Rehabilitation following flexor tendon injury to the hand in African countries : a scoping review

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dc.contributor.advisorde Klerk, Susanen_ZA
dc.contributor.authorMarume, Martinen_ZA
dc.contributor.otherStellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Health and Rehabilitation Sciences. Occupational Therapy.en_ZA
dc.date.accessioned2022-11-18T06:44:45Z
dc.date.accessioned2023-01-23T06:50:47Z
dc.date.available2022-11-18T06:44:45Z
dc.date.issued2022-12
dc.descriptionThesis (MOccTher)--Stellenbosch University, 2022.en_ZA
dc.description.abstractENGLISH SUMMARY: Objective: To explore and ascertain the types of flexor tendon rehabilitation protocols, feasibility and outcomes following implementation in African countries. Design: This scoping review used Arksey and O’Malley’s methodological framework and the Preferred Reporting Items for Systematic Reviews extension for Scoping Reviews guidelines. Data sources: A search was conducted via Cochrane library, PubMed, Science direct, CINAHL-EBSCOhost, Sabinet online platform (Sabinet African Journal and African Journal Archive), Wiley online, Academic search premier, Google scholar, Africa wide information and Universities repositories between 1 June 2021 and 31 July 2021.The search string included the following terms; flexor tendon injury, hand injury, finger injury, hand function, rehabilitation, occupational therapy, physiotherapy, mobilisation and Africa. Eligibility criteria: All language versions from African countries, manuscripts published from 1960 up to 31 July 2021, literature on zone II-V of human hand flexor tendon injury inclusive of nerve and other additional injuries, including participants who are ten years and older were considered. Manuscripts were included if they reported on flexor tendon rehabilitation protocols and outcomes (body function and structure, and activity and participation). Data extraction and synthesis: Mendeley was used to manage identified references. Three reviewers used Covidence for title, abstract and full-text screening. Microsoft Excel and WeftQDA was used for data extraction, descriptive numerical summary and qualitative content analysis respectively. Themes and categories were developed to answer the research question. Results: 53 manuscripts were identified and their title, abstract and full text reviewed. 13 manuscripts from four countries (South Africa, Egypt, Zambia and Morocco) qualified for inclusion. The Kessler knot 4 is the surgery most practised in the African continent. The early passive mobilisation is the protocol of choice and therapists consider mostly body function and structure during outcome measurement with particular attention to range of motion. The Disabilities of the Arm, Shoulder and Hand (DASH) Questionnaire, Jebsen-Taylor Hand Function Test (JTTHF) and Michigan Hand Outcomes Questionnaire (MHQ) were used to assess functional outcomes in Africa. Despite inconsistency in rehabilitation process, outcome measurement and reporting, generally, outcomes were poor in body function and structure, and activity and participation. Several factors were identified to impact outcomes, including adhesions, infection, expertise of the surgeons and rehabilitation personal and limited resources. Conclusion: There is inconsistency in the rehabilitation, measurement and outcomes following flexor tendon injury in the African context. Despite limited information from the included manuscripts, it can be ascertained that the management procedures are yielding poor results and several contextual factors influenced the attained results. Recommendations include conscientising the health care team, involved stakeholders and education facilities to conduct more research to inform good practice and better results for patients on the African continent.en_ZA
