2","url":null,"abstract":"","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"38 4","pages":"Pages A3-A4"},"PeriodicalIF":1.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145698143","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Long-term (seven-year) follow-up of sensory-motor rehabilitation therapy for task-specific focal hand dystonia","authors":"Katherine Butler B.Ap(Sc)OT, AHT(BAHT), A.Mus.A(Flute), Associate Professor ,&nbsp;Anna Sadnicka MRCP, PhD, Senior Clinical Research Fellow ,&nbsp;Mark J. Edwards PhD, FRCP, Professor of Neurology ,&nbsp;Jennifer Freeman B.App Sci, PhD, FCSP, Professor","doi":"10.1016/j.jht.2025.02.008","DOIUrl":"10.1016/j.jht.2025.02.008","url":null,"abstract":"<div><h3>Background</h3><div>Medical treatments for task-specific dystonia (TSD) often have limited long-term success, leading to interest in rehabilitative approaches. Our previous feasibility study supported the acceptability and short-term benefits of sensory-motor rehabilitation for a cohort of 12 individuals. Long-term outcomes remain unknown.</div></div><div><h3>Purpose</h3><div>Investigate the long-term (7 year) follow-up of clinical outcomes and treatment effectiveness in participants with TSD who engaged in our previous feasibility study.</div></div><div><h3>Study Design</h3><div>Follow-up study.</div></div><div><h3>Methods</h3><div>Online surveys and telephone interviews were undertaken at 1 and 7 years. A telephone interview was completed at 7 years.</div></div><div><h3>Results</h3><div>All 12 participants (seven musicians dystonia, five writing dystonia) who had completed the original feasibility study took part. All showed improvements in clinical outcomes at one and 7 years (effect sizes 0.25–0.93). Interviews and surveys indicated continued use of effective rehabilitation strategies 7 years after completing the program.</div></div><div><h3>Discussion</h3><div>Following treatment, people continue to use rehabilitative strategies, perceived by them as effective, with sustained benefits across varying domains for up to 7 years.</div></div><div><h3>Conclusions</h3><div>Benefits of sensory-motor rehabilitation can be sustained. The underlying mechanisms of these changes require investigation.</div></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"38 4","pages":"Pages 799-809"},"PeriodicalIF":1.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144043475","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Rehabilitation following distal triceps repair: A scoping review","authors":"Catherine Chong ,&nbsp;Andrea Mc Kittrick ,&nbsp;Ian Shelton ,&nbsp;Nicole Glassey","doi":"10.1016/j.jht.2025.02.006","DOIUrl":"10.1016/j.jht.2025.02.006","url":null,"abstract":"<div><h3>Background</h3><div>Distal triceps ruptures are relatively rare injuries where surgical repair is recommended for return to function and sport. There are various fixation techniques and different therapy protocols described in the literature.</div></div><div><h3>Purpose</h3><div>To scope and critically evaluate current knowledge of post-operative protocols and complications following repair and extrapolate tendon healing principles to clinical practice.</div></div><div><h3>Study Design</h3><div>Scoping review.</div></div><div><h3>Methods</h3><div>The Joanna Briggs Institute framework for Scoping Reviews was followed, and specific inclusion/exclusion criteria were applied to identify high-quality, relevant evidence. Studies were included if they met the following criteria: written in English, focused on adults over 17 years of age with complete distal triceps tendon ruptures, and published as peer-reviewed articles, conference abstracts, university dissertations, or theses. Additionally, the studies had to use at least one validated outcome measure. Electronic and manual searches were completed of published and gray literature. Quantitative sources were included for complete triceps ruptures that measured outcomes using at least one validated outcome measure. Qualitative sources that were published within 10 years from a reputable journal were included for qualitative synthesis.</div></div><div><h3>Results</h3><div>Eighteen quantitative articles consisting of case series and systematic reviews<span>, and 16 expert opinion and narrative reviews met the inclusion criteria. There was no standardized postoperative protocol with differences found in timing for ranging, strengthening, and return to function. The most reported complications were tendon rerupture, infection, pain, and ulnar nerve<span> neuropathy.