- My Library
- 2026 Issues
- Issue 103
- Effectiveness of hand rehabilitation programs for…
Effectiveness of hand rehabilitation programs for non-thumb metacarpal fractures: a systematic review and meta-analysis
Key Points
- Structured exercise programs, and alternative rehabilitation techniques such as gamification are effective in promoting functional recovery.
BACKGROUND & OBJECTIVE
Hand fractures involving the metacarpals make up 18–44% of all hand-related fractures, with non-thumb metacarpals comprising the majority (88%) (1). Sports-related injuries contribute significantly to metacarpal fractures, representing 25–33% of cases, particularly in contact sports (1).
Early rehabilitation programs designed to enhance ROM, restore grip strength, and alleviate pain have demonstrated positive outcomes (2). However, despite the availability of various rehabilitation methods, the effectiveness of conventional therapy compared to home-based exercise programs remains a topic of debate (3,4). Non-surgical management approaches, such as buddy taping and early mobilisation, have been linked to high levels of patient satisfaction and positive functional outcomes (5,6).
This systematic review and meta-analysis aimed to evaluate the effectiveness of various rehabilitation programs in improving hand function, grip strength, and range of motion (ROM) in patients with non-thumb metacarpal.
Rehabilitation programs were associated with increased grip strength, increased range of motion and should be integrated as a standard component of post-fracture management.
METHODS
The predefined screening criteria for inclusion comprised any randomized controlled trials or cohort investigating the use of rehabilitation therapy in non-thumb (two to five) metacarpal fractures. These rehabilitation therapies include physiotherapy, physical activity, home exercise, active exercise, immobilization, programs, and