Effectiveness of Occupational Therapy Interventions for Adults With Musculoskeletal Conditions of the Forearm, Wrist, and Hand: A Systematic Review

Roll, Shawn C.; Hardison, Mark E.

doi:10.5014/ajot.2017.023234

Cited by 72 publications

(38 citation statements)

References 70 publications

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“…Because of the high percentage of PRMDs that occur in musicians, treatment may also include a biomechanical approach, including custom orthotics, modalities (e.g., heat, ultrasound), stretches, and strengthening postural and underactive muscles (Moran, 1992;Shafer-Crane, 2006). Some positive benefits of manual therapies, neural gliding, and ergonomic interventions have been found for treating clients with peripheral nerve injuries, such as carpal tunnel syndrome (Roll & Hardison, 2017). Tables 1 and 2 list specialized treatment suggestions to help occupational therapists better collaborate with musicians and address the musicians' unique concerns.…”

Section: Evaluation and Treatment Of Musiciansmentioning

confidence: 99%

Evaluation and Treatment of Musicians from a Holistic Perspective

Ting¹,

Rocker²

2019

The Open Journal of Occupational Therapy

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Throughout the past 3 decades, treatment of injured musicians in a health care setting has been reported; however, the quality of care from a musician's standpoint is poor. As musicians are speaking up more about their pain, the profession of occupational therapy has the capacity to make an impact on the way musicians are treated from a rehabilitative perspective. Musicians often do not trust medical practitioners who follow the traditional medical model because their symptoms and concerns are not addressed. Occupational therapists, especially those working in the realm of hand rehabilitation, are well equipped to treat injured musicians using our unique activity analysis skills and holistic frame of reference; the goal is to return them back to their prior levels of playing. To support the Occupational Therapy Practice Framework: Domain and Process's vision, this article discusses evaluation and treatment of the unique musician emphasizing the musician's point of view through an occupation-based, client-centered, and evidence-based practice. Comments The authors report that they have no conflicts of interest to disclose.

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Section: Evaluation and Treatment Of Musiciansmentioning

confidence: 99%

Evaluation and Treatment of Musicians from a Holistic Perspective

Ting¹,

Rocker²

2019

The Open Journal of Occupational Therapy

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“…Patients with osteoporosis respond poorly to the post-immobilization physiotherapy interventions. Early activity motion is recommended for patients after fixation of distal radius fracture, surgical repair of flexor or extensor tendon injuries, and surgical tendon transfer [16].…”

Section: Resultsmentioning

confidence: 99%

Effect of Desensitization Methods During the Early Mobilization Phase in Post-Fracture Conditions of Upper Extremity

Shah¹,

Shinde

2018

Asian J Pharm Clin Res

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Objectives: The objectives of the present study were to determine the effect of desensitization methods during early phase of mobilization in post-fracture conditions of upper extremity and to compare the effects of conventional physiotherapy methods and desensitization methods.Methods: A total of 30 subjects having fractures of upper extremity were assigned into two groups. Subjects included in Group A received conventional treatment (hot moist fomentation, mobilization, free exercises, resisted exercises, and strength training exercises). Group B received desensitization methods. The pre- and post-assessment is taken using visual analog scale, range of motion (ROM), manual muscle testing, and disabilities of the arm, shoulder and hand.Result: Desensitization showed significant improvement in ROM for elbow flexion (p=0.0427) (t=2.124) and in strength for shoulder flexion (p=0.0246) (t=2.376), shoulder extension (p=0.0246) (t=2.376), shoulder abduction (p=0.0246) (t=2.376)), shoulder adduction (p=0.0246) (t=2.376), and elbow extension (p=0.0472) (t=2.075) when compared to the conventional treatment, but the conventional treatment showed overall improvement in all outcome variables.Conclusion: Desensitization methods showed a significant effect on reducing pain and improving functional outcome.

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“…It has been shown that exercise therapy may postpone total joint replacement [ 29 ]. Physical and occupational therapy-related interventions have proven to reduce pain in patients with hand OA [ 30 , 31 ]. Additionally, self-management programs have shown to improve mental health and social connectedness, thereby improving many aspects of OA patients’ lives [ 32 – 34 ].…”

Section: Discussionmentioning

confidence: 99%

A patients’ view of OA: the Global Osteoarthritis Patient Perception Survey (GOAPPS), a pilot study

Vitaloni¹,

Bemden

Sciortino

et al. 2020

BMC Musculoskelet Disord

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Background Globally, osteoarthritis (OA) is the third condition associated with disability. There is still poor treatment in OA but science holds the key to finding better treatments and a cure. It is essential to learn what’s important to patients from them to implement the most effective OA management. The OA Patients Task Force, conducted the Global OA Patient Perception Survey (GOAPPS)-the first global survey made by patients to analize the quality of life (QoL) & patient perceptions of care. The goal was to collect data on OA patients’ perception of OA to understand patients’ needs and expectations to improve OA management. Methods Observational, cross-sectional study by online survey data collection from six countries, translated into three languages. The questionnaire was comprised of 3 sections: patient demographics and clinical symptomology characteristics; relationship with physicians: perception of attention, treatment, and information provided; and OA impact on daily activity and QoL. The results of the survey were evaluated using the Limited Data Set. The survey results were analyzed using descriptive statistics to characterize the patients’ answers. Additionally, Cronbach’s alpha was calculated to determine internal consistency validity. Results A total of 1512 surveys were completed in 6 countries. 84.2% of respondents reported pain/tenderness and 91.1% experienced limitations to physical activities. 42.3% of patients were not satisfied with their current OA treatment. 86% had comorbidities, especially hypertension, and obesity. 51.3 and 78% would like access to additional drug or additional non-drug/non-surgical treatments respectively. 48.2% of patients perceived their QoL to be affected by OA. The Cronbach’s alpha was 0.61. Conclusions OA has a significant impact on patients’ daily activities and their desire to play an active role in managing this disease. Patients are seeking additional treatments, especially no pharmacological/no surgical treatments stressing the need for investing in clinical research, implementing OA preventive measures, and managing interventions to improve the healthcare value chain in OA.

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Effectiveness of Occupational Therapy Interventions for Adults With Musculoskeletal Conditions of the Forearm, Wrist, and Hand: A Systematic Review

Cited by 72 publications

References 70 publications

Evaluation and Treatment of Musicians from a Holistic Perspective

Evaluation and Treatment of Musicians from a Holistic Perspective

Effect of Desensitization Methods During the Early Mobilization Phase in Post-Fracture Conditions of Upper Extremity

A patients’ view of OA: the Global Osteoarthritis Patient Perception Survey (GOAPPS), a pilot study

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