# Implementation of a Robotic Hand Glove in the Physiotherapy Treatment of Carpal Tunnel Syndrome Secondary to Volar Barton Fracture: A Case Report

## TL;DR

This case report explores the use of a robotic hand glove in physiotherapy to treat carpal tunnel syndrome following a wrist fracture, showing improved recovery and daily function.

## Contribution

The novel use of a robotic glove in post-operative rehabilitation for carpal tunnel syndrome secondary to a volar Barton fracture is highlighted.

## Key findings

- A tailored physiotherapy regimen using a robotic glove improved wrist mobility and grip strength.
- Early functional recovery and enhanced activities of daily living were observed in the patient.
- Cryotherapy and range of motion exercises complemented the robotic glove therapy effectively.

## Abstract

A volar Barton fracture is a compression injury that usually results from a fall onto an outstretched, pronated wrist. It is characterized by an intraarticular marginal volar shearing fracture of the distal radius. Despite the prevalence of distal radius fractures, consensus regarding optimal treatment remains challenging. To achieve adequate alignment, a variety of treatment techniques are available, including open reduction with plate and screw fixation, external fixation, and closed reduction with pinning. Regardless of the method of treatment, carpal tunnel syndrome (CTS) is the most prevalent complication that is commonly seen in distal radius fractures. Establishing an effective post-operative rehabilitation regimen, primarily comprising functional physiotherapy interventions, is vital to managing this condition. This case report discusses the management of acute CTS secondary to a volar Barton fracture, characterized by symptoms including pain, diminished strength and mobility of the wrist joint, and impaired grip strength and fine motor skills. The outcome measures utilized were the Upper Extremity Functional Index and the Boston Carpal Tunnel Syndrome Questionnaire. A customized physical therapy regimen was implemented, comprising cryotherapy, range of motion exercises, and grip strengthening utilizing a robotic glove. This tailored approach proved effective in promoting early functional recovery and improving activities of daily living.