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 ?
Outcome of corticosteroid injection versus physiotherapy in the treatment of mild trigger fingers
We compared the effectiveness of physiotherapy and corticosteroid injection treatment in the management of mild trigger fingers . Mild trigger fingers are those with mild crepitus , uneven finger movements and actively correctable triggering . This is a single-centred , prospect i ve , block r and omized study with 74 patients ; 39 patients for steroid injection and 35 patients for physiotherapy .  The study duration was from Jun 2009 until August 2010 . Evaluation was done at 6 weeks , 3 months and 6 months post-treatment . At 3 months , the success rate ( absence of pain and triggering ) for those receiving steroid injection was 97.4 % and physiotherapy 68.6 % . The group receiving steroid injection also had lower pain score , higher rate of satisfaction , stronger grip strength and early recovery to near normal function ( findings were all significant , p < 0.05 ) . At 6 months , only those who were successfully treated were further question ed on recurrence ( presence of pain and triggering ) . Those who received corticosteroid injections had a significant recurrence rate of pain but not triggering . The physiotherapy group had no recurrence of pain or triggering due to the type of triggering responsive to physiotherapy or possibly due to awareness of physiotherapy exercises . Perhaps they were able to institute self-treatment on early onset of symptoms of trigger fingers . We conclude that corticosteroid injection has a better outcome compared to physiotherapy in the treatment of mild trigger fingers but physiotherapy may have a role in prevention of recurrence
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 ?