Assistive devices: an effective strategy in non-pharmacological treatment for hand osteoarthritis—randomized clinical trial

Amaral, Daniela Salgado; Duarte, Ângela Luzia Branco Pinto; Barros, Simone Storino Honda; Cavalcanti, Sergio Vasconcelos; Ranzolin, Aline; Leite, Valéria Moura Moreira; Dantas, Ayla; Oliveira, Aline Santana; Santos, PR; Silva, J C A; Marques, Cláudia Diniz Lopes

doi:10.1007/s00296-017-3892-1

Cited by 23 publications

(26 citation statements)

References 22 publications

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“…The WHOQOL‐BREF has been used to evaluate quality of life outcomes in at least one relevant randomized controlled trial. The study investigated the use of assistive devices for hand osteoarthritis compared with the provision of written information .…”

Section: World Health Organization Quality Of Life Short Version Instmentioning

confidence: 99%

Adult Measures of General Health and Health‐Related Quality of Life

Busija

Ackerman

Haas

et al. 2020

Arthritis Care & Research

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Section: World Health Organization Quality Of Life Short Version Instmentioning

confidence: 99%

Adult Measures of General Health and Health‐Related Quality of Life

Busija

Ackerman

Haas

et al. 2020

Arthritis Care & Research

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“…Thus, while evidence supports combined interventions for thumb OA, we are unable to make specific recommendations regarding combined interventions for knee OA, or for other affected joints. With respect to adjunct interventions, we found evidence to support the use of tape for knee OA 21,55,57 , assistive devices for hand OA 59 , thumb splints for thumb OA 60 , manual therapy for knee OA 23,45,47,53 and neck OA 65 , acupuncture for knee OA 44 , and electrophysical agents for knee OA 19,22,48 (Tables III and IV), while conflicting evidence was found for transcranial direct current stimulation (tDCS) 30,37 (Table IV). Taken together with established clinical guidelines, our findings reinforce that these interventions should be adjuncts to accompany core recommended interventions for OA, rather than be used as standalone or key treatments 2,3,9e16 .…”

Section: Discussionmentioning

confidence: 99%

Osteoarthritis year in review 2018: rehabilitation and outcomes

Collins

Hart

Mills

2019

Osteoarthritis and Cartilage

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Objective: Conduct a systematic review of systematic reviews and randomised controlled trials (RCTs) from the past year evaluating rehabilitation for people with osteoarthritis, and provide narrative synthesis of findings focused on core recommended treatments for osteoarthritis (exercise, education, biomechanical interventions, weight loss). Design: A comprehensive search strategy was used to search PubMed, EMBASE and Cochrane databases (16 th May 2017 to 22 nd March 2018). Search terms included 'osteoarthritis', 'rehabilitation', 'systematic review', and 'randomised controlled trial'. Inclusion criteria were: (1) RCT, or systematic review of randomised clinical trials (RCTs); (2) human participants with osteoarthritis (any joint); (3) evaluation of rehabilitation intervention; and (4) at least one patient-reported measure. Methodological quality was evaluated using the Assessment of Multiple Systematic Reviews (AMSTAR) tool (systematic reviews) and PEDro rating scale (RCTs). Narrative synthesis mapped findings to core recommendations from existing osteoarthritis clinical guidelines. Results: From 1994 records, 13 systematic reviews and 36 RCTs were included. 73% of these evaluated knee osteoarthritis (36 studies). The remaining studies evaluated hand osteoarthritis (6 studies), hip, hip/ knee and general osteoarthritis (each 2 studies), and neck osteoarthritis (1 study). Exercise was the most common intervention evaluated (31%). Updated recommendations for exercise prescription and preliminary guidance for psychological interventions are provided. Conclusion: Level 1 and 2 osteoarthritis rehabilitation literature continues to be dominated by knee osteoarthritis studies. Consistent with current clinical guidelines, exercise should be a core treatment for osteoarthritis, but future studies should ensure that exercise programs follow published dose guidelines. There is a clear need for research on rehabilitation for hip, hand, foot/ankle, shoulder and spine osteoarthritis.

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“…In the last decades, studies have been carried out to evaluate the efficacy of AT products, concerning ADL assist devices and upper limb orthoses, in the treatment of patients with OA and RA, obtaining positive results (Clark, 2000;Gomes Carreira et al, 2010;Kjeken et al, 2011;Beasley, 2012;Amaral et al, 2018). The purpose of indicating orthoses and assistive devices for this audience is to minimize wear and maintain joint alignment, prevent deformities, minimize pain, and favor function (Clark, 2000;Beasley, 2012;Almeida et al, 2015).…”

Section: Discussionmentioning

confidence: 99%

“…The purpose of indicating orthoses and assistive devices for this audience is to minimize wear and maintain joint alignment, prevent deformities, minimize pain, and favor function (Clark, 2000;Beasley, 2012;Almeida et al, 2015). Based on a clinical trial conducted, Amaral et al (2018) reported that the use of assistive devices improves the occupational performance of individuals with hand osteoarthritis. A recent bibliographic review highlights that the use of orthosis for patients with rheumatoid arthritis provides benefits in skills of manual dexterity, strength gain in grip, and pain relief (Silva & Massa, 2015).…”

Section: Discussionmentioning

confidence: 99%