Article

Orthoses are a well-known intervention for the treatment of thumb
osteoarthritis; however, there is a multitude of orthotic designs and not enough
evidence to support the efficacy of specific models.
OBJECTIVE: To examine the
influence of different orthoses on pain, hand strength, and hand function of
patients with thumb osteoarthritis. STUDY DESIGN: Literature review. METHODS: A
scoping literature review of 14 publications reporting orthotic interventions for
patients with thumb osteoarthritis was conducted. Functional outcomes and
measures were extracted and analyzed. RESULTS: In total, 12 studies reported
improvements in pain and hand strength after the use of thumb orthoses.
Comparisons between different orthotic designs were inconclusive. CONCLUSION: The
use of orthoses can decrease pain and improve hand function of patients with
thumb osteoarthritis; however, the effectiveness of different orthoses still
needs support through adequate evidence. Clinical relevance Multiple orthoses for
thumb osteoarthritis are available. Although current studies support their use to
improve pain and hand function, there is no evidence to support the efficacy of
specific orthotic designs. Improved functional outcomes can be achieved through
the use of short orthoses, providing thumb stabilization without immobilizing
adjacent joints.

Langue : ANGLAIS