{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T07:31:25Z","timestamp":1786692685387,"version":"build-2736575974"},"reference-count":57,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2026,2,2]],"date-time":"2026-02-02T00:00:00Z","timestamp":1769990400000},"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":[[2026,3]]},"abstract":"<jats:sec>\n                    <jats:title>Importance:<\/jats:title>\n                    <jats:p>Hand injuries impair motor function, strength, and daily activity participation. Occupational therapy is widely used, but its effectiveness requires systematic evaluation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To evaluate and synthesize the scientific evidence on the effectiveness of occupational therapy interventions in improving motor function, muscle strength, and pain among adults with hand injuries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data Sources:<\/jats:title>\n                    <jats:p>Seven electronic databases (PubMed\/MEDLINE, EBSCOhost, CINAHL Complete, Cochrane, ProQuest, Scopus, and Web of Science) were searched through May 2025. Additional sources included reference lists of relevant articles. The review was registered in PROSPERO (CRD420251043818).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Selection and Data Collection:<\/jats:title>\n                    <jats:p>Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines were followed. Included studies involved occupational therapy interventions targeting motor function, muscle strength, and pain management in hand injury rehabilitation. Study quality was assessed using the Oxford Centre for Evidence-Based Medicine scale, Cochrane Risk of Bias 2, and Grading of Recommendations, Assessment, Development, and Evaluation pro tools.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings:<\/jats:title>\n                    <jats:p>\n                      Of 2,235 records, 8 studies met inclusion criteria. The meta-analysis demonstrated significant improvements after occupational therapy interventions. Motor function showed a large and significant effect (Hedges\u2019\n                      <jats:italic toggle=\"yes\">g\u2009=\u2009<\/jats:italic>\n                      1.53, 95% CI [0.58, 2.49],\n                      <jats:italic toggle=\"yes\">p\u2009=\u2009<\/jats:italic>\n                      .002), muscle strength improved with a significant effect (Hedges\u2019\n                      <jats:italic toggle=\"yes\">g\u2009=\u2009<\/jats:italic>\n                      0.40, 95% CI [0.08, 0.71],\n                      <jats:italic toggle=\"yes\">p\u2009=\u2009<\/jats:italic>\n                      .01), and pain decreased with a large and significant effect (Hedges\u2019\n                      <jats:italic toggle=\"yes\">g\u2009=\u2009<\/jats:italic>\n                      1.51, 95% CI [0.81, 2.20],\n                      <jats:italic toggle=\"yes\">p\u2009&lt;\u2009<\/jats:italic>\n                      .001) among adults with hand injuries.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions and Relevance:<\/jats:title>\n                    <jats:p>Occupational therapy improves motor function, muscle strength, and pain in individuals with hand injuries, underscoring its key role in functional recovery and rehabilitation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.5014\/ajot.2026.051437","type":"journal-article","created":{"date-parts":[[2026,2,2]],"date-time":"2026-02-02T11:56:31Z","timestamp":1770033391000},"page":"369-380","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Effects of Occupational Therapy Intervention on Motor Function, Muscle Strength, and Pain in Adults With Hand Injuries: A Systematic Review With Meta-Analysis"],"prefix":"10.1177","volume":"80","author":[{"given":"Edgar","family":"V\u00e1squez-Carrasco","sequence":"first","affiliation":[{"name":"Edgar V\u00e1squez-Carrasco, PhD, OTR\/L, is Professor, School of Occupational Therapy, Faculty of Psychology; Centro de Investigaci\u00f3n en Ciencias Cognitivas, Faculty of Psychology; and VITALIS Longevity Center, Universidad de Talca, Talca, Chile."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P\u00eda","family":"Jamett-Oliva","sequence":"additional","affiliation":[{"name":"P\u00eda Jamett-Oliva is Undergraduate Student, School of Occupational Therapy, Faculty of Psychology, Universidad de Talca, Talca, Chile."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diego","family":"Fernandez-Cardenas","sequence":"additional","affiliation":[{"name":"Diego Fernandez-Cardenas, OTR\/L, is Professor, School of Occupational Therapy, Faculty of Psychology, Universidad de Talca, Talca, Chile."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jordan","family":"Hernandez-Martinez","sequence":"additional","affiliation":[{"name":"Jordan Hernandez-Martinez, MSc, is Professor, Department of Physical Activity Sciences, Universidad de Los Lagos, Osorno, Chile, and Department of Education, Faculty of Humanities, Universidad de la Serena, La Serena, Chile."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlos","family":"Rodr\u00edguez-Pinto","sequence":"additional","affiliation":[{"name":"Carlos Rodr\u00edguez-Pinto, PhD, OTR\/L, is Professor, Escuela de Terapia Ocupacional, Facultad de Medicina y Ciencias de la Salud, Universidad Mayor, Temuco, Chile."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roberto","family":"Lopez-Andaur","sequence":"additional","affiliation":[{"name":"Roberto Lopez-Andaur, OTR\/L, is Professor, Exercise and Rehabilitation Sciences Institute, School of Occupational Therapy, Faculty of Rehabilitation Sciences, Universidad Andr\u00e9s Bello, Santiago, Chile."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patricio","family":"Perez-Navarrete","sequence":"additional","affiliation":[{"name":"Patricio Perez-Navarrete, MD, is Professor, Departamento de Cirug\u00eda, Traumatolog\u00eda y Anestesiolog\u00eda, Facultad de Medicina, Universidad de La Frontera, Temuco, Chile."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cristian","family":"Sandoval-V\u00e1squez","sequence":"additional","affiliation":[{"name":"Cristian Sandoval-V\u00e1squez, PhD, MLS, is Associate Professor, Escuela de Tecnolog\u00eda M\u00e9dica, Facultad de Salud, Universidad Santo Tom\u00e1s, Osorno, Chile, and Assistant Professor, Departamento de Medicina Interna, Facultad de Medicina, Universidad de La Frontera, Temuco, Chile;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pablo","family":"Vald\u00e9s-Badilla","sequence":"additional","affiliation":[{"name":"Pablo Vald\u00e9s-Badilla, PhD, is Full Professor, Department of Physical Activity Sciences, Faculty of Education Sciences, Universidad Cat\u00f3lica del Maule, Talca, Chile, and Sports Coach Career, School of Education, Universidad Vi\u00f1a del Mar, Vi\u00f1a del Mar, Chile;"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,2,2]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/0269215518811907"},{"key":"e_1_3_2_3_1","doi-asserted-by":"publisher","DOI":"10.5014\/ajot.2021.75S3004"},{"key":"e_1_3_2_4_1","doi-asserted-by":"publisher","DOI":"10.5014\/ajot.2011.09186"},{"key":"e_1_3_2_5_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph19063592"},{"key":"e_1_3_2_6_1","doi-asserted-by":"publisher","DOI":"10.5014\/ajot.57.5.499"},{"key":"e_1_3_2_7_1","doi-asserted-by":"publisher","DOI":"10.3109\/11038128.2015.1062047"},{"key":"e_1_3_2_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2021-057541"},{"key":"e_1_3_2_9_1","unstructured":"Cochrane Methods. 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