{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T22:40:57Z","timestamp":1769640057435,"version":"3.49.0"},"reference-count":32,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,1,19]],"date-time":"2026-01-19T00:00:00Z","timestamp":1768780800000},"content-version":"vor","delay-in-days":18,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Physiotherapy Res Intl"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Peripheral nerve injuries of the upper limb frequently lead to severe motor and sensory impairment, surgery restores nerve continuity, and functional recovery often remains suboptimal without structured rehabilitation. This study evaluated the impact of Structured Physiotherapy on Post\u2010Surgical Outcomes of Upper Limb PNI.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methodology<\/jats:title>\n                    <jats:p>A prospective comparative cohort design was implemented across tertiary hospitals. One hundred participants who underwent surgical repair for median, ulnar, or radial nerve injuries were consecutively recruited and followed for 6\u00a0months. Fifty patients received a structured physiotherapy program, while 50 received routine postoperative care. Functional (DASH, MHQ), motor (MRC grade), sensory (Semmes\u2013Weinstein), pain (VAS), and work\u2010return outcomes were evaluated at baseline, 6\u00a0weeks, 3\u00a0months, and 6\u00a0months. Data were analyzed using repeated\u2010measures ANOVA and multivariable mixed\u2010effects models with baseline adjustment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings<\/jats:title>\n                    <jats:p>\n                      Mean DASH scores improved from 65.2\u00a0\u00b1\u00a010.4 at baseline to 32.4\u00a0\u00b1\u00a011.2 at 6\u00a0months compared to 64.7\u00a0\u00b1\u00a011.1 to 44.7\u00a0\u00b1\u00a012.5 in controls (adjusted mean difference\u00a0=\u00a0\u221210.8;\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001). Motor function (MRC\u00a0\u2265\u00a04.5: 37.5% vs. 16.7%;\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.03), sensory restoration (83.3% vs. 62.5%;\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.03), and pain reduction (VAS 2.9\u00a0\u00b1\u00a01.1 vs. 4.1\u00a0\u00b1\u00a01.3;\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001) significantly favored physiotherapy. Return\u2010to\u2010work rates were higher (70.8% vs. 50%;\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.04).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Structured physiotherapy accelerates neurofunctional recovery and bridges the persistent gap between surgical repair and real\u2010world functionality. These findings suggest that even within resource\u2010limited settings, the scientific application of structured rehabilitation can transform nerve repair outcomes from anatomical success to true functional independence.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pri.70161","type":"journal-article","created":{"date-parts":[[2026,1,20]],"date-time":"2026-01-20T05:42:29Z","timestamp":1768887749000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Impact of Structured Physiotherapy on Post\u2010Surgical Outcomes of Upper Limb Peripheral Nerve Injuries"],"prefix":"10.1002","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-2295-6970","authenticated-orcid":false,"given":"Emmanuel Okon","family":"Enang","sequence":"first","affiliation":[{"name":"Department of Physiotherapy University of Calabar  Calabar Nigeria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ezra Onyedikachi","family":"Madu","sequence":"additional","affiliation":[{"name":"Department of Nursing Sciences State University of Medical and Applied Sciences Igbo\u2010Eno  Enugu Nigeria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Minah","family":"Awan","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy Bahawalpur Medical and Dental College (BMDC) Bahawalpur  Bahawalpur Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Agbu Wununyatu","family":"Tsokwa","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy University of Calabar  Calabar 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