{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T17:43:41Z","timestamp":1787939021951,"version":"build-2784847793"},"reference-count":29,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T00:00:00Z","timestamp":1773792000000},"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":["American Journal of Occupational Therapy"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:sec>\n                    <jats:title>Importance:<\/jats:title>\n                    <jats:p>The optimal duration of occupational therapy after distal radius fracture remains uncertain. Occupational therapy practitioners focus on objective indicators such as range of motion and grip strength, whereas patients prioritize subjective daily activity difficulties.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To identify objective and subjective factors influencing decisions to continue occupational therapy from therapists\u2019 and patients\u2019 perspectives.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>Prospective observational cohort study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting:<\/jats:title>\n                    <jats:p>Multicenter.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants:<\/jats:title>\n                    <jats:p>\n                      Patients (\n                      <jats:italic toggle=\"yes\">N<\/jats:italic>\n                      = 143) who underwent open reduction and internal fixation for distal radius fracture were enrolled. The number of participants analyzed at Postoperative Weeks 4, 8, 12, and 24 was 143, 138, 114, and 82, respectively, because of attrition and incomplete data.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Outcomes and Measures:<\/jats:title>\n                    <jats:p>Objective assessments included range of motion and grip strength, whereas patient-reported outcomes were assessed using the Hand20 questionnaire. Therapists and patients evaluated the necessity for continued occupational therapy. Statistical analyses included Cohen\u2019s \u03ba for agreement, Lasso regression for variable selection, and generalized linear models for significance testing.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Therapists prioritized objective measures (range of motion, grip strength), whereas patients emphasized subjective difficulties with daily activities. At Postoperative Week 8, Hand20 scores significantly affected the decisions of both groups, more closely aligning with perceptions. By Postoperative Week 12, therapists reverted to objective measures, renewing discrepancies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions and Relevance:<\/jats:title>\n                    <jats:p>Discrepancies exist between therapists\u2019 objective assessments and patients\u2019 subjective recovery requirements regarding therapy continuation. With limited evidence supporting therapy beyond 12 wk, integrating patient-reported outcomes into shared decision-making may enhance functional recovery and satisfaction, particularly during the first 8 wk postoperation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.5014\/ajot.2026.051302","type":"journal-article","created":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T17:00:00Z","timestamp":1773853200000},"page":"473-481","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Patients\u2019 and Therapists\u2019 Perceptions of Duration of Rehabilitation for Postoperative Distal Radius Fractures: An Exploratory Study"],"prefix":"10.1177","volume":"80","author":[{"given":"Terufumi","family":"Iitsuka","sequence":"first","affiliation":[{"name":"Terufumi Iitsuka, PhD, OTR, is Professor, Department of Rehabilitation, Nara Gakuen University, Nara City, Japan;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroshi","family":"Kurumadani","sequence":"additional","affiliation":[{"name":"Hiroshi Kurumadani, PhD, OTR, is Professor, Department of Health Sciences, Nagoya City University, Nagoya, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshiyuki","family":"Inagaki","sequence":"additional","affiliation":[{"name":"Yoshiyuki Inagaki, MSc, OTR, is Occupational Therapist, Division of Health Sciences, Graduate School of Medical Sciences, Kanazawa University, Kanazawa, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hideyuki","family":"Ota","sequence":"additional","affiliation":[{"name":"Hideyuki Ota, MD, PhD, is Orthopedic Surgeon, Department of Orthopaedic and Hand Surgery, Hand and Microsurgery Center, Nagoya Ekisaikai Hospital, Nagoya, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katsuyuki","family":"Iwatsuki","sequence":"additional","affiliation":[{"name":"Katsuyuki Iwatsuki, MD, PhD, is Orthopedic Surgeon, Department of Orthopaedics, Toyota Kosei Hospital, Toyota, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,3,18]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-017-2311-3"},{"key":"e_1_3_2_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/1440-1630.12925"},{"key":"e_1_3_2_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jht.2015.09.004"},{"key":"e_1_3_2_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jht.2009.04.007"},{"key":"e_1_3_2_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2006.10.010"},{"key":"e_1_3_2_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000005829"},{"key":"e_1_3_2_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2021.08.009"},{"key":"e_1_3_2_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2007.08.008"},{"key":"e_1_3_2_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/2151458516669202"},{"key":"e_1_3_2_11_1","unstructured":"Japan Hand Therapy Society. 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