{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T19:12:32Z","timestamp":1777662752093,"version":"3.51.4"},"reference-count":23,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2025,6,17]],"date-time":"2025-06-17T00:00:00Z","timestamp":1750118400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Hand (New York, N,Y.)"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Telerehabilitation (TR) gained prominence during the COVID-19 pandemic, showing promising outcomes for remote hand therapy tendon repairs. This study compares remote and in-person hand therapy outcomes for flexor tendon repairs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This prospective, nonrandomized comparative clinical study included 23 patients, 25 fingers with flexor tendon repairs in zones 1 and 2. Participants were divided into 2 groups: telerehabilitation (TR) group, 9 patients (10 fingers), and in-person therapy (IP) group, 14 patients (15 fingers). All surgeries were performed under wide-awake anesthesia, followed by early controlled active motion therapy with a dorsal blocking orthosis. Telerehabilitation sessions were conducted via a smartphone video conferencing app. Total active motion (TAM) and disability levels (the Disabilities of the Arm, Shoulder, and Hand Questionnaire [DASH]) were evaluated at 6, 8, and 12 weeks postoperatively. Groups were compared based on TAM scores, DASH scores, and extension deficit degrees.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The TR group included 3 women (33.3%) and the IP group did 6 women (42.9%) while median age was 27 years in TR and 33 years in IP group. Both groups showed significant improvements in TAM and DASH scores over time (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .001). There were no significant differences between the TR and IP groups at each assessment in DASH scores, TAM scores, and extensor deficit degrees (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &gt; .05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Clinical outcomes indicate that remote and in-person hand therapy provide similar results for patients with flexor tendon repairs in zones 1 and 2. Telerehabilitation is a viable alternative to traditional hand therapy and can be integrated into clinical practice due to its comparable results.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15589447251339498","type":"journal-article","created":{"date-parts":[[2025,6,17]],"date-time":"2025-06-17T08:32:52Z","timestamp":1750149172000},"page":"846-855","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Telerehabilitation After Zone 1 and 2 Flexor Tendon Repairs: Comparison With In-Person Therapy"],"prefix":"10.1177","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5139-2401","authenticated-orcid":false,"given":"Zeynep","family":"Emir","sequence":"first","affiliation":[{"name":"Gazi University, Ankara, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3943-5365","authenticated-orcid":false,"given":"Sedanur","family":"G\u00fcng\u00f6r","sequence":"additional","affiliation":[{"name":"Gazi University, Ankara, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kadir","family":"\u00c7evik","sequence":"additional","affiliation":[{"name":"Ba\u015fak\u015fehir \u00c7am and Sakura City Hospital, \u0130stanbul, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0324-3126","authenticated-orcid":false,"given":"Egemen","family":"Ayhan","sequence":"additional","affiliation":[{"name":"Ba\u015fak\u015fehir \u00c7am and Sakura City Hospital, \u0130stanbul, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,6,17]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1002\/jmv.25766"},{"key":"e_1_3_2_3_2","first-page":"18","article-title":"Letter to Editor: telerehabilitation: a useful and appropriate approach for people with disability in Covid-19 pandemic","volume":"35","author":"Rabanifar N","year":"2021","unstructured":"Rabanifar N, Abdi K. Letter to Editor: telerehabilitation: a useful and appropriate approach for people with disability in Covid-19 pandemic. Med J Islam Repub Iran. 2021;35:18.","journal-title":"Med J Islam Repub Iran"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1080\/09638280802062553"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jht.2020.11.004"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2004.10.115"},{"issue":"2","key":"e_1_3_2_7_2","article-title":"Getting better results in flexor tendon surgery and therapy","volume":"9","author":"Ayhan E","year":"2021","unstructured":"Ayhan E, Tuna Z, Oksuz C. Getting better results in flexor tendon surgery and therapy. Plast Reconstr Surg Glob Open. 2021;9(2):e3432.","journal-title":"Plast Reconstr Surg Glob Open"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2005.05.011"},{"issue":"7","key":"e_1_3_2_9_2","article-title":"Wide awake flexor tendon repair in the finger","volume":"4","author":"Lalonde D","year":"2016","unstructured":"Lalonde D, Higgins A. Wide awake flexor tendon repair in the finger. Plast Reconstr Surg Glob Open. 2016;4(7):e797.","journal-title":"Plast Reconstr Surg Glob Open"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.hcl.2013.02.009"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1177\/17531934211037112"},{"issue":"3","key":"e_1_3_2_12_2","first-page":"219","article-title":"Zone 1-2 flexor tendon repair results with WALANT","volume":"10","author":"Kuzucu Y","year":"2021","unstructured":"Kuzucu Y, Ayhan E, Tuna Z, et al Zone 1-2 flexor tendon repair results with WALANT. Hand Microsurg. 2021;10(3):219-226.","journal-title":"Hand Microsurg"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1201\/b13377-18"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-0712(21)01341-X"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-0274(199606)29:6<602::AID-AJIM4>3.0.CO;2-L"},{"issue":"3","key":"e_1_3_2_16_2","first-page":"99","article-title":"Kol, omuz ve el sorunlar\u0131 (Disabilities of the Arm, Shoulder, and Hand-DASH) anketi T\u00fcrk\u00e7e uyarlanmas\u0131n\u0131n g\u00fcvenirli\u011fi ve ge\u00e7erli\u011fi","volume":"17","author":"D\u00fcger T","year":"2006","unstructured":"D\u00fcger T, Yakut E, \u00d6ks\u00fcz \u00c7, et al Kol, omuz ve el sorunlar\u0131 (Disabilities of the Arm, Shoulder, and Hand-DASH) anketi T\u00fcrk\u00e7e uyarlanmas\u0131n\u0131n g\u00fcvenirli\u011fi ve ge\u00e7erli\u011fi. Fizyoterapi Rehabilitasyon. 2006;17(3):99-107.","journal-title":"Fizyoterapi Rehabilitasyon"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jht.2023.10.003"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jphys.2021.06.009"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1177\/1357633X17691861"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.3390\/app11041708"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2023.01.016"},{"key":"e_1_3_2_22_2","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph20032233"},{"key":"e_1_3_2_23_2","article-title":"Exploring barriers that affect telerehabilitation readiness: a case study of rehabilitation centre in Malaysia","author":"Jafni TI","unstructured":"Jafni TI, Bahari M, Ismail W, et al Exploring barriers that affect telerehabilitation readiness: a case study of rehabilitation centre in Malaysia. In Saeed F, Gazem N, Mohammed F et al., Recent Trends in Data Science and Soft Computing. IRICT 2018. Advances in Intelligent Systems and Computing, vol 843. Cham: Springer; 2019.","journal-title":"Recent Trends in Data Science and Soft Computing. IRICT 2018. Advances in Intelligent Systems and Computing"},{"key":"e_1_3_2_24_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.msksp.2021.102340"}],"container-title":["HAND"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15589447251339498","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/15589447251339498","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15589447251339498","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T07:30:08Z","timestamp":1777447808000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/15589447251339498"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6,17]]},"references-count":23,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,5]]}},"alternative-id":["10.1177\/15589447251339498"],"URL":"https:\/\/doi.org\/10.1177\/15589447251339498","relation":{},"ISSN":["1558-9447","1558-9455"],"issn-type":[{"value":"1558-9447","type":"print"},{"value":"1558-9455","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,6,17]]}}}