First dorsal interosseous muscle contraction results in radiographic reduction of healthy thumb carpometacarpal joint

McGee, Corey; O’Brien, Virginia; Nortwick, Sara Van; Adams, Julie E.; Heest, Ann E. Van

doi:10.1016/j.jht.2015.06.002

Cited by 31 publications

(8 citation statements)

References 34 publications

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“…35 , 60 Proprioception and neuromuscular control have an important role in motor planning 61 and consequently in thumb adaptation during ADLs. While the current rehabilitative approach favors a dynamic regiment through re-education and strengthening 62 this study supports the consideration of a proprioceptive program for individuals with a diagnosis of thumb CMCJ OA due to its potential benefit on pain, JPS, and function including self-perception of performance and satisfaction with performance.…”

Section: Clinical Implications and Conclusionsupporting

confidence: 53%

Clinical effects of proprioceptive thumb exercise for individuals with carpometacarpal joint osteoarthritis: A randomized controlled trial

Cantero‐Téllez

Algar

Valdes

et al. 2022

Journal of Hand Therapy

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Section: Clinical Implications and Conclusionsupporting

confidence: 53%

Clinical effects of proprioceptive thumb exercise for individuals with carpometacarpal joint osteoarthritis: A randomized controlled trial

Cantero‐Téllez

Algar

Valdes

et al. 2022

Journal of Hand Therapy

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“…19,20 Therapy interventions aim to specifically address perceived instability by the use of joint protection techniques, stabilising or immobilising splints and dynamic stability exercises. Dynamic stability exercise targets strength, speed and synchronous activation of specific muscles, aiming to reinforce passive ligament tension by providing joint compression and rotation, and reducing subluxation; 21,22 and to restore muscle imbalance. 16,23 Such interventions in theory reduce the impact of joint subluxation, and progression towards severe joint damage.…”

Section: Introductionmentioning

confidence: 99%

“…The concept of joint instability in CMCJOA remains a theoretical one, in that it is ill defined with no validated methods to assess instability. Measuring the components of instability (subluxation and laxity) 22,29 relies on radiographic imaging. However, radiographs are not considered essential for a diagnosis 30 and may not be available to many therapists treating this condition.…”

Section: Introductionmentioning

confidence: 99%

Therapy management of thumb carpometacarpal osteoarthritis: Exploring UK therapists’ perceptions of joint instability

2017

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Introduction: Carpometacarpal joint osteoarthritis is a common and painful condition associated with ligament laxity, subluxation and joint instability. Therapy management includes several interventions targeting the symptoms associated with instability and subluxation. This study aimed to explore the perceptions of experienced therapists, about their understanding of joint instability in carpometacarpal joint osteoarthritis and its relationship with laxity, subluxation and strength, and the perceived effectiveness of exercise interventions. Methods: A qualitative research design, consisting of individual semi-structured interviews was conducted with nine therapists. Interviews were transcribed and analysed using a thematic analysis. Results: Three themes were identified: (a) relationships between instability and laxity-the terms laxity and instability were often used interchangeably. Instability was associated with laxity, subluxation and disease progression, and was perceived to be a problem that includes the whole thumb column; (b) clinical reasoning by stage of disease-conflicting opinions were expressed regarding instability being present in pre-arthritic lax joints, early disease or all stages of disease; (c) the role of exercise in management-there was disagreement as to whether instability could be modified by developing muscle strength, or whether treatment should be focussed on compensating for instability. Conclusion: Different perceptions of instability were reflected in wide-ranging opinions regarding the need to manage instability, and regarding the potential for altering instability. The impact of instability on function, and the concept of instability were not easily identified. A clearer definition of instability would facilitate the development and assessment of interventions for instability.

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“…Indeed, a recent radiographic study suggests that activation of the FDI reduces thumb CMC subluxation in normal volunteers. 13 However, to date, although there are clinical outcomes series supporting the use of SSM, there are little biomechanical data to support these techniques. The purpose of this investigation is to quantify the joint kinematics of a subluxing thumb CMC joint in a simulated pinch with selective loading of the FDI and OP muscles to determine their relative role in reduction.…”

Section: Introductionmentioning

confidence: 99%

Radiographic Analysis of Simulated First Dorsal Interosseous and Opponens Pollicis Loading Upon Thumb CMC Joint Subluxation: A Cadaver Study

Adams

O’Brien

Magnusson

et al. 2017

Hand (New York, N,Y.)

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Concomitant activation of the FDI and OP acts to reduce subluxation of the thumb CMC joint in a dose-dependent fashion. The OP is likely the predominant reducing force. Hand therapy programs that focus on selective strengthening programs likely function in part to encourage patients to activate the easily palpable and easily understood FDI. Concomitant coactivation of the OP may be the major reducing force to elicit clinical and radiographic reduction of subluxation, improved thumb positioning, and reduction of pain and arthritic symptoms.

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First dorsal interosseous muscle contraction results in radiographic reduction of healthy thumb carpometacarpal joint

Cited by 31 publications

References 34 publications

Clinical effects of proprioceptive thumb exercise for individuals with carpometacarpal joint osteoarthritis: A randomized controlled trial

Clinical effects of proprioceptive thumb exercise for individuals with carpometacarpal joint osteoarthritis: A randomized controlled trial

Therapy management of thumb carpometacarpal osteoarthritis: Exploring UK therapists’ perceptions of joint instability

Radiographic Analysis of Simulated First Dorsal Interosseous and Opponens Pollicis Loading Upon Thumb CMC Joint Subluxation: A Cadaver Study

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