The strongest evidence supports postsurgical early active motion protocol s and splinting for various conditions .
Very few studies have examined occupation-based interventions .
Occupational therapy practitioners are key health care providers for people with musculoskeletal disorders of the distal upper extremity .
It is imperative that practitioners underst and the most effective and efficient means for remediating impairments and supporting clients in progressing to independence in purpose ful occupations .
This systematic review provides an up date to a previous review by summarizing articles published between 2006 and July 2014 related to the focused question , What is the evidence for the effect of occupational therapy interventions on functional outcomes for adults with musculoskeletal disorders of the forearm , wrist , and h and ?
Core stabilisation reduces compensatory movement patterns in patients with injury to the arm: a randomized controlled trial
Objective : To investigate the effects of adding core stabilisation exercises to traditional rehabilitation in patients with arm injuries . Design : R and omized controlled trial . Setting : Outpatient clinic . Subjects : Twenty-seven patients with elbow and wrist injuries were r and omized to a stabilisation or control group . Interventions : The stabilisation group received core stabilisation training and traditional arm rehabilitation and the control group received traditional arm rehabilitation alone for three days/week for six weeks . Main measures : Pre- and post-treatment assessment s comprising an analysis of compensatory movement patterns and trunk muscle strength as well as functional measurements of the arm , including pain , range of motion , disabilities of arm , shoulder and h and question naire and endurance and fatigue severity were performed . Results : Inter-group comparison revealed significantly greater improvements in the degree of mean change ( SD ) in total compensation ( in degrees ) of the head ( –14.47 ( 21.65 ) ) and trunk ( –5.56 ( 5.71 ) ) as well as total compensation ( –50.02 ( 48.62 ) ) for the stabilisation group than for the control group ( p < 0.05 ) . Increase in trunk muscle strength ( 2.43 ( 3.46 ) ) was statistically significant in the stabilisation group compared with the control group . No significant differences were found for functional measures , including pain , range of motion , disabilities of arm , shoulder and h and or endurance and fatigue severity between the groups , although trends towards greater improvement were observed in the stabilisation group . Conclusions : Adding core stabilisation exercises to traditional arm rehabilitation for patients with traumatic arm injury reduces compensatory movement patterns . Trends towards better functional outcomes in the stabilisation group are worth testing in a large-scale trial
The strongest evidence supports postsurgical early active motion protocol s and splinting for various conditions .
Very few studies have examined occupation-based interventions .
Occupational therapy practitioners are key health care providers for people with musculoskeletal disorders of the distal upper extremity .
It is imperative that practitioners underst and the most effective and efficient means for remediating impairments and supporting clients in progressing to independence in purpose ful occupations .
This systematic review provides an up date to a previous review by summarizing articles published between 2006 and July 2014 related to the focused question , What is the evidence for the effect of occupational therapy interventions on functional outcomes for adults with musculoskeletal disorders of the forearm , wrist , and h and ?