{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T01:13:12Z","timestamp":1777684392046,"version":"3.51.4"},"reference-count":22,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2021,7,27]],"date-time":"2021-07-27T00:00:00Z","timestamp":1627344000000},"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 Therapy"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>A survey of International Federation of Societies for Hand Therapy (IFSHT) member countries identified relative motion extension as the preferred approach to management of zones V-VI extensor tendon repairs. The aims of this survey were to identify and compare hand therapy practice patterns in Malaysia (a non-IFSHT member country) with findings of the IFSHT survey including an IFSHT subset of Asia-Pacific therapists and to investigate if membership status of the Malaysian Society for Hand Therapists (MSHT) influenced therapy practice patterns.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>An online English-language survey was distributed to 90 occupational therapists and physiotherapists including MSHT members and non-members. Participation required management of at least one extensor tendon repair in the preceding year. Five approaches were surveyed: immobilisation, early passive motion (EPM) with dynamic splinting, and early active motion (EAM) delivered by resting hand (RH), palmar resting interphalangeal joints free (PR), and relative motion extension (RME) splints.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Thirty-seven of the 53 therapists (68%) who commenced the survey completed it. The most used approach was dynamic\/EPM (28%), followed by RH\/immobilisation (22%) and RH\/EAM (22%). A preference for RME\/EAM was identified with implementation barriers being surgeon preference and hand therapist confidence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Approach selection for Malaysian therapists differed from the combined IFSHT and Asia-Pacific respondents, with the former using dynamic\/EPM and RH\/immobilisation compared to IFSHT respondents who predominately used RME\/EAM and PR\/EAM. This survey provides valuable insights into Malaysian hand therapists\u2019 practices. If implementation barriers and therapist confidence are addressed, Malaysian practice patterns may change to better align with current evidence.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17589983211031259","type":"journal-article","created":{"date-parts":[[2021,7,28]],"date-time":"2021-07-28T01:49:47Z","timestamp":1627436987000},"page":"134-145","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Postoperative management of zones V-VI extensor tendon repairs: A survey of practice in Malaysia and comparison to IFSHT member countries"],"prefix":"10.1177","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4776-9178","authenticated-orcid":false,"given":"Julianne W","family":"Howell","sequence":"first","affiliation":[{"name":"Self-employed Consultant, Saint Joseph, Michigan, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melissa J","family":"Hirth","sequence":"additional","affiliation":[{"name":"Occupational Therapy Department, Austin Health, Heidelberg, Victoria, Australia"},{"name":"Malvern Hand Therapy, Malvern, Victoria, Australia"},{"name":"Department of Occupational Therapy, Faculty of Medicine, Nursing and Health Sciences, Monash University, Victoria, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3228-5795","authenticated-orcid":false,"given":"Siaw Chui","family":"Chai","sequence":"additional","affiliation":[{"name":"Occupational Therapy Programme, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ted","family":"Brown","sequence":"additional","affiliation":[{"name":"Department of Occupational Therapy, Faculty of Medicine, Nursing and Health Sciences, Monash University, Victoria, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4149-6669","authenticated-orcid":false,"given":"Lisa","family":"O\u2019Brien","sequence":"additional","affiliation":[{"name":"Department of Occupational Therapy, Faculty of Medicine, Nursing and Health Sciences, Monash University, Victoria, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,7,27]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jht.2019.12.019"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1186\/1753-6561-9-S3-A1"},{"key":"e_1_3_3_4_2","first-page":"41","article-title":"Work-related hand injuries: type, location, cause, mechanism and severity in a tertiary hospital","volume":"8","author":"Al-Husuny A","year":"2012","unstructured":"Al-Husuny A, Rampal L, Manohar A, et al. Work-related hand injuries: type, location, cause, mechanism and severity in a tertiary hospital. MJMHS 2012; 8: 41\u201349.","journal-title":"MJMHS"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.hcl.2019.07.006"},{"key":"e_1_3_3_6_2","first-page":"245","article-title":"An introductory guide to survey research in anaesthesia. Anaesth","volume":"34","author":"Jones D","year":"2006","unstructured":"Jones D, Story D, Clavisi O, et al. An introductory guide to survey research in anaesthesia. Anaesth. 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