Document Detail


Evaluation of the effectiveness of a metacarpophalangeal ulnar deviation orthosis.
MedLine Citation:
PMID:  8994013     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Rheumatoid arthritis (RA) causes structural damage that precipitates joint deformity, including metacarpophalangeal (MCP) joint ulnar drift (UD). Orthoses have been designed in order to maintain hand function by improving joint alignment, restoring biomechanical balance and reducing stress on supporting diseased tissues. This study investigated the impact an MCP UD (MUD) splint had on: pain, hand function, grip strength, and passive correction of UD when worn for function by RA patients. Twenty seven hands (26 subjects) were evaluated and performances compared with and without the splint. Results showed anatomic alignment improved significantly in all except the index finger. The mean difference for all fingers combined was 10 degrees. Observable correction of subluxation was identified from x-ray film and noted in 14.8% of index fingers, 18.5% of middle fingers, 33.3% of ring fingers, and 48.1% of little fingers. Three point pinch showed a statistically significant change, the mean difference being an improvement of 15% while wearing the splint. There was no significant change in hand function score, pain score, gross grip strength, and lateral pinch. Subjects' perceptions of the MUD splint gained from a questionnaire showed a high acceptance: 79.2% reporting minimal interference in ADL, 95.8% satisfied with cosmesis, 87.5% satisfied with comfort, and 95.8% reported continued use of the orthosis.
Authors:
H J Rennie
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Publication Detail:
Type:  Clinical Trial; Controlled Clinical Trial; Journal Article    
Journal Detail:
Title:  Journal of hand therapy : official journal of the American Society of Hand Therapists     Volume:  9     ISSN:  0894-1130     ISO Abbreviation:  J Hand Ther     Publication Date:    1996 Oct-Dec
Date Detail:
Created Date:  1997-04-17     Completed Date:  1997-04-17     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8806591     Medline TA:  J Hand Ther     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  371-7     Citation Subset:  IM    
Affiliation:
Occupational Therapy Department, Royal Perth Rehabilitation Hospital, Western Australia.
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MeSH Terms
Descriptor/Qualifier:
Activities of Daily Living
Adult
Aged
Aged, 80 and over
Arthritis, Rheumatoid / complications,  rehabilitation*
Biomechanics
Bone Malalignment / etiology,  rehabilitation*
Female
Hand Deformities, Acquired / etiology,  rehabilitation*
Hand Strength
Humans
Male
Metacarpophalangeal Joint*
Middle Aged
Pain Measurement
Severity of Illness Index
Splints*
Ulna*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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