Document Detail


A systematic review of conservative interventions for osteoarthritis of the hand.
MedLine Citation:
PMID:  20615662     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
STUDY DESIGN: Systematic Review.
INTRODUCTION: Hand therapy interventions for patients with hand osteoarthritis (OA) can include splinting, joint protection technique instruction, paraffin, exercises, and provision of a home exercise program.
PURPOSE: Examine the quality of the evidence regarding the hand therapy interventions for hand OA.
METHODS: Twenty-one studies dated between 1986 and 2009 were included in the systematic review for analysis.
RESULTS: The current evidence provides varied support for the interventions of orthotics, hand exercises, joint protection techniques, the utilization of adaptive devices, and paraffin. Findings for the use of joint protection techniques are supported for improvements in function and pain reduction. Minimal evidence exists for paraffin used for the treatment of hand OA.
CONCLUSIONS: The current literature supports the use of orthotics, hand exercises, application of heat, and joint protection education combined with provision of adaptive equipment to improve grip strength and function.
LEVEL OF EVIDENCE: 2A.
Authors:
Kristin Valdes; Tambra Marik
Publication Detail:
Type:  Journal Article     Date:  2010-07-08
Journal Detail:
Title:  Journal of hand therapy : official journal of the American Society of Hand Therapists     Volume:  23     ISSN:  0894-1130     ISO Abbreviation:  J Hand Ther     Publication Date:    2010 Oct-Dec
Date Detail:
Created Date:  2010-10-25     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8806591     Medline TA:  J Hand Ther     Country:  United States    
Other Details:
Languages:  eng     Pagination:  334-50; quiz 351     Citation Subset:  IM    
Copyright Information:
Copyright © 2010 Hanley & Belfus. Published by Elsevier Inc. All rights reserved.
Affiliation:
Hand Works Therapy, Sarasota, FL, USA. hotglassgal@comcast.net
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