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Effect of immobilization of metacarpophalangeal joint in thumb carpometacarpal osteoarthritis on pain and function. A quasi-experimental trial
- Source :
- Journal of Hand Therapy. 31:68-73
- Publication Year :
- 2018
- Publisher :
- Elsevier BV, 2018.
-
Abstract
- Study Design A quasi-experimental trial. Introduction Orthoses are effective to decrease pain and improve function in patients with carpometacarpal osteoarthritis (CMC OA). However, current research does not support one design of an orthosis as more effective and/or more favorable than another. Purpose of the Study The aim of this study was to compare the effectiveness of 2 different static orthosis on pain and functional abilities on CMC OA. Methods Eighty-four patients, 91.7% females (mean ± standard deviation age, 60.1 ± 9.6 years), with thumb CMC OA were randomized into 1 of 2 groups. For group A, a Ballena orthotic was constructed, and for group B, a Colditz orthotic was constructed. Both static orthoses were worn for 3 months. The outcome measures included pain with activity measured with the visual analog scale and functional abilities assessed with the Disabilities of the Arm, Shoulder and Hand. Results Both orthoses improved pain level and functional abilities ( F [1.0] = 413.327 and F [1.0] = 211.742; both P F [1.0] = 0.075 and F [1.0] = 7.248; both P > .05). Discussion The main purpose was to compare the effect of 2 different thermoplastic thumb orthoses. Previous studies support the use of CMC orthoses to decrease hand pain and improve hand function, but different orthoses have been described and in most cases, orthotic interventions were accompanied by other medical treatments. Conclusions A clinically significant reduction in pain intensity and improvement in functional abilities was achieved with both orthoses in patients with thumb CMC OA. Level of Evidence 2. Trial Registration ClinicalTrials.gov registration number: NCT02780999.
- Subjects :
- Adult
Male
Orthotic Devices
medicine.medical_specialty
Visual analogue scale
Physical Therapy, Sports Therapy and Rehabilitation
Osteoarthritis
Thumb
Metacarpophalangeal Joint
03 medical and health sciences
Static Splint
0302 clinical medicine
Physical medicine and rehabilitation
Carpometacarpal joint
Humans
Medicine
In patient
Aged
030203 arthritis & rheumatology
030222 orthopedics
Hand function
business.industry
Rehabilitation
Carpometacarpal Joints
Equipment Design
Recovery of Function
Metacarpophalangeal joint
Middle Aged
medicine.disease
Treatment Outcome
medicine.anatomical_structure
Physical therapy
Female
business
Subjects
Details
- ISSN :
- 08941130
- Volume :
- 31
- Database :
- OpenAIRE
- Journal :
- Journal of Hand Therapy
- Accession number :
- edsair.doi.dedup.....3c425f313a91f3da79d8fbef4ab17739