Article

Pain, reduced grip strength, loss of range of motion, and joint
stiffness, leading to impaired hand function, and difficulty with daily
activities are documented symptoms of first carpometacarpal joint osteoarthritis.
Splinting is a common type of conservative treatment for this injury. OBJECTIVES:
The aim of this study was to evaluate the effect of custom-made thumb splints on
pain, function, grip strength, and key pinch in patients with first
carpometacarpal joint osteoarthritis. STUDY DESIGN: Quasi experimental. METHODS:
Patients with first carpometacarpal grade I and II osteoarthritis (n = 18)
participated in a repeated measure study. The patients all wore custom-made thumb
splints. All parameters were measured at baseline, and also after 30, 60, and 90
days from initial supply. A visual analogue scale, along with a disability of the
arm, shoulder, and hand questionnaire, a dynamometer and pinch gauge were used to
assess pain, function, grip strength, and pinch, respectively. RESULTS: After 60
days of splint usage, grip strength was improved. However, a reduction in pain
was demonstrated after only 30 days and this continued to improve with time.
Function and pinch strength also increased significantly and continued to do so
during the study period when compared to baseline. CONCLUSIONS: The use of a
custom-made splint for patients with osteoarthritis of the first carpometacarpal
joint produced decreased pain and increased grip strength, pinch strength, and
hand function. Clinical relevance Custom-made splints may be recommended for the
treatment of first carpometacarpal joint osteoarthritis.

Langue : ANGLAIS