Am J Occup Ther. 2026 Mar 1;80(2):8002205180. doi: 10.5014/ajot.2026.051437.
ABSTRACT
IMPORTANCE: Hand injuries impair motor function, strength, and daily activity participation. Occupational therapy is widely used, but its effectiveness requires systematic evaluation.
OBJECTIVE: To evaluate and synthesize the scientific evidence on the effectiveness of occupational therapy interventions in improving motor function, muscle strength, and pain among adults with hand injuries.
DATA SOURCES: Seven electronic databases (PubMed/MEDLINE, EBSCOhost, CINAHL Complete, Cochrane, ProQuest, Scopus, and Web of Science) were searched through May 2025. Additional sources included reference lists of relevant articles. The review was registered in PROSPERO (CRD420251043818).
STUDY SELECTION AND DATA COLLECTION: Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines were followed. Included studies involved occupational therapy interventions targeting motor function, muscle strength, and pain management in hand injury rehabilitation. Study quality was assessed using the Oxford Centre for Evidence-Based Medicine scale, Cochrane Risk of Bias 2, and Grading of Recommendations, Assessment, Development, and Evaluation pro tools.
FINDINGS: Of 2,235 records, 8 studies met inclusion criteria. The meta-analysis demonstrated significant improvements after occupational therapy interventions. Motor function showed a large and significant effect (Hedges' g = 1.53, 95% CI [0.58, 2.49], p = .002), muscle strength improved with a significant effect (Hedges' g = 0.40, 95% CI [0.08, 0.71], p = .01), and pain decreased with a large and significant effect (Hedges' g = 1.51, 95% CI [0.81, 2.20], p < .001) among adults with hand injuries.
CONCLUSIONS AND RELEVANCE: Occupational therapy improves motor function, muscle strength, and pain in individuals with hand injuries, underscoring its key role in functional recovery and rehabilitation. Plain-Language Summary: Hand injuries are common and can limit a person's ability to eat, dress, or work independently. This study reviewed evidence from high-quality clinical trials to assess how occupational therapy supports recovery after such injuries. The results showed that occupational therapy improves hand movement, strength, and pain management, leading to better performance in daily activities. The interventions were safe, well accepted, and contributed to greater independence and quality of life. These findings support occupational therapy as an essential part of rehabilitation for hand injuries.
PMID:41626840 | DOI:10.5014/ajot.2026.051437