The study has three main phases. The first phase included A. Adjustment of research tools. Phase B. will examine the efficacy of the cultural intervention. Phase C. Follow-up study will be conducted after three, six, and nine months.
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Parallel
Hand therapy Rehabilitation intervention program that incorporate cultural reference
Procedure/SurgeryThe intervention will provide a conventional hand therapy rehabilitation intervention program that incorporates cultural reference based on Focused Acceptance and commitment Therapy ( FACT).
Conventional Hand therapy Rehabilitation intervention program
Procedure/SurgeryThe intervention will provide a conventional hand therapy rehabilitation intervention program
A change in baseline of Time to Return to Work (T-RTW) to discharge from therapy and the change at three, six, and nine months are being assessed.
the time to return to work since onset
A change in a baseline evaluation of the Disabilities of the Arm, Shoulder, and Hand questionnaire (Quick DASH) to discharge and from therapy and the change at three, six, and nine months are being assessed.
The self-reported upper extremity outcome measure for assessing physical function and symptoms in people with any or multiple musculoskeletal disorders of the upper limb, whose primary language is Arabic.
A change in baseline Work Rehabilitation Questionnaire (WORQ) (Finger, Escorpizo, Bostan, & De Bie, 2014) to discharge from therapy and at three, six, and nine months follow-up is being assessed.
ICF-based questionnaire to evaluate functioning in Vocational Rehabilitation (VR), The WORQ consists of two sections. Section 1 contains 17 socio demographic and work-related items, the work-related questions include profession, work status, work demands, VR interventions, and the amount of support received by family, employer, and labor and employment services while section two contains 40 items on functioning (18 body functions and 22 activities and participation items). WORQ captures the extent of functioning problems for all 40 items with a numeric rating scale of 0 to 10
Modified Hand Injury Scoring System (MHISS) (Campbell & Kay, 1996; Urso-Baiarda et al., 2008)
MHISS is an objective anatomical assessment specifically designed for hand injuries. The hand injuries can be divided into four broad categories, such as "Minor" (\< 20 moderate (21-50 points), severe (51-100 points), and major (≥ 101 points) "Major" (worst injury). Injury severity quantified using MHISS is an important determinant of return to work after hand or forearm injury
Standard Hydraulic JAMAR dynamometer (Bellace, Healy, Besser, Byron, & Hohman, 2000), and Pinch Gauge (Radomski & Latham, 2008). A change is being assessed
It Measures grip and pinch strength ,respectively.
Semmes-Weinstein Monofilament Test(van Vliet, Novak, & Mackinnon, 1993). a change is being assessed
Measures low threshold of touch perception on an ordinal scale
Visual Analog Scale. A change is being assessed
Pain
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