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 ?
Functional thumb orthosis for type I and II boutonniere deformity on the dominant hand in patients with rheumatoid arthritis: a randomized controlled study
Objective : To evaluate the effectiveness of a functional thumb orthosis on the dominant h and of patients with rheumatoid arthritis and boutonniere thumb . Methods : Forty patients with rheumatoid arthritis and boutonniere deformity of the thumb were r and omly distributed into two groups . The intervention group used the orthosis daily and the control group used the orthosis only during the evaluation . Participants were evaluated at baseline as well as after 45 and 90 days . Assessment s were preformed using the O'Connor Dexterity Test , Jamar dynamometer , pinch gauge , goniometry and the Health Assessment Question naire . A visual analogue scale was used to assess thumb pain in the metacarpophalangeal joint . Results : Patients in the intervention group experienced a statistically significant reduction in pain . The thumb orthosis did not disrupt grip and pinch strength , function , Health Assessment Question naire score or dexterity in either group . Conclusion : The use of thumb orthosis for type I and type II boutonniere deformities was effective in relieving pain
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 ?