{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T20:56:04Z","timestamp":1792184164315,"version":"4.4.0"},"reference-count":20,"publisher":"Georg Thieme Verlag KG","issue":"03","license":[{"start":{"date-parts":[[2025,7,2]],"date-time":"2025-07-02T00:00:00Z","timestamp":1751414400000},"content-version":"vor","delay-in-days":31,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Handchir Mikrochir Plast Chir"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Verletzungen an der Hand k\u00f6nnen erhebliche funktionelle Einschr\u00e4nkungen\n                        verursachen. Eine erfolgreiche chirurgische Therapie bedarf einer intensiven\n                        Nachbehandlung. F\u00fcr Patienten ist es heutzutage allerdings oft schwierig\n                        rechtzeitig Termine beim Therapeuten zu erhalten. In mehreren Studien konnte\n                        bereits das Potential von Heim\u00fcbungen nachgewiesen werden. Im Rahmen der\n                        Studie soll die Effektivit\u00e4t einer Handtherapie-App gegen\u00fcber alleiniger\n                        Handtherapie untersucht werden.<\/jats:p><jats:p>In einer prospektiven, randomisierten, kontrollierten Studie wurde die\n                        multimodale Handtherapie-App an insgesamt 112 Patienten (MW\u00b1SD: 36,9\n                        Jahre\u00b115,5) mit Mittelhand- und Fingerfrakturen sowie Beuge- und\n                        Strecksehnenverletzung \u00fcberpr\u00fcft. Diese nutzt k\u00fcnstliche Intelligenz, um die\n                        \u00dcbungen an den Behandlungsfortschritt und die aktuellen Beschwerden der\n                        Patienten anzupassen. Die \u00dcbungen werden \u00fcber die integrierte\n                        Smartphone-Kamera ausgewertet. Der Bewegungsumfang wird live erfasst, die\n                        Anwender erhalten direkt R\u00fcckmeldung. Die Studienteilnehmer wurden in zwei\n                        Gruppen aufgeteilt. Die Interventionsgruppe (IG) erhielt nach der\n                        Ruhigstellungsphase zus\u00e4tzlich zur Handtherapie (18 Einheiten), als\n                        Standardversorgung (SoC), 12 Wochen die KI-basierte Therapie-App Novio Hand.\n                        Die Kontrollgruppe (KG) erhielt lediglich SoC. Es wurde die Ver\u00e4nderung der\n                        Fingerbeweglichkeit zu Beginn der Therapie sowie nach 2, 6 und 12 Wochen\n                        gemessen.<\/jats:p><jats:p>Mittels unabh\u00e4ngiger t-tests wurde eine signifikant bessere ROM in der IG im\n                        Vergleich zur KG bereits nach 2 und 6 Wochen (p=0,02) festgestellt. Nach 2\n                        Wochen erreichten signifikant mehr Patienten der IG (50%) einen MCID\n                        (minimal klinisch bedeutsame Verbesserung) von 40 Grad als Patienten der KG\n                        (26%). Nach 6 Wochen war der Unterschied ebenfalls signifikant (IG: 79%, KG:\n                        54%). In der IG konnte bei den Frakturen im Mittel bereits nach 6 Wochen\n                        eine nahezu freie Beweglichkeit festgestellt werden, w\u00e4hrend in der KG auch\n                        nach 12 Wochen noch deutliche Bewegungsdefizite quantifiziert werden\n                        konnten.<\/jats:p><jats:p>Die zus\u00e4tzliche Nutzung einer Handtherapie-App in der Nachbehandlung von\n                        Handverletzungen im Vergleich zur Standardversorgung kann die Rehabilitation\n                        beschleunigen und das funktionelle Ergebnis verbessern. Die Handtherapie-App\n                        erm\u00f6glicht Patienten effektiv ein regelm\u00e4\u00dfiges zeit- und ortsunabh\u00e4ngiges\n                        Training. Sie ist quasi ein \"Physiotherapeut\" f\u00fcr die\n                        Hosentasche.<\/jats:p>","DOI":"10.1055\/a-2599-8250","type":"journal-article","created":{"date-parts":[[2025,7,2]],"date-time":"2025-07-02T18:30:33Z","timestamp":1751481033000},"page":"186-194","source":"Crossref","is-referenced-by-count":4,"title":["Physiotherapy in Your Pocket: Effectiveness of Home Exercises\n                    Using an AI-Based Smartphone App for the Postoperative Follow-Up of Hand\n                    Injuries \u2013 A Randomized, Controlled, Open-Label Study"],"prefix":"10.1055","volume":"57","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3899-0866","authenticated-orcid":false,"given":"Simon","family":"Bauknecht","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Unfall-, Hand-, Plastische und Wiederherstellungschirurgie,\n                    Universit\u00e4tsklinikum Ulm, Ulm, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4866-2164","authenticated-orcid":false,"given":"Richard","family":"Moeller","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Unfall-, Hand-, Plastische und Wiederherstellungschirurgie,\n                    Universit\u00e4tsklinikum Ulm, Ulm, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"Mentzel","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Unfall-, Hand-, Plastische und Wiederherstellungschirurgie,\n                    Universit\u00e4tsklinikum Ulm, Ulm, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Lebelt","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Unfall-, Hand-, Plastische und Wiederherstellungschirurgie,\n                    Universit\u00e4tsklinikum Ulm, Ulm, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J\u00fcrgen","family":"Mack","sequence":"additional","affiliation":[{"name":"Praxis, physiotherapie MACK, Ulm, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Vergote","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Unfall-, Hand-, Plastische und Wiederherstellungschirurgie,\n                    Universit\u00e4tsklinikum Ulm, Ulm, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2025,7,2]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"171","DOI":"10.1002\/1097-0274(200102)39:2<171::AID-AJIM1004>3.0.CO;2-0","article-title":"A case-crossover study of occupational traumatic hand injury: Methods and\n                    initial findings","volume":"39","author":"G S Sorock","year":"2001","journal-title":"Am J Ind 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