dc.description.abstractAFRIKAANSE OPSOMMING: Doelwit: Om die tipes fleksor-tendon-rehabilitasie protokolle, haalbaarheid en uitkomste na implementering in Afrika-lande te verken en vas te stel. Ontwerp: Hierdie omvangsoorsig het Arksey en O’Malley se metodologiese raamwerk en die Preferred Reporting Items for Systematic Reviews extension for Scoping Reviews riglyne gebruik. Databronne: 'n Soektog is gedoen via Cochrane-biblioteek, PubMed, ScienceDirect, CINAHL-EBSCOhost, Sabinet-aanlyn platform (Sabinet African Journal and African Journal Archive), Wiley Online, Academic search premier, Google Scholar, Afrika-wye inligting en Universiteit - databasisse tussen 1 Junie 2021 en 31 Julie 2021. Die soekstring het die volgende terme ingesluit; fleksortendonbesering, handbesering, vingerbesering, handfunksie, rehabilitasie, arbeidsterapie, fisioterapie, mobilisasie en Afrika. Geskiktheids kriteria: Alle taal weergawes van Afrika-lande, manuskripte gepubliseer vanaf 1960 tot 31 Julie 2021, Literatuur oor sone II-V van menslike fleksor-tendonbesering, insluitend senuwee- en ander bykomende beserings, insluitend deelnemers wat 10 jaar en ouer is, is oorweeg. Manuskripte is ingesluit indien hulle gerapporteer het oor fleksor-tendon-rehabilitasie protokolle en -uitkomste (liggaamsfunksie en -struktuur, en aktiwiteite en deelname). Data-onttrekking en sintese: Mendeley is gebruik om geidentifiseerde verwysings te bestuur. Drie beoordelaars het Covidence gebruik vir titel-, abstrakte- en vol teks oorweging. Microsoft excel en WeftQDA is onderskeidelik vir data-onttrekking, beskrywende numeriese opsomming en kwalitatiewe inhoud ontleding gebruik. Temas en kategoriee is ontwikkel om die navorsings vraag te beantwoord. Resultate: 53 bronne is geidentifiseer en hul titel, abstrakte en volledige teks hersien. 13 bronne van 4 lande (Suid-Afrika, Egipte, Zambie en Marokko) het vir insluiting gekwalifiseer. Die Kessler-knoop 4 is die operasie wat die meeste in die Afrika-kontinent gedoen word. Vroee passiewe mobilisering is die protokol van keuse en terapeute oorweeg meestal liggaams funksie en struktuur tydens uitkomsmeting met besondere aandag aan omvang van beweging. Die Disabilities of the Arm, Shoulder and Hand (DASH) Vraelys, Jebsen - Taylor Hand Function Test (JTTHF) en Michigan Hand Outcomes Questionnaire (MHQ) is gebruik om funksionele uitkomste in Afrika te assesseer. Ten spyte van inkonsekwentheid in rehabilitasie proses, uitkomsmeting en verslagdoening, was uitkomste oor die algemeen swak in liggaamsfunksie en struktuur, sowel as aktiwiteite en deelname. Verskeie faktore is geidentifiseer om uitkomste te beinvloed, insluitend adhesies, infeksie, kundigheid van die chirurgie en rehabilitasie, persoonlike en beperkte hulpbronne. Gevolgtrekking: Daar is inkonsekwentheid in die rehabilitasie en meting en uitkomste na fleksor-tendonbesering in die Afrika-konteks. Ten spyte van beperkte inligting uit die ingeslote bronne, kan daar vasgestel word dat die bestuur van hierdie besering swak resultate lewer en verskeie kontekstuele faktore het die resultate beinvloed. Aanbevelings sluit in om die gesondheidsorgspan meer bewus te maak van gepaste metodes vir rehabilitasie en vir betrokke belanghebbendes en onderwysfasiliteite om meer navorsing te doen om goeie praktykvoering en beter resultate vir pasiente vanaf Afrika te bewerk.af_ZA
dc.description.versionMasters
dc.embargo.lift2023-12-31
dc.embargo.terms2023-12-31
dc.format.extentxiv, 85 pages : illustrations, maps
dc.identifier.urihttp://hdl.handle.net/10019.1/126293
dc.language.isoen_ZAen_ZA
dc.publisherStellenbosch : Stellenbosch University
dc.rights.holderStellenbosch University
dc.subject.lcshFlexor tendons -- Rehabilitationen_ZA
dc.subject.lcshOccupational therapyen_ZA
dc.subject.lcshTendons -- Wounds and injuries -- Healingen_ZA
dc.subject.lcshTendons -- Wounds and injuries -- Patients -- Rehabilitationen_ZA
dc.subject.lcshTendons -- Wounds and injuries -- Treatmenten_ZA
dc.subject.nameUCTD
dc.titleRehabilitation following flexor tendon injury to the hand in African countries : a scoping reviewen_ZA
dc.typeThesisen_ZA
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