A novel home-based video-assisted hand therapy program may provide effective rehabilitation for patients who underwent thumb carpometacarpal arthroplasty, according to a recent study published by Barrett et al in The Journal of Bone and Joint Surgery. Although in-person hand therapy is the standard method of rehabilitation following the surgical procedure, some patients may have difficulty traveling to these appointments, especially those who reside in rural and remote areas. However, video-assisted therapy offers instructions and exercises for self-paced, at-home rehabilitation without the need for in-person therapy or telemedicine. In the recent prospective study, researchers randomly assigned 58 patients to receive either video-only or in-person therapy following primary thumb carpometacarpal arthroplasty without implants. The researchers found that video-only therapy was noninferior to in-person therapy after a follow-up of 12 weeks as well as among the 54 patients included in the 1-year postoperative analysis, with differences of mean improvement in the Patient-Reported Outcomes Measurement Information System Upper Extremity score of 1.5 (95% confidence interval [CI] = –3.6 to 6.6) and 2.2 (95% CI = –3.0 to 7.3), respectively. The researchers estimated that the patients in the video-only therapy group avoided an average of 201.3 miles of travel compared with those in the in-person therapy group. The study authors concluded: “This trial yields evidence that a more patient-driven approach with provision of videos is an acceptable alternative to traditional in-person therapy after thumb [carpometacarpal] arthroplasty, and has the added benefit of reducing the potential travel burden for patients.”