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 ?
Effectiveness of cast immobilization in comparison to the gold-standard self-removal orthotic intervention for closed mallet fingers: a randomized clinical trial.
STUDY DESIGN R and omized clinical trial . INTRODUCTION Although orthotic immobilization has become the preferable treatment choice for closed mallet injuries , it is unclear whether orthosis self-removal has an impact on the final outcome . PURPOSE To evaluate the treatment efficacy of cast immobilization of closed mallet fingers using Quickcast ( ® ) ( QC ) compared to a removable , lever-type thermoplastic orthosis ( LTTP ) . METHODS 57 subjects were r and omized in 2 groups . DIPj extensor lag and the Gaberman success scale were used as primary outcomes . RESULTS LTTP subjects result ed in greater extensor lag than QC subjects ( x = 5 ° ; p = 0.05 ) at 12 weeks from baseline , and high edema and older age negatively affected DIPj extensor lag . No other differences were found between groups . CONCLUSION Cast immobilization seems to be slightly more effective than the traditional approach probably for its greater capacity to reduce edema . LEVEL OF EVIDENCE 1B
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 ?