Comparison of custom-made and prefabricated neoprene splinting In patients with the first carpometacarpal joint osteoarthritis

Abstract

In comparing two splints, paIn was the only significantly different parameter between tested parameters; with the custom-made splints demonstrating better results In paIn reduction.

Efficacy and safety of non-pharmacological, pharmacological and surgical treatment for hand osteoarthritis: a systematic literature review informing the 2018 update of the EULAR recommendations for the management of hand osteoarthritis

“… 13–15 For other splint types or instructions, no consistent benefit of one over another could be identified in RCTs/CCTs or cross-over studies. 16–20 A single study assessed night-time DIP splinting specifically, but did not show improvements in pain, function or pinch strength after 3 months. 21 …”

Hand Osteoarthritis: An Update on Therapy

“…16 Usually, a client-centered approach is preferred, and two trials reinforced that by showing that a custom-made splint decreases pain slightly more than a prefabricated one. 17,18 Although the European League Against Rheumatism already recommends combining splinting and exercise, a comparative study reinforces that by demonstrating that when splinting and an exercise regimen are added to a joint protection program, they yield a superiorly improved pain, stiffness, grip force, and daily activities when compared to the joint protection program only. 19 It was proven in a single-blind, follow-up RCT that balneotherapy combined with magnetotherapy was superior to magnetotherapy alone in improving pain and function as well as the quality of life in patients with hand OA.…”

“…20 Within balneotherapy, the use of sulphurous spa water alone was shown to be more effective than that of warm tap water exclusively in the reduction of pain in patients with hand OA. 21 Another Radial nerve mobilization 10,11 Arnica gel 30 Metacarpal osteotomy 45 Maitland's passive accessory mobilization 12 Topical analgesic + paraffin bath therapy 31 Carpometacarpal arthrodesis 45 Joint mobilization + neural mobilization + exercise 13 Intraarticular corticosteroid injections [32][33][34][35] Joint replacement 45 Custom-made splinting 17,18 Intraarticular hyaluronic acid injections 36 single-blind RCT showed that paraffin bath therapy in patients with bilateral hand OA was successful in reducing stiffness and pain at rest and during activities of daily living. As well, range of motion was enhanced in one hand, and muscle strength was better maintained as compared to the control group.…”

Arthritis of the thumb (rhizarthrosis) in the elderly

“…Le traitement a été codifié dans les recommandations européennes dites Eular en 2007 [40]. Depuis, des études comparatives de traitements pharmacologiques [41,42], de rééducations [43][44][45][46][47][48][49][50], d'utilisation des orthèses [51][52][53][54][55] et d'interventions chirurgicales [56][57][58][59][60][61][62] ont été réalisées, une revue de littérature de la Cochrane Library [63] ainsi que des synthèses de pratiques fondées sur la littérature [64][65][66] viennent étayer la discussion thérapeutique.…”

“…Ainsi on peut citer la comparaison d'orthèses de repos fabriquées sur mesure ou préfabriquées en néoprène, rapportée par Bani et al [53] chez les 35 volontaires. Il s'agit d'une étude comparative en cross-over versus un groupe contrôle.…”