The effectiveness of occupation-based practice using the ADOC-DRF on patients with distal radius fractures

Abstract

Objectives: This study aimed to develop and evaluate the effectiveness of the Aid for Decision-making in Occupation Choice for Distal Radius Fracture (ADOC-DRF) as a decision aid to facilitate the daily use of the injured hand after distal radius fractures. ADOC-DRF employs illustrations depicting upper limb usage scenarios arranged by postoperative weeks and exercise loads, allowing for consideration of appropriate limb usage through illustration selection. Methods: Twelve patients participated in occupational therapy sessions utilizing the ADOC-DRF. Changes in physical function and patient-centric outcomes were assessed pre-and post-intervention, respectively. Additionally, a survey of occupational therapists using the ADOC-DRF was conducted to evaluate clinical utility and satisfaction. Results: After the intervention, significant improvements were observed in physical function and patient-centric outcomes. Occupational therapists expressed high satisfaction with the clinical utility of ADOC-DRF. Discussion: The positive outcomes suggest that ADOC-DRF effectively supports decision-making for promoting the daily use of the affected upper limb after distal radius fracture. A tailored approach, utilizing illustrations and exercise progression, contributes to enhanced patient outcomes. Conclusion: ADOC-DRF marks a promising advance in aiding distal radius fracture recovery. Its positive impact on patient outcomes and therapist satisfaction highlights its potential as a valuable rehabilitation tool in this population.