</span></span></div></div><div><h3>Conclusions</h3><div><span>What is known about triceps tendon repairs comes from low level evidence. </span>Randomized controlled trials are required to evaluate the effect of surgical constructs and therapy on function. The protocols identified in this scoping review typically progressed through several stages, starting with complete immobilization and moving on to ranging, strengthening, and finally returning to sport and functional activities. Therapists can apply general tendon healing principles when rehabilitating these patients and should be aware of modifiers to healing timeframes when making decisions on strengthening and resuming activities that require high function.</div></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"38 4","pages":"Pages 699-714"},"PeriodicalIF":1.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144009219","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Patient-Rated Tennis Elbow Evaluation Questionnaire was successfully translated to Marathi","authors":"Kiran Satpute PhD ,&nbsp;Kashmira Medhe BPT ,&nbsp;Toby Hall PhD","doi":"10.1016/j.jht.2025.02.010","DOIUrl":"10.1016/j.jht.2025.02.010","url":null,"abstract":"","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"38 4","pages":"Pages 911-914"},"PeriodicalIF":1.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143630988","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of high-intensity laser therapy and mirror therapy on complex regional pain syndrome type I in the hand area: A randomized controlled trial","authors":"Farhan Khoramdel PT, MSc ,&nbsp;Roya Ravanbod PT, PHD ,&nbsp;Hossein Akbari MD","doi":"10.1016/j.jht.2025.02.009","DOIUrl":"10.1016/j.jht.2025.02.009","url":null,"abstract":"<div><h3>Background</h3><div><span><span><span><span>Complex regional pain syndrome type I (CRPS-I) is a painful condition with peripheral and </span>central nervous system dysfunction, disproportionate inflammation, and the resultant </span>muscle atrophy and restriction of motion. The use of high-intensity </span>laser therapy (HILT) is being considered to reduce inflammation and neural and </span>musculoskeletal pain. As maladaptive neuroplasticity occurs, peripheral treatment may not be enough and a combination of peripheral and centrally-focused interventions may be required.</div></div><div><h3>Purpose</h3><div><span>To explore the impact of HILT combined with mirror therapy (MT) on pain intensity, swelling, functional ability, range of motion (ROM), and </span>electromyography (EMG) activity in CRPS-I.</div></div><div><h3>Study Design</h3><div>Randomized, sham-controlled, single-blind clinical trial.</div></div><div><h3>Methods</h3><div>Twenty-four CRPS-I patients were randomly assigned to two groups of HILT at 5 watts with an energy density of 20 J/cm², combined with MT and sham HILT and MT for six sessions. Pain was assessed by the Visual Analog Scale<span> (VAS) before, the third session, and after the treatment. Hand swelling, function, and ROM were measured by a motion analysis system, and EMG of the hand muscles was also evaluated.</span></div></div><div><h3>Results</h3><div>Pain significantly decreased in the HILT group. Compared to before treatment, the VAS mean difference in the third session was −2 ± 0.8 in the HILT group versus −0.4 ± 0.5 in the sham group (<em>p</em> &lt; 0.001, ηp2 = 0.57). The VAS mean difference for before-after treatment was −4.2 ± 1.2 in the HILT group versus −1.4 ± 0.6 in the sham group (<em>p</em> &lt; 0.001, ηp2 = 0.69). The other outcomes, like function, effusion, ROM, and EMG activity, were also in favor of the HILT group (<em>p</em> &lt; 0.05).</div></div><div><h3>Conclusions</h3><div>Our study results offer conclusive evidence of pain reduction, a highly debilitating symptom in CRPS-I, even after the third HILT treatment session. Additionally, HILT effectively reduced swelling, improved performance, and enhanced muscle activity in CRPS-I.</div></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"38 4","pages":"Pages 791-798"},"PeriodicalIF":1.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143674916","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of the effectiveness of kinesiologic taping and high intensity laser therapy in lateral elbow tendinopathy: A randomized controlled trial","authors":"Hasan Yüksel MD ,&nbsp;Banu Aydeniz MD ,&nbsp;Arda Can Kasap MD ,&nbsp;Haticetul Esra Gerze ,&nbsp;Işıl Üstün MD ,&nbsp;Sibel Çağlar MD ,&nbsp;Meltem Vural MD","doi":"10.1016/j.jht.2025.01.008","DOIUrl":"10.1016/j.jht.2025.01.008","url":null,"abstract":"<div><h3>Background</h3><div>Lateral elbow tendinopathy is a common condition that causes pain and functional impairments, limiting daily activities.</div></div><div><h3>Purpose</h3><div><span>This study aimed to compare the efficacy of high-intensity laser therapy, kinesio taping, and </span>therapeutic exercises in terms of pain, function, disability, and muscle strength.</div></div><div><h3>Study Design</h3><div>Prospective randomized controlled trial.