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The effects of hand splinting in patients with early stage thumb carpometacarpal joint osteoarthritis: a randomized, controlled study.
Turk J Med Sci. 2020 Jun 15 [Online ahead of print]TJ

Abstract

BACKGROUND/AIM

The evidence for the effectiveness of splinting in the thumb carpometacarpal osteoarthritis is limited. We aimed to evaluate the effects of the pre-fabricated carpometacarpal metacarpophalangeal immobilization splint on pain, hand function, and hand strength in patients with early stage thumb carpometacarpal osteoarthritis.

MATERIALS AND METHODS

Sixty-three hands with stage 1 or 2 thumb carpometacarpal osteoarthritis were enrolled in the study. The non-splint group received an oral information about how to accommodate daily activities. In addition, the splint group was given a pre-fabricated carpometacarpal metacarpophalangeal immobilization splint for 6 weeks. Pain was evaluated using the Australian/Canadian Osteoarthritis Hand Index (AUSCAN). Hand functions were evaluated using the AUSCAN and the Quick Disabilities of Arm, Shoulder and Hand (Q-DASH) questionnaire. Grip and pinch strengths were measured using a hydraulic dynamometer and a hydraulic pinch gauge.

RESULTS

The AUSCAN pain, stiffness, function, total scores and the Q-DASH scores were significantly decreased in the splint group compared to the non-splint group. Significant increments in grip and pinch strengths were detected in the splint group compared to the non-splint group.

CONCLUSION

The pre-fabricated carpometacarpal metacarpophalangeal immobilization splint is effective in improving pain, hand function, and hand strength in the patients with thumb carpometacarpal osteoarthritis.

Authors

No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32536106

Citation

Can, Asli, and Nihal Tezel. "The Effects of Hand Splinting in Patients With Early Stage Thumb Carpometacarpal Joint Osteoarthritis: a Randomized, Controlled Study." Turkish Journal of Medical Sciences, 2020.
Can A, Tezel N. The effects of hand splinting in patients with early stage thumb carpometacarpal joint osteoarthritis: a randomized, controlled study. Turk J Med Sci. 2020.
Can, A., & Tezel, N. (2020). The effects of hand splinting in patients with early stage thumb carpometacarpal joint osteoarthritis: a randomized, controlled study. Turkish Journal of Medical Sciences. https://doi.org/10.3906/sag-1807-157
Can A, Tezel N. The Effects of Hand Splinting in Patients With Early Stage Thumb Carpometacarpal Joint Osteoarthritis: a Randomized, Controlled Study. Turk J Med Sci. 2020 Jun 15; PubMed PMID: 32536106.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The effects of hand splinting in patients with early stage thumb carpometacarpal joint osteoarthritis: a randomized, controlled study. AU - Can,Asli, AU - Tezel,Nihal, Y1 - 2020/06/15/ PY - 2018/07/17/received PY - 2020/06/13/accepted PY - 2020/6/16/entrez KW - Thumb osteoarthritis KW - hand function KW - splint JF - Turkish journal of medical sciences JO - Turk J Med Sci N2 - BACKGROUND/AIM: The evidence for the effectiveness of splinting in the thumb carpometacarpal osteoarthritis is limited. We aimed to evaluate the effects of the pre-fabricated carpometacarpal metacarpophalangeal immobilization splint on pain, hand function, and hand strength in patients with early stage thumb carpometacarpal osteoarthritis. MATERIALS AND METHODS: Sixty-three hands with stage 1 or 2 thumb carpometacarpal osteoarthritis were enrolled in the study. The non-splint group received an oral information about how to accommodate daily activities. In addition, the splint group was given a pre-fabricated carpometacarpal metacarpophalangeal immobilization splint for 6 weeks. Pain was evaluated using the Australian/Canadian Osteoarthritis Hand Index (AUSCAN). Hand functions were evaluated using the AUSCAN and the Quick Disabilities of Arm, Shoulder and Hand (Q-DASH) questionnaire. Grip and pinch strengths were measured using a hydraulic dynamometer and a hydraulic pinch gauge. RESULTS: The AUSCAN pain, stiffness, function, total scores and the Q-DASH scores were significantly decreased in the splint group compared to the non-splint group. Significant increments in grip and pinch strengths were detected in the splint group compared to the non-splint group. CONCLUSION: The pre-fabricated carpometacarpal metacarpophalangeal immobilization splint is effective in improving pain, hand function, and hand strength in the patients with thumb carpometacarpal osteoarthritis. SN - 1303-6165 UR - https://www.unboundmedicine.com/medline/citation/32536106/The_effects_of_hand_splinting_in_patients_with_early_stage_thumb_carpometacarpal_joint_osteoarthritis:_a_randomized,_controlled_study L2 - https://doi.org/10.3906/sag-1807-157 DB - PRIME DP - Unbound Medicine ER -
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