{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T16:02:45Z","timestamp":1783958565825,"version":"3.55.0"},"reference-count":19,"publisher":"Georg Thieme Verlag KG","issue":"01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Handchir Mikrochir Plast Chir"],"published-print":{"date-parts":[[2021,2]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Ziel Ziel der Studie war die Auswertung der Ergebnisse einer spezialisierten interdisziplin\u00e4ren Handrehabilitation in Abh\u00e4ngigkeit vom zeitlichen Abstand zwischen der Verletzung und dem Beginn der Rehabilitation.<\/jats:p><jats:p>Patienten und Methoden Mit Hilfe von punktebasierten Frageb\u00f6gen (Disability of the Arm, Shoulder and Hand Score [DASH-Score], European Quality of Life 5 Dimensions [EQ-5D]) und objektiven Messparametern (TAM = Total Active Motion bei Fingerverletzungen, ROM = Range of Motion bei Handgelenksverletzungen, Grobkraft) wurden die Ergebnisse von 76 Patienten mit Verletzungen von Fingern und Handgelenken oder einem komplexen regionalen Schmerzsyndrom (CRPS) zu Beginn, am Ende und bei der Nachuntersuchung 12\u201316 Wochen nach Ende der semistation\u00e4ren Rehabilitation analysiert. Die Patienten wurden in Gruppen mit einem fr\u00fchen (&lt; 120 Tage nach Trauma) bzw. sp\u00e4ten Beginn der Rehabilitation aufgeteilt.<\/jats:p><jats:p>Ergebnisse Patienten mit fr\u00fchem Beginn der Rehabilitation hatten bei der Nachuntersuchung signifikant bessere Ergebnisse beim DASH-Score als auch beim Bewegungsausma\u00df des Handgelenkes. Auch waren signifikant mehr Patienten mit fr\u00fchem Rehabilitationsbeginn zum Ende der Rehabilitation als auch bei der Nachuntersuchung arbeitsf\u00e4hig als Patienten mit sp\u00e4tem Beginn der Rehabilitation. Insbesondere Patienten mit Fingerverletzungen und CRPS profitierten von einem fr\u00fchen Beginn der Rehabilitation.<\/jats:p><jats:p>Schlussfolgerung Ein fr\u00fcher Beginn der Rehabilitation nach Finger- und Handverletzungen sowie bei einem CRPS f\u00fchrt zu funktionell besseren Ergebnissen, wobei vor allem Patienten mit CRPS von einem fr\u00fchen Beginn profitieren.<\/jats:p>","DOI":"10.1055\/a-1344-8928","type":"journal-article","created":{"date-parts":[[2021,2,23]],"date-time":"2021-02-23T01:15:51Z","timestamp":1614042951000},"page":"61-66","source":"Crossref","is-referenced-by-count":1,"title":["Einfluss des Beginns auf das Ergebnis einer spezialisierten Handrehabilitation bei beruflichen Handverletzungen"],"prefix":"10.1055","volume":"53","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8856-6441","authenticated-orcid":false,"given":"Michael","family":"Millrose","sequence":"additional","affiliation":[{"name":"BG Unfallklinik Murnau Abteilung f\u00fcr Unfallchirurgie und Sporttraumatologie"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simon","family":"Kim","sequence":"additional","affiliation":[{"name":"Ernst-Moritz-Arndt Universitat Greifswald Klinik und Poliklinik f\u00fcr Unfall-, Wiederherstellungschirurgie und Rehabilitative Medizin"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frank","family":"Eichenauer","sequence":"additional","affiliation":[{"name":"Unfallkrankenhaus Berlin Abteilung f\u00fcr Hand-, Replantations- und Mikrochirurgie"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3863-1580","authenticated-orcid":false,"given":"Markus","family":"Gesslein","sequence":"additional","affiliation":[{"name":"Paracelsus Medizinische Privatuniversitat - N\u00fcrnberg Klinik f\u00fcr Orthop\u00e4die und Unfallchirurgie"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas","family":"Eisenschenk","sequence":"additional","affiliation":[{"name":"Unfallkrankenhaus Berlin Abteilung f\u00fcr Hand-, Replantations- und Mikrochirurgie"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ariane","family":"Asmus","sequence":"additional","affiliation":[{"name":"Unfallkrankenhaus Berlin Abteilung f\u00fcr Hand-, Replantations- und Mikrochirurgie"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2021,2,15]]},"reference":[{"key":"ref2","doi-asserted-by":"publisher","first-page":"2614","DOI":"10.1016\/j.injury.2016.09.041","article-title":"Direct, indirect and intangible costs of acute hand and wrist injuries: A systematic review","volume":"47","author":"L S Robinson","year":"2016","journal-title":"Injury"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"501","DOI":"10.1186\/1471\u20132458\u201313\u2013501","article-title":"Costs and outcome for serious hand and arm injuries during the first year after trauma \u2013 a prospective study","volume":"13","author":"H E Rosberg","year":"2013","journal-title":"BMC Public Health"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"786","DOI":"10.1007\/s00132\u2013015\u20133160\u20136","article-title":"Rehabilitation nach Beugesehnenverletzungen an der Hand","volume":"44","author":"A Asmus","year":"2015","journal-title":"Orthopade"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"374","DOI":"10.1007\/s00132\u2013003\u20130459\u20135","article-title":"Rehabilitation nach Verletzungen an Mittelhand- und Fingergelenken","volume":"32","author":"C Freimark","year":"2013","journal-title":"Orthopade"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"86","DOI":"10.1007\/s12178\u2013018\u20139462","article-title":"Rotator cuff repair: post-operative rehabilitation concepts","volume":"11","author":"T A Sgroi","year":"2018","journal-title":"Curr Rev Musculoskelet Med"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"363","DOI":"10.1007\/s00132\u2013003\u20130466\u20136","article-title":"Handrehabilitation: Wiederherstellung der Funktion oberstes Ziel","volume":"32","author":"U Weber","year":"2003","journal-title":"Orthopade"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"575","DOI":"10.1016\/j.hansur.2020.09.004","article-title":"Results of a special interdisciplinary therapy program with work-related injuries of the hand","volume":"39","author":"M Millrose","year":"2020","journal-title":"Hand Surg Rehabil"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"295","DOI":"10.1016\/s0266\u20137681(05)80187\u20131","article-title":"The Hand Injury Severity Scoring System","volume":"21","author":"D A Campbell","year":"1996","journal-title":"J Hand Surg Br"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"136","DOI":"10.1097\/00003086-198701000-00020","article-title":"Difficult wrist fractures. 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