Systematic review of design and effects of splints and exercise programs in hand osteoarthritis

Kjeken, Ingvild; Smedslund, Geir; Moe, Rikke Helene; Slatkowsky-Christensen, Barbara; Uhlig, Till; Hagen, Kåre Birger

doi:10.1002/acr.20427

Cited by 120 publications

(95 citation statements)

References 52 publications

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“…Conservative intervention is indicated as a first approach for OA of the CMCJ and comprises a range of assessment and intervention options which are fully outlined in the occupational therapy literature and usually comprises splinting, the application of joint protection principles and strengthening of the thenar eminence as well as the hand and wrist musculature [9][10][11][12] . The literature indicates however that the Eaton and Glickel's classification of OA of the CMCJ, is still used in practice today despite a lack of inter -and intra-observer reliability.…”

Section: Literature Reviewmentioning

confidence: 99%

“…Based on these studies Valdes and Marik concluded that joint protection principles, assistive devices and the application of heat is supported in the literature as valuable in the conservative intervention of OA of the CMCJ 9 . Further evidence for the use of a conservative approach was provided by Kjeken, Smedslund and Rikke in their systematic review in 2011 10 . They determined the effectiveness of splinting and an exercise regimen in the reduction of symptoms of OA of the CMCJ of the thumb.…”

Section: Literature Reviewmentioning

confidence: 99%

“…They determined the effectiveness of splinting and an exercise regimen in the reduction of symptoms of OA of the CMCJ of the thumb. They reported that there was sufficient evidence for the use of splinting as an intervention, but that there was limited evidence for muscle strengthening 10 . Ye et al 12 completed a systematic review to determine the effectiveness of occupational therapy in the conservative intervention of OA of the CMCJ of the thumb in 2011.…”

Section: Literature Reviewmentioning

confidence: 99%

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Occupational therapy intervention into Osteo-Arthritis of the Carpometacarpal joint of the thumb in the South African context

Teuchert

Klerk

Kotzé

et al. 2017

S. Afr. j. occup. ther

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Creative Commons License 4.0 INTRODUCTIONHand osteoarthritis (OA) is a prevalent condition with a debilitating impact. Kwok et al 1 , reported the prevalence of erosive hand osteoarthritis to be 2.8% in the general population and 10.2% in individuals with symptomatic hand osteoarthritis 1 . They concluded it to have a profound impact on pain and disability in individuals over the age of 55 years 1 . Although it is difficult to predict future prevalence of this disease it is estimated that OA will be the leading cause of disability by the year 2020 2 . As the condition is irreversible, the prevalence increases with age . Occupational therapy is focused on treating the symptoms associated with this degenerative disease, as well as the impact it has on the client's occupational performance 5 . Due to the degenerative nature of OA, medical intervention centres primarily on symptomatic relief, maintaining function and the prevention of deformities. Occupational therapist's direct specific intervention which contributes toward pain relief, maintaining joint range of motion, preventing deformities and assisting in improving the ability to execute activities of daily living, thus contributing to an overall improvement in the client's quality of life. Limited knowledge exists about the intervention preferred by occupational therapists treating OA of the CMCJ of the thumb within the South African context. This study therefore aimed to obtain clarity concerning the preferred occupational therapy regimen used by occupational therapists in guiding their intervention of this condition. The factors influencing the course of intervention were also explored.It is proposed that guidelines for the intervention of OA of the CMCJ of the thumb within the South African context be developed based on the result of this study. Such guidelines could provide a foundation for selecting appropriate intervention methods and modalities allowing for effective patient management. LITERATURE REVIEWThe diagnosis of OA of the CMCJ of the thumb is assisted by radiological findings as well as the physical examination, patient history and the qualitative assessment of the hand by the medical specialist

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Section: Literature Reviewmentioning

confidence: 99%

Section: Literature Reviewmentioning

confidence: 99%

Section: Literature Reviewmentioning

confidence: 99%

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Occupational therapy intervention into Osteo-Arthritis of the Carpometacarpal joint of the thumb in the South African context

Teuchert

Klerk

Kotzé

et al. 2017

S. Afr. j. occup. ther

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“…Valdes and Marik [23] examined 21 studies on conservative treatments and found evidence to support the use of orthotics, hand exercises, application of heat, or joint protection education combined with adaptive equipment to improve grip strength and function. Kjeken et al [11] reviewed 12 studies and found consistent evidence that splints reduce hand pain. In contrast to the literature on preoperative hand therapy for hand arthritis, to our knowledge, there has been no systematic review on postoperative hand therapy interventions for basal joint arthritis.…”

Section: Introductionmentioning

confidence: 99%

A Systematic Review of Postoperative Hand Therapy Management of Basal Joint Arthritis

Wolfe

Chu

Woods

et al. 2014

Clinical Orthopaedics &Amp; Related Research

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Background There are a variety of postoperative immobilization and therapy options for patients with basal joint arthritis. Although prior systematic reviews have compared surgical procedures used to treat basal joint arthritis, none to our knowledge compares therapy protocols for this condition, which are considered an important part of the treatment.Questions/purposes (1) We sought to determine whether differences in the length and type of postoperative immobilization affect clinical results after basal joint arthritis surgery. (2) We also compared specific therapy protocols that were prescribed. (3) Finally, we evaluated published protocols to determine when patients were released to full activity to see whether these appeared to affect clinical results. Methods A systematic review of English-language studies in the PubMed and Cochrane databases was performed. Studies were then reviewed to determine what postoperative immobilization and therapy protocols the authors used and when patients were released to full activities. A total of 19 studies were identified using the search criteria.

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“…Hand is the important part of body to perform the complex daily living, although it is small of many parts of body [6]. Most of daily activity depends on the proper function and it can be easily injured because of its characteristics such as complexity of structure and exposed part.…”

Section: Introductionmentioning

confidence: 99%

Effects of Taping Application Type on Grip Power, Pinch Power, and EMG Activity

Park

2013

SJPH

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Abstract:This study is to investigate the changes of grip power, pinch power, EMG (MVC) and to generalize the effects by differentiating the application of tape on hand which we use the most in daily living. All subjects were divided into three groups, FT, ET, and RT group. All groups conducted pre-test and grip/pinch power and EMG were measured before and after the application of taping. Hand dynamometer was used to measure the grip power of hand. Measuring instrument for pinch power was used to investigate the pinch power according to the strength of hand. Maximum grip force and forearm surface EMG were recorded for maximum voluntary isometric grip contractions. After the application of flexor taping, there was a significant change in grip power (p<0.05), but not significant in pinch power (p>0.05). After the application of extensor taping, both grip power and pinch power showed some increases, but no significance (p>0.05). After the application of ring taping, there was a significant change (p<0.05), but not statistically significant in the pinch power (p>0.05). Application of ring taping was significant increase at the MVC compared with other groups (p<0.05). Flexor and ring type of taping therapy increased the grip power, MVC of hand and is expected to be used as a auxiliary tool for improvement of strength and function in patients who have low hand function because of frequent use of hands.

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Systematic review of design and effects of splints and exercise programs in hand osteoarthritis

Cited by 120 publications

References 52 publications

Occupational therapy intervention into Osteo-Arthritis of the Carpometacarpal joint of the thumb in the South African context

Occupational therapy intervention into Osteo-Arthritis of the Carpometacarpal joint of the thumb in the South African context

A Systematic Review of Postoperative Hand Therapy Management of Basal Joint Arthritis

Effects of Taping Application Type on Grip Power, Pinch Power, and EMG Activity

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