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 two finger splints for swan neck deformity in patients with rheumatoid arthritis: a randomized, crossover trial.
OBJECTIVE To compare the effectiveness and acceptability of silver ring splints ( SRS ) and commercial prefabricated thermoplastic splints ( PTS ) in treating swan neck deformities in patients with rheumatoid arthritis ( RA ) . METHODS Consecutive patients with RA and a mobile swan neck deformity were included in a r and omized , crossover trial . In 2 different sequences , patients used both splints for 4 weeks , with a washout period of 2 weeks . Afterward , patients used the preferred splint for another 12 weeks . The primary outcome measure was dexterity measured with the Sequential Occupational Dexterity Assessment ( SODA ) . Secondary outcome measures included other measures of h and function , satisfaction with the splints , and splint preference . RESULTS Fifty patients were included , and 47 ( 94 % ) of those completed the study . Eighteen patients ( 36 % ) had 1 swan neck deformity , whereas the other patients had 2 or more . The improvement of the total SODA score with the SRS ( 11.2 ; 95 % confidence interval [ 95 % CI ] 8.1 , 14.3 ) and PTS ( 10.8 ; 95 % CI 7.5 , 14.1 ) was similar ( difference -0.5 ; 95 % CI -2.2 , 1.2 ) . In addition , there were no significant differences in change scores regarding the other clinical outcome measures , or satisfaction . Twenty-four patients preferred the SRS , 21 preferred the PTS , and 2 patients chose neither . A comparison in the 12-week followup period yielded similar clinical outcomes , with the exception of a significantly higher score in 3 items of satisfaction in the SRS group . CONCLUSION For patients with RA and a mobile swan neck deformity , SRS and PTS are equally effective and acceptable
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 ?