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 ?
Randomized controlled trial of daily total end range time (TERT) for Capener splinting of the stiff proximal interphalangeal joint.
OBJECTIVE Capener splinting is a common treatment for extension deficit of the proximal interphalangeal ( PIP ) joint . This study compared the effect of daily splint total end range time ( TERT ) of 6 - 12 hr versus 12 - 16 hr . METHOD Twenty-two participants with extension deficits of the PIP joint were r and omly allocated to a daily TERT of 6 - 12 hr or 12 - 16 hr . Progress after 8 wk of splinting was evaluated . RESULTS No significant difference was found in change in extension range of motion ( ROM ) between groups ( active ROM , F[4 , 17 ] = 2.19 , p = .13 ; passive ROM , F[4 , 17 ] = 0.95 , p = .46 ; torque ROM , F[4 , 17 ] = 1.49 , p = .26 ) . Considerable crossover between groups result ed in a similar average daily TERT ( 9.5 hr for the 6 - 12 hr group vs. 11.5 hr for the 12 - 16 hr group ) . CONCLUSION Further research with a larger sample is needed to determine whether longer daily TERT is beneficial . Our results suggest , however , that most patients find it difficult to wear splints > 12 hr/day
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 ?