</div></div><div><h3>Methods</h3><div><span>Fifty-five patients were randomly assigned into three groups. The first group received high-intensity laser therapy + </span>therapeutic exercises<span>, the second group received kinesio taping + therapeutic exercises, and the third group received therapeutic exercises alone. Evaluations were performed before treatment (PreT), immediately after treatment (PostT), and 4 weeks after treatment (PostT-4). Outcomes were measured using the Visual Analog Scale (VAS), Quick Disability of the Arm, Shoulder and Hand (Q-DASH), the Patient-based Lateral Epicondylitis Evaluation (PRTEE), and grip strength.</span></div></div><div><h3>Results</h3><div>Both high-intensity laser therapy and kinesio taping showed significant improvements in PRTEE scores at PostT and PostT-4. Kinesio taping was superior to therapeutic exercises but showed no difference compared to high-intensity laser therapy. All groups showed significant improvements in Q-DASH scores at PostT-4, with high-intensity laser therapy and kinesio taping being more effective than therapeutic exercises. No significant differences were found between the groups for VAS and grip strength.</div></div><div><h3>Conclusions</h3><div>Therapeutic exercises alone is effective in treating lateral elbow tendinopathy, while high-intensity laser therapy and kinesio taping provide additional benefits in improving function and reducing disability. There was no superiority between high-intensity laser therapy and kinesio taping, but both were more beneficial than therapeutic exercises alone.</div></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"38 4","pages":"Pages 775-782"},"PeriodicalIF":1.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143671564","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Therapists’ and prosthesis users’ assessments of a virtual reality environment designed for upper limb prosthesis control training","authors":"Samantha G. Rozevink PhD ,&nbsp;Bart Maas MSc ,&nbsp;Alessio Murgia PhD ,&nbsp;Raoul M. Bongers PhD ,&nbsp;Corry K. van der Sluis MD, PhD","doi":"10.1016/j.jht.2025.01.004","DOIUrl":"10.1016/j.jht.2025.01.004","url":null,"abstract":"<div><h3>Background</h3><div>Prosthesis users need extensive training before they can use a electromyography-controlled prosthesis. Virtual reality seems promising to improve training.</div></div><div><h3>Purpose</h3><div>The aim was to investigate usability, motivation, workload, virtual reality properties and willingness for implementation of a newly developed virtual reality environment for upper limb prosthesis training, and to investigate if therapists and prosthesis users differed in their assessments.</div></div><div><h3>Study Design</h3><div>This study was a cross-sectional study with a mixed-methods design.</div></div><div><h3>Methods</h3><div>The virtual task was to make cups of coffee to fulfill coffee orders using an virtual electromyography-controlled prosthesis hand. System Usability Scale, Intrinsic Motivation Inventory, Prosthesis-Task Load Index were used to assess the usability, motivation and workload, respectively. A custom-made questionnaire assessed design aspects of the virtual environment. Short interviews were conducted to investigate the feasibility of implementing virtual reality environment in rehabilitation.</div></div><div><h3>Results</h3><div>Eleven therapists and 11 prosthesis users participated. System Usability Scale scores were above the minimal level of 70, indicating an acceptable system. Intrinsic Motivation Inventory scores were overall high, with perceived competence being significantly lower than importance, enjoyment and usefulness. Prosthesis-Task Load Index scores indicated very little time pressure and stress, little frustration, mental and physical demand and uncertainty, and some conscious processing and visual attention. Therapists scored significantly higher in the subscales conscious processing and visual attention. The current virtual reality environment incorporated most of the design aspects from the questionnaire. All therapists would consider using the virtual reality environment for rehabilitation practice, however further improvements are necessary to facilitate usage and assure robustness of the system.</div></div><div><h3>Conclusions</h3><div>Therapists and prosthesis users expressed a high usability and motivation for virtual training and experienced an acceptable workload when using the system to train prosthesis control, with no notable differences between the groups. The current virtual environment included important design elements; both end-users would like to integrate virtual reality in rehabilitation practice.</div></div>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":"38 4","pages":"Pages 745-752"},"PeriodicalIF":1.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143371130","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}