Necessity of Immobilizing the Metacarpophalangeal Joint in Carpometacarpal Osteoarthritis: Short-term Effect

Cantero‐Téllez, Raquel; Valdes, Kristin; Schwartz, Deborah A.; Medina-Porqueres, Iván; Arias, Jean Christophe; Villafañe, Jorge Hugo

doi:10.1177/1558944717708031

Cited by 18 publications

(10 citation statements)

References 29 publications

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“…This systematic review demonstrates that different types of orthosis could be helpful for TMO (39,46,55,68,69). The orthosis including the metacarpophalangeal joint, that is, CTT orthosis, appears to be slightly superior for alleviating pain (69). However, the type of orthosis should be chosen according to each patient's needs (e.g., activities, preference) (80,81).…”

Section: Discussionmentioning

confidence: 94%

“…CTT versus custom-made thermoplastic hand-based TM joint (CT-TM). CTT orthosis had a small pain-reducing effect on pain at 1 week compared to CT-TM orthosis; however, there was little effect difference between the 2 modalities on physical function improvement (see Supplementary Table 1, Section 19, at http:// onlin elibr ary.wiley.com/doi/10.1002/acr.24084/ abstract) (69).…”

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confidence: 99%

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Efficacy of Nonsurgical Interventions for Trapeziometacarpal (Thumb Base) Osteoarthritis: A Systematic Review

Hamasaki

Laprise²,

Harris

et al. 2020

Arthritis Care & Research

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Objective. To synthesize the literature on the efficacy of existing nonsurgical interventions for trapeziometacarpal (TM) osteoarthritis (TMO). Methods. A medical librarian conducted an electronic search in 16 databases. Two authors independently carried out study selection, data extraction, and risk-of-bias assessment. The Agency for Healthcare Research and Quality guidance was followed to integrate a valid body of evidence from the existing systematic reviews. Intervention effects were estimated based on the Cochrane Collaboration review methodology. Results. We identified 17 systematic reviews, 34 randomized controlled trials, and 6 nonrandomized controlled trials. Most of the studies had unclear or high risk of biases. Evidence of low-to-moderate quality supports the superiority of the following interventions for pain and/or physical function: 1) saline over steroid intraarticular injections confirmed by radiography, 2) saline injections over sham (i.e., pressure) in tender subcutaneous areas, 3) custommade thermoplastic thumb orthosis over no intervention or a control, 4) custom-made thermoplastic hand-based TM joint orthosis over no intervention, 5) radial nerve mobilization over sham ultrasound, and 6) a combination of hand exercises and TM joint and median/radial nerve mobilization over sham ultrasound. Conclusion. This comprehensive systematic review allowed collating evidence-based data on the efficacy of nonsurgical interventions for TMO. Steroid intraarticular injections would not be more effective than saline injections. Rehabilitative interventions (orthosis, exercises, nerve mobilization) would be efficacious. However, these findings must be treated with circumspection due to methodologic limitations in many studies.

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Section: Discussionmentioning

confidence: 94%

mentioning

confidence: 99%

Efficacy of Nonsurgical Interventions for Trapeziometacarpal (Thumb Base) Osteoarthritis: A Systematic Review

Hamasaki

Laprise²,

Harris

et al. 2020

Arthritis Care & Research

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“…Although the pathogenesis of carpometacarpal (CMC) osteoarthritis is not understood completely, altered motor patterns exhibited during the completion of activities of daily living (ADL) can increase symptoms such as thumb pain and decreased pinch strength and thumb mobility [ 1 , 2 ]. Altered motor control patterns that impact one’s activity and participation have been reported in other painful musculoskeletal conditions, including neck pain [ 3 ] and knee osteoarthritis [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

The Effect of Proprioception Training on Pain Intensity in Thumb Basal Joint Osteoarthritis: A Randomized Controlled Trial

