Functional thumb orthosis for type I and II boutonniere deformity on the dominant hand in patients with rheumatoid arthritis: a randomized controlled study

Silva, Paula Gabriel; Lombardi, Império; Breitschwerdt, Cristina; Araújo, Pola Maria Poli de; Natour, Jamil

doi:10.1177/0269215508088989

Cited by 20 publications

(7 citation statements)

References 6 publications

(4 reference statements)

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“…The selected papers were divided according to the body region treated and the main diagnosis underlying orthotic use. Tables 1 and 2 list 99 papers assessing patient satisfaction with site- or region-specific devices (24 for upper limbs (Table 1) 12–35 and 75 for lower limbs (Table 2) 39…”

Section: Resultsmentioning

confidence: 99%

A systematic review of questionnaires to assess patient satisfaction with limb orthoses

Bettoni

Ferriero

Bakhsh

et al. 2016

Prosthetics &Amp; Orthotics International

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Section: Resultsmentioning

confidence: 99%

A systematic review of questionnaires to assess patient satisfaction with limb orthoses

Bettoni

Ferriero

Bakhsh

et al. 2016

Prosthetics &Amp; Orthotics International

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“…The two RCTs which examined the hand [ 50 , 67 ] were completed by the same research group. One study compared the use of a thumb orthosis to a control group with superior results, evidenced by significant medium to large effect sizes, for the intervention group for some of their outcome measures (pain, pinch strength and Stanford Health Assessment Questionnaire).…”

Section: Resultsmentioning

confidence: 99%

A systematic review of randomised controlled trials assessing effectiveness of prosthetic and orthotic interventions

et al. 2018

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BackgroundAssistive products are items which allow older people and people with disabilities to be able to live a healthy, productive and dignified life. It has been estimated that approximately 1.5% of the world’s population need a prosthesis or orthosis.ObjectiveThe objective of this study was to systematically identify and review the evidence from randomized controlled trials assessing effectiveness and cost-effectiveness of prosthetic and orthotic interventions.MethodsLiterature searches, completed in September 2015, were carried out in fourteen databases between years 1995 and 2015. The search results were independently screened by two reviewers. For the purpose of this manuscript, only randomized controlled trials which examined interventions using orthotic or prosthetic devices were selected for data extraction and synthesis.ResultsA total of 342 randomised controlled trials were identified (319 English language and 23 non-English language). Only 4 of these randomised controlled trials examined prosthetic interventions and the rest examined orthotic interventions. These orthotic interventions were categorised based on the medical conditions/injuries of the participants. From these studies, this review focused on the medical condition/injuries with the highest number of randomised controlled trials (osteoarthritis, fracture, stroke, carpal tunnel syndrome, plantar fasciitis, anterior cruciate ligament, diabetic foot, rheumatoid and juvenile idiopathic arthritis, ankle sprain, cerebral palsy, lateral epicondylitis and low back pain). The included articles were assessed for risk of bias using the Cochrane Risk of Bias tool. Details of the clinical population examined, the type of orthotic/prosthetic intervention, the comparator/s and the outcome measures were extracted. Effect sizes and odds ratios were calculated for all outcome measures, where possible.ConclusionsAt present, for prosthetic and orthotic interventions, the scientific literature does not provide sufficient high quality research to allow strong conclusions on their effectiveness and cost-effectiveness.

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“…It has been reported that the use of a thumb orthosis was effective in relieving pain in type I deformity and did not negatively affect hand function [13]. Also, the usefulness of surgical treatment according to the stage of deformity has been reported, but the findings were based on the recurrence rate of the deformity and patient satisfaction [5].…”

Section: Discussionmentioning

confidence: 99%

Function Assessment for Rheumatoid Thumb Deformity

Oda

Taniguchi²,

Fujiwara³

et al. 2015

OJRA

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Objective: Nalebuff's type I deformity of the rheumatoid thumb, which is the most common thumb deformity with rheumatoid arthritis, can be classified into three stages according to the range of motion of the thumb. However, a functional assessment for each stage has never been undertaken. Methods: The ranges of motion of the thumb metacarpophalangeal and interphalangeal joints were evaluated to determine Nalebuff's clinical stage, and both the Modified Kapandji Index (MKI) and the simple test for evaluating hand function (STEF) were used to evaluate hand function in 32 rheumatoid arthritis patients with type I deformity. We assessed hand function in each stage, and examined the relationship between the three clinical stages and dysfunction of the hand. Results: The scores for both MKI and STEF were significantly reduced in parallel with advancing stage of thumb deformity. Conclusion: Nalebuff's staging system is also useful for reflecting the level of thumb function.

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Functional thumb orthosis for type I and II boutonniere deformity on the dominant hand in patients with rheumatoid arthritis: a randomized controlled study

Abstract: The use of thumb orthosis for type I and type II boutonniere deformities was effective in relieving pain.

Cited by 20 publications

References 6 publications

A systematic review of questionnaires to assess patient satisfaction with limb orthoses

A systematic review of questionnaires to assess patient satisfaction with limb orthoses

A systematic review of randomised controlled trials assessing effectiveness of prosthetic and orthotic interventions

Function Assessment for Rheumatoid Thumb Deformity

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