Clinical effectiveness of ReHand Tablet solution for rehabilitation of wrist, hand and fingers trauma injuries and impact by reducing the economic burden

In the experimental condition subjects receive ReHand Tablet app as a home-based form of rehabilitation, in addition to the physiotherapy and occupational therapy sessions conventionally established by the health insurance company according to the pathology (standard care, no difference from control intervention). Physioterapy and occupational therapy sessions are conducted by physiotherapists and occupational therapists from Ibermutua. The techniques used in these sessions were based on the clinical reasoning of these professionals, mainly using analgesic methods, manual therapy and motor control techniques. Sessions are held in Central Services of ibermutua and in Leganés centre. The number of sessions will be determined by the participant's recovery, starting with the participant's arrival at the rehabilitation department and ending with his or her discharge from work. Physiotherapy and occupational therapy sessions, and home exercises through ReHand, are carried out throughout the rehabilitation process until the participant is discharged (days depending on the pathology).The home exercise program must be performed a minimum of 4 times a week. ReHand provides a battery of exercises that is configured according to the patient's pathology, so the exercise program is individualized according to pathology (e.g. the program for those participants with distal radius fracture was different from the program for methacarpal fracture patients) and lasted approximately 25 minutes per day (minimum 15 minutes, maximum 35 minutes). ReHand is a Tablet application (Android and iOS) which has a battery of specific exercises for the recovery after a trauma injury to be done touching the Tablet screen. Prior to each exercise there is a calibration to adapt it to the functional limitation of the patient. Thanks to the patient's contact with the tablet screen during exercise, the patient's activity can be monitored by the healthcare professional. ReHand intervention is only performed autonomously in the patient's home. The adherence to treatment is monitored through ReHand dashboard. Exercise example: Pinch exercise with the index finger, performing a controlled movement in a painless range guided by feedback during 25 seconds.