Cantero‐Téllez

Pérez‐Cruzado

Villafañe

et al. 2022

IJERPH

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A randomized controlled trial of forty-five females over 18 years of age with diagnosis of thumb basal osteoarthritis in their dominant hand and with a minimum pain rating of 4/10 on the Visual Analogue Scale (VAS) during activities of daily living (ADLs) were recruited from March to June 2021. The group receiving proprioception training was compared to routine conservative physiotherapy treatment. The main purpose of this clinical trial is to test the effect of proprioception training on pain intensity in subjects with thumb osteoarthritis. Primary outcome was joint position sense (JPS) for the assessment of CMC proprioception and secondary outcomes were Visual Analogue Scale (VAS) and Canadian Occupational Performance Measure (COPM) for the assessment of patient satisfaction and the Quick-DASH which assessed upper limb function. A block randomization was carried out for the control group (n = 22) and experimental group (n = 23). Participants and evaluator were blinded to the group assignment. Proprioception training produced a statistically significant reduction in pain post intervention, but this reduction was small (d = 0.1) at the 3-month follow-up. JPS accuracy demonstrated statistically significant differences between the groups (p = 0.001) post-intervention and at the 3-month follow-up (p < 0.003). Statistically significant differences between means were found in both the Quick-Dash and COPM post intervention (both, p < 0.001), as well as at the 3-month follow-up (both, p < 0.001). There was a significant time factor for the reduction of pain intensity over time but effect sizes between groups was small at the 3-month follow-up period. Proprioceptive training improves thumb JPS accuracy; however, it does not contribute to a reduction in pain intensity in the long term. The inclusion of a proprioceptive program may be beneficial for improving individuals with thumb CMC OA sensorimotor performance. The study was registered at ClinicalTrials.gov NCT04738201. No funding was provided for this study.

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“…Thumb carpometacarpal osteoarthritis (CMC OA) is a common disorder that interferes with the ability to perform activities of daily living [ 1 ]. It is the most often reported painful joint compared to all other hand joints [ 2 ], and it is present in 40% of women and up to 25% of men older than 75 years of age. Its diagnosis is based on symptoms such as the location of pain, tenderness and instability, as well as radiographic evaluation [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Effects of Ischemic Compression on Trigger Points in the First Dorsal Interosseous Muscle in Patients with Thumb Carpometacarpal Osteoarthritis

López-Royo

Pedersini

Cantero‐Téllez

et al. 2021

IJERPH

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Background: Thumb carpometacarpal osteoarthritis (CMC OA) is a common disorder that interferes with the ability to perform the activities of daily life. The purpose of this study was to investigate the immediate effects of ischemic compression on myofascial trigger points (MTrPs) in the first dorsal interosseous (FDI) muscle in patients with the diagnosis of thumb CMC OA. Methods: In a quasi-experimental clinical trial, thirty-one patients, 87% female (age: 82 ± 9.4 years), with thumb CMC OA, were consecutively assigned to either an experimental treatment that included the ischemic compression of the FDI MTrP or a sham treatment of the FDI MTrP for one session. The main outcome considered in the study was the pressure pain threshold (PPT). Measurements were taken pre- and post-treatment and at a 1-week follow-up period. Results: The PPT over the right (affected) FDI muscle showed statistically significant differences between groups at 1-week follow up (F = 3.518; p = 0.04) in favor of the experimental group. Conclusions: The ischemic compression of FDI-MTrPs is an appropriate part of a multimodal treatment to decrease local pain sensitivity in patients with CMC OA.

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Necessity of Immobilizing the Metacarpophalangeal Joint in Carpometacarpal Osteoarthritis: Short-term Effect

Abstract: There are benefits of either thumb orthotic design on pain reduction and functional improvement even after 1 week of using the orthoses as the sole conservative treatment.

Cited by 18 publications

References 29 publications

Efficacy of Nonsurgical Interventions for Trapeziometacarpal (Thumb Base) Osteoarthritis: A Systematic Review

Efficacy of Nonsurgical Interventions for Trapeziometacarpal (Thumb Base) Osteoarthritis: A Systematic Review

The Effect of Proprioception Training on Pain Intensity in Thumb Basal Joint Osteoarthritis: A Randomized Controlled Trial

Effects of Ischemic Compression on Trigger Points in the First Dorsal Interosseous Muscle in Patients with Thumb Carpometacarpal Osteoarthritis

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