The article “Comparative Effectiveness of Orthoses for Thumb Osteoarthritis: A Systematic
Review and Network Meta-analysis” brings a new look to an essential question for physicians
and therapists seeing clients with thumb osteoarthritis (CMC-OA). The authors aimed
to answer a much-debated question of whether specific orthoses are better for individuals
living with CMC-OA. After presenting a comprehensive analysis of randomized controlled
trials published in the past 20 years, their results suggest that long orthoses are
better suited to provide pain relief, whereas their short counterparts can substantially
improve hand function.
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References
- Comparative effectiveness of orthoses for thumb osteoarthritis: A systematic review and network meta-analysis.Arch Phys Med Rehabil. 2020 Jul 12; ([Epub ahead of print])
- Usability of thenar eminence orthoses: report of a comparative study.Clin Rehabil. 1999; 13: 288-294
- Current practice patterns in conservative thumb CMC joint care: survey results.J Hand Ther. 2014; 27: 14-22
- Efficacy of non-surgical interventions for trapeziometacarpal (thumb base) osteoarthritis: a systematic review.Arthritis Care Res. 2019 Oct 10; ([Epub ahead of print])
- The immediate and short-term effects of a wrist extension orthosis on upper-extremity kinematics and range of shoulder motion.Am J Occup Ther. 2003; 57: 517-524
- Systematic review of design and effects of splints and exercise programs in hand osteoarthritis.Arthritis Care Res. 2011; 63: 834-848
Article info
Publication history
Published online: October 29, 2020
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© 2020 by the American Congress of Rehabilitation Medicine