Effectiveness of Video-Based Home Exercise Programs in Hand Therapy

Abstract

Traditionally, paper handouts have been the primary method for delivering home exercise programs (HEPs) in outpatient orthopedic settings. Patient adherence to HEPs is crucial for preventing hand deformities, improving hand function, and facilitating recovery. However, contextual barriers – such as language barriers, low health literacy, and psychosocial challenges – often hinder patients’ ability to understand and follow prescribed exercises, negatively impacting their functional recovery. Oftentimes, printed materials fail to recognize and address the diverse learning needs and education levels of patients, further limiting patient adherence. The goal of this capstone project was to develop video-based exercises for hand and upper extremity rehabilitation and to ensure their accessibility and sustainability within the outpatient occupational therapy team. Through improved educational resources, the capstone student and site aimed to accommodate diverse patient needs, thereby enhancing patient adherence and clinical outcomes. Following the implementation of the capstone project materials, therapists perceived the video-based exercises as an effective tool for demonstrating correct exercise execution, increasing patient confidence, supporting patient adherence, and assisting patients with language barriers. The results of this study suggested that video-based exercises can serve as a valuable and sustainable alternative to traditional paper handouts.