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      Telerehabilitation Technology Used for Remote Wrist/Finger Range of Motion Evaluation: A Scoping Review


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          Monitoring finger/wrist range of motion (ROM) is an important component of routine hand therapy after surgery. Telerehabilitation is a field that may potentially address various barriers of in-person hand therapy appointments. Therefore, the purpose of this scoping review is to identify telerehabilitation technologies that can be feasibly used in a patient’s home to objectively measure finger/wrist ROM.


          Following PRISMA-ScR guidelines for scoping reviews, we systematically searched MEDLINE and Embase electronic databases using alternative word spellings for the following core concepts: “wrist/hand,” “rehabilitation,” and “telemedicine.” Studies were imported into Covidence, and systematic two-level screening was done by two independent reviewers. Patient demographics and telerehabilitation information were extracted from the selected articles, and a narrative synthesis of the findings was done.


          There were 28 studies included in this review, of which the telerehabilitation strategies included smartphone angle measurement applications, smartphone photography, videoconference, and wearable or external sensors. Most studies measured wrist ROM with the most accurate technologies being wearable and external sensors. For finger ROM, the smartphone angle application and photography had higher accuracy than sensor systems. The telerehabilitation strategies that had the highest level of usability in a remote setting were smartphone photographs and estimation during virtual appointments.


          Telerehabilitation can be used as a reliable substitute to in-person goniometer measurements, particularly the smartphone photography and motion sensor ROM measurement technologies. Future research should investigate how to improve the accuracy of motion sensor applications that are available on easy-to-access devices.

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          PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation

          Scoping reviews, a type of knowledge synthesis, follow a systematic approach to map evidence on a topic and identify main concepts, theories, sources, and knowledge gaps. Although more scoping reviews are being done, their methodological and reporting quality need improvement. This document presents the PRISMA-ScR (Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews) checklist and explanation. The checklist was developed by a 24-member expert panel and 2 research leads following published guidance from the EQUATOR (Enhancing the QUAlity and Transparency Of health Research) Network. The final checklist contains 20 essential reporting items and 2 optional items. The authors provide a rationale and an example of good reporting for each item. The intent of the PRISMA-ScR is to help readers (including researchers, publishers, commissioners, policymakers, health care providers, guideline developers, and patients or consumers) develop a greater understanding of relevant terminology, core concepts, and key items to report for scoping reviews.
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            Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement.

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              Updated methodological guidance for the conduct of scoping reviews

              The objective of this paper is to describe the updated methodological guidance for conducting a JBI scoping review, with a focus on new updates to the approach and development of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (the PRISMA-ScR).

                Author and article information

                Plast Reconstr Surg Glob Open
                Plast Reconstr Surg Glob Open
                Plastic and Reconstructive Surgery Global Open
                Lippincott Williams & Wilkins (Hagerstown, MD )
                August 2023
                23 August 2023
                : 11
                : 8
                : e5147
                From the [* ]Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada
                []Faculty of Science, Western University, London, Ontario, Canada
                []Library Services, London Health Sciences Centre, London, Ontario, Canada
                [§ ]Department of Surgery, London Health Sciences Centre, London, Ontario, Canada.
                Author notes
                Caitlin Symonette, BMSc, MSc, MD, London Health Sciences Centre, 800 Commissioners Rd E, London, ON N6A 5W9, Canada, E-mail: caitlin.symonette@ 123456lhsc.on.ca
                Copyright © 2023 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons.

                This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.

                : 6 April 2023
                : 12 June 2023
                Funded by: New Frontiers in Research Fund Exploration Grant
                Award ID: NFRFE-2021-00671
                Award Recipient : Caitlin Symonette
                Funded by: Internal Research Fund from Western University
                Award Recipient : Caitlin Symonette
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