Investigation of the effect of conservative interventions in thumb carpometacarpal osteoarthritis: systematic review and meta-analysis

Bertozzi, Lucia; Valdes, Kristin; Vanti, Carla; Négrini, Stefano; Pillastrini, Paolo; Villafañe, Jorge Hugo

doi:10.3109/09638288.2014.996299

Cited by 99 publications

(94 citation statements)

References 45 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Our study demonstrated a large treatment effect with a CI that did not cross 0. The effect size of orthoses (splints) on pain reduction was small and not significant (g = 0.46) with a range from -1.08-0.16 at a short-term followup, while it was very large but not significant (g = 1.65) with a range from -4.04-0.74 at a longterm followup 5 . Manual therapy was effective in the reduction of pain at the short-term followup (effect size of g = -1.86), with a range of -3.700 --0.025.…”

Section: To the Editormentioning

confidence: 98%

“…There is moderate quality evidence that manual therapy and therapeutic exercise improves pain in patients with thumb CMC OA at both short-and intermediate-term followup 5 . There is some evidence that both steroid and hyaluronate intraarticular injections can reduce pain 6 , and low to moderate quality evidence that magnetic therapy improves pain and function at short-term followup (effect size for pain -1.39, 95% CI -2.00 --0.78) 5 . The effect of manual therapy and therapeutic exercise had a large effect size of -116.67, with a 95% CI of -137.55 --95.78 for the reduction of pain 13 .…”

Section: To the Editormentioning

confidence: 99%

“…There is recent evidence that conservative interventions performed in therapy may improve hand function and decrease hand pain in patients with CMC OA 5 . There is moderate quality evidence that manual therapy and therapeutic exercise improves pain in patients with thumb CMC OA at both short-and intermediate-term followup 5 .…”

Section: To the Editormentioning

confidence: 99%

“…The PEDro scores of the studies ranged from 3 to 10. The reviews both cite the need for additional high-quality research on the best available conservative treatment for patients with CMC OA to improve the quality of care for this large patient population 5,6 .…”

Section: To the Editormentioning

confidence: 99%

“…Therapeutic interventions for patients with OA of the hand can include joint-protection technique instruction, manual therapy, adaptive equipment provision and instruction, heat modalities, orthotic provision, strengthening and range-of-motion exercises, adaptive technique instruction, patient education in symptom control techniques, and provision of a home exercise program 4 . There have been 2 recent systematic reviews that evaluated the quality of the evidence for the conservative management of CMC OA 5,6 . The authors of one of the reviews 5 used the Physiotherapy Evidence Database (PEDro) scale to assess the methodological quality of the studies included in the review.…”

Section: To the Editormentioning

confidence: 99%

See 4 more Smart Citations

Clinical Update: Conservative Management of Carpometacarpal Joint Osteoarthritis

et al. 2015

Self Cite

View full text Add to dashboard Cite

Section: To the Editormentioning

confidence: 98%

Section: To the Editormentioning

confidence: 99%

Section: To the Editormentioning

confidence: 99%

Section: To the Editormentioning

confidence: 99%

Section: To the Editormentioning

confidence: 99%

See 3 more Smart Citations

Clinical Update: Conservative Management of Carpometacarpal Joint Osteoarthritis

et al. 2015

Self Cite

View full text Add to dashboard Cite

Exercise for hand osteoarthritis

Østerås

Kjeken

Smedslund

et al. 2017

Cochrane Database of Systematic Reviews

View full text Add to dashboard Cite

Background-What is hand osteoarthritis and what is exercise? Osteoarthritis (OA) is a disease of the joints that causes joint pain, stiffness and swelling. It may hinder people from doing what they want and need to do. Usually, symptoms come on slowly but get worse over time. OA may occur in any joint but is most commonly seen in the hip, knee and small joints of the hand. No cure for OA is known, but available treatment alternatives may reduce pain and stiffness, increase function and improve self-management of the disease. Exercise is an activity done to improve or maintain your fitness, ability or performance. A period of planned exercise often aims to improve or maintain muscle strength, physical fitness, joint mobility and overall health. Study characteristics This Cochrane review presents what we know about the effect of exercise in people with OA in the joints of the hand. After searching for relevant studies up to September 2015, we included seven studies (534 participants). These studies included more women than men. In six studies, half of the people underwent a hand exercise programme and were compared with those who did not exercise. One study compared two groups of people who underwent two different exercise programmes. Evidence from five studies shows the effect of exercise immediately after the exercise programme, and two studies provided results on medium-and long-term sustainability of exercise. We report below only the results reported immediately after the exercise programme was completed.

show abstract

Efficacy of Nonsurgical Interventions for Trapeziometacarpal (Thumb Base) Osteoarthritis: A Systematic Review

Hamasaki

Laprise²,

Harris

et al. 2020

Arthritis Care & Research

View full text Add to dashboard Cite

Objective. To synthesize the literature on the efficacy of existing nonsurgical interventions for trapeziometacarpal (TM) osteoarthritis (TMO). Methods. A medical librarian conducted an electronic search in 16 databases. Two authors independently carried out study selection, data extraction, and risk-of-bias assessment. The Agency for Healthcare Research and Quality guidance was followed to integrate a valid body of evidence from the existing systematic reviews. Intervention effects were estimated based on the Cochrane Collaboration review methodology. Results. We identified 17 systematic reviews, 34 randomized controlled trials, and 6 nonrandomized controlled trials. Most of the studies had unclear or high risk of biases. Evidence of low-to-moderate quality supports the superiority of the following interventions for pain and/or physical function: 1) saline over steroid intraarticular injections confirmed by radiography, 2) saline injections over sham (i.e., pressure) in tender subcutaneous areas, 3) custommade thermoplastic thumb orthosis over no intervention or a control, 4) custom-made thermoplastic hand-based TM joint orthosis over no intervention, 5) radial nerve mobilization over sham ultrasound, and 6) a combination of hand exercises and TM joint and median/radial nerve mobilization over sham ultrasound. Conclusion. This comprehensive systematic review allowed collating evidence-based data on the efficacy of nonsurgical interventions for TMO. Steroid intraarticular injections would not be more effective than saline injections. Rehabilitative interventions (orthosis, exercises, nerve mobilization) would be efficacious. However, these findings must be treated with circumspection due to methodologic limitations in many studies.

show abstract

Investigation of the effect of conservative interventions in thumb carpometacarpal osteoarthritis: systematic review and meta-analysis

Cited by 99 publications

References 45 publications

Clinical Update: Conservative Management of Carpometacarpal Joint Osteoarthritis

Clinical Update: Conservative Management of Carpometacarpal Joint Osteoarthritis

Exercise for hand osteoarthritis

Efficacy of Nonsurgical Interventions for Trapeziometacarpal (Thumb Base) Osteoarthritis: A Systematic Review

Contact Info

Product

Resources

About