{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T12:13:18Z","timestamp":1778760798153,"version":"3.51.4"},"reference-count":32,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2026,2,4]],"date-time":"2026-02-04T00:00:00Z","timestamp":1770163200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,2,4]],"date-time":"2026-02-04T00:00:00Z","timestamp":1770163200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100000272","name":"National Institute of Health Research","doi-asserted-by":"crossref","award":["NIHR304557"],"award-info":[{"award-number":["NIHR304557"]}],"id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Hand Therapy"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Peripheral nerve injuries can lead to paralysis, sensory loss, chronic pain, and profound psychological and vocational consequences. Recent UK guidelines recommend biopsychosocial rehabilitation, yet qualitative evidence suggest gaps in service provision. This study explored current rehabilitation and perceived barriers among therapists treating adults with peripheral nerve injuries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross-sectional online survey was distributed to UK physiotherapists and occupational therapists experienced in upper and lower limb peripheral nerve injury rehabilitation. Questions captured demographics, treatment strategies before and after reinnervation, access to psychological support, and perceived organisational barriers. Descriptive analysis was undertaken.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Fifty-three respondents (60% physiotherapists, 40% occupational therapists) completed the survey; 70% had more than 10\u00a0years\u2019 experience. Ninety eight percent of respondents treated adults with upper limb nerve injuries. Motor and sensory interventions (active and passive range of motion, splinting, strength training, and functional activity) were reported as \u201calways\/frequently\u201d used by &gt;80% of respondents. Over a quarter of respondents (28%) occasionally\/rarely used pain neuroscience education. Other specific psychological interventions including cognitive behavioural techniques and mindfulness were rarely used (&lt;30% always\/frequently). Over half respondents reported no outpatient access to clinical psychology. Organisational barriers included limited time, funding, skilled staff, and absence of local guidelines. However, 83% believed therapists could deliver more psychologically informed care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>UK rehabilitation for adults with peripheral nerve injuries remains predominantly biomedical, with limited integration of psychologically informed care and limited access to Clinical Psychology. Addressing systemic barriers and evaluating digital or hybrid models may enable more biopsychosocial, patient-centred care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17589983261420313","type":"journal-article","created":{"date-parts":[[2026,2,4]],"date-time":"2026-02-04T13:15:26Z","timestamp":1770210926000},"page":"146-154","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Current rehabilitation for adults with peripheral nerve injuries in the UK: An online survey"],"prefix":"10.1177","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4866-0847","authenticated-orcid":false,"given":"Caroline","family":"Miller","sequence":"first","affiliation":[{"name":"University of Birmingham"},{"name":"University Hospitals Birmingham, NHS Foundation Trust"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-8292-522X","authenticated-orcid":false,"given":"Suzanne","family":"Beale","sequence":"additional","affiliation":[{"name":"University Hospitals Birmingham, NHS Foundation Trust"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Beth","family":"Fordham","sequence":"additional","affiliation":[{"name":"University of Oxford"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David J.","family":"Keene","sequence":"additional","affiliation":[{"name":"University of Oxford"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9513-8445","authenticated-orcid":false,"given":"Kenneth F.","family":"Valyear","sequence":"additional","affiliation":[{"name":"Bangor University"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,2,4]]},"reference":[{"key":"e_1_3_7_2_2","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2474-11-286"},{"key":"e_1_3_7_3_2","doi-asserted-by":"publisher","DOI":"10.1177\/1558944720963895"},{"key":"e_1_3_7_4_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1529-8027.2010.00260.x"},{"key":"e_1_3_7_5_2","doi-asserted-by":"publisher","DOI":"10.1177\/1758998316679387"},{"key":"e_1_3_7_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jht.2020.03.008"},{"key":"e_1_3_7_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2023.02.017"},{"key":"e_1_3_7_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/SAP.0000000000002083"},{"key":"e_1_3_7_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.hansur.2022.08.010"},{"key":"e_1_3_7_10_2","doi-asserted-by":"publisher","DOI":"10.1053\/jhsu.2003.50026"},{"key":"e_1_3_7_11_2","volume-title":"Rehabilitation after traumatic injury [NG211]","author":"NICE","year":"2022","unstructured":"NICE. Rehabilitation after traumatic injury [NG211]. NICE. https:\/\/www.nice.org.uk\/guidance\/ng211 (2022, accessed 6 February 2025)."},{"key":"e_1_3_7_12_2","doi-asserted-by":"publisher","DOI":"10.1126\/science.847460"},{"key":"e_1_3_7_13_2","doi-asserted-by":"publisher","DOI":"10.1177\/17531934231212973"},{"key":"e_1_3_7_14_2","first-page":"1","article-title":"Brachial plexus injury: living with uncertainty","volume":"6","author":"Miller C","year":"2022","unstructured":"Miller C, Jerosch-Herold C, Cross J. Brachial plexus injury: living with uncertainty. Disabil Rehabil 2022; 6: 1\u20137.","journal-title":"Disabil Rehabil"},{"key":"e_1_3_7_15_2","doi-asserted-by":"publisher","DOI":"10.1080\/09638288.2025.2452371"},{"key":"e_1_3_7_16_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-021-06737-1"},{"key":"e_1_3_7_17_2","doi-asserted-by":"publisher","DOI":"10.1002\/msc.1514"},{"key":"e_1_3_7_18_2","doi-asserted-by":"publisher","DOI":"10.1080\/09638288.2017.1407968"},{"key":"e_1_3_7_19_2","doi-asserted-by":"publisher","DOI":"10.1177\/17589983241268056"},{"key":"e_1_3_7_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.msksp.2019.01.004"},{"key":"e_1_3_7_21_2","doi-asserted-by":"publisher","DOI":"10.1177\/17589983241238424"},{"key":"e_1_3_7_22_2","volume-title":"Standards of hand therapy practice in the management of nerve trauma","author":"BAHT","year":"2022","unstructured":"BAHT. Standards of hand therapy practice in the management of nerve trauma. https:\/\/www.handtherapy.co.uk\/_userfiles\/pages\/files\/standards_of_hand_therapy_practice_in_the_management_of_nerve_trauma_2.pdf (2022, accessed 4 July 2025)."},{"key":"e_1_3_7_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jht.2018.01.011"},{"key":"e_1_3_7_24_2","doi-asserted-by":"publisher","DOI":"10.3390\/jpm11111200"},{"key":"e_1_3_7_25_2","unstructured":"JamesAlliance Lind. Taumatic Brachial Plexus Injury. 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A new community rehabilitation and reablement model A new community rehabilitation and reablement model good practice guidance for integrated care boards (commissioners and providers). https:\/\/www.england.nhs.uk\/wp-content\/uploads\/2023\/09\/PRN00761ii-a-new-community-rehabilitation-and-reablement-model.pdf (2023, accessed 12 September 2025)."},{"key":"e_1_3_7_33_2","first-page":"4","article-title":"Evaluation of the implementation of the back skills training (BeST) programme using online training: a cohort implementation study","volume":"109","author":"Sugavanam T","year":"2020","unstructured":"Sugavanam T, Williamson E, Fordham B, et al. Evaluation of the implementation of the back skills training (BeST) programme using online training: a cohort implementation study. 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