{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T04:07:14Z","timestamp":1790827634463,"version":"4.1.0"},"reference-count":44,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2025,2,12]],"date-time":"2025-02-12T00:00:00Z","timestamp":1739318400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"JSPS KAKENHI","award":["JP 22K11768"],"award-info":[{"award-number":["JP 22K11768"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Hand Therapy"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Hand use recovery after a distal radius fracture (DRF) depends on whether the injured hand is dominant or not, which can affect laterality and influence functional outcomes. This study aimed to investigate how the injured side impacts changes in laterality and its relationship to functional outcome, aiming to contribute to the development of future hand therapy strategies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Patients with DRF were prospectively recruited. Triaxial accelerometers were wrist-mounted to collect data at 1, 4, 8, and 12\u00a0weeks postoperatively and examine the laterality index (LI), total hand use time, and total vector magnitude. Correlations between LI and functional outcomes were assessed at each time point.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>42 patients participated in this study. Among them, 19 and 23 had injured dominant (DI) and injured non-dominant (non-DI) hands, respectively. The LI showed a faster restoration of symmetry in the DI group than in the non-DI group at 8 and 12\u00a0weeks postoperatively. Moderate correlations between LI and functional outcomes were observed in wrist joints and grip strength in the DI and non-DI groups, respectively, at all time points.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>The change in LI in the DI group was considered recovery, as it was identical to the symmetry observed in healthy adults. Additionally, the non-DI group was considered to have adapted to a pattern of predominant use of the dominant hand. The correlation between LI and some functional outcomes appeared to depend on hand use patterns, specifically whether the injured hand was dominant or not. These findings underscore the importance of tailoring interventions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17589983251319030","type":"journal-article","created":{"date-parts":[[2025,2,12]],"date-time":"2025-02-12T09:17:16Z","timestamp":1739351836000},"page":"72-81","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["Recovery in the symmetry of hand use after distal radius fracture"],"prefix":"10.1177","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2994-9087","authenticated-orcid":false,"given":"Terufumi","family":"Iitsuka","sequence":"first","affiliation":[{"name":"Division of Occupational Therapy, Department of Rehabilitation, Faculty of Health, Naragakuen University, Nara, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2591-0652","authenticated-orcid":false,"given":"Hiroshi","family":"Kurumadani","sequence":"additional","affiliation":[{"name":"Graduate School of Biomedical &amp; Health Sciences, Analysis &amp; Control of Upper Extremity Function, Hiroshima University, Hiroshima, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshiyuki","family":"Inagaki","sequence":"additional","affiliation":[{"name":"Division of Health Sciences, Graduate school of Medical Sciences, Kanazawa University, Kanazawa city, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hideyuki","family":"Ota","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic and Hand Surgery, Hand and Microsurgery Center, Nagoya Ekisaikai Hospital, Nagoya City, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,2,12]]},"reference":[{"key":"e_1_3_3_2_2","first-page":"185","article-title":"Fractures of the distal aspect of the radius: changes in treatment over the past two decades","volume":"52","author":"Simic PM","year":"2003","unstructured":"Simic PM, Weiland AJ. 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