Conventional and Virtual Reality-Based Neuromuscular Rehabilitation in Scapholunate Instability

Inclusion Criteria: * Aged between 18 and 65 years * Diagnosed with scapholunate instability (pre-dynamic or dynamic instability) by a physician and referred for conservative treatment * A score of ≤6 on the Beighton Hypermobility Scale * Presence of clinical instability symptoms, including pain, a sense of instability, and functional limitation * Willingness to participate in the study and high motivation to comply with the intervention protocol Exclusion Criteria: * History of previous surgery involving the hand or wrist * Presence of any neurological or cardiovascular disorder * Presence of additional orthopedic pathology affecting the shoulder, elbow, or wrist other than scapholunate instability * History of surgery involving the ipsilateral upper extremity within the past 6 months * Presence of visual or hearing impairments that may interfere with participation in the rehabilitation program * Participation in sensory- or function-oriented rehabilitation of either hand within the past 6 months * A score below 26 on the Montreal Cognitive Assessment (MoCA) * Inability to read or write