A Systematic Review of Conservative Interventions for Osteoarthritis of the Hand
published online 09 July 2010. Corrected Proof
Abstract
Study Design
Systematic Review.
Introduction
Hand therapy interventions for patients with hand osteoarthritis (OA) can include splinting, joint protection technique instruction, paraffin, exercises, and provision of a home exercise program.
Purpose
Examine the quality of the evidence regarding the hand therapy interventions for hand OA.
Methods
Twenty-one studies dated between 1986 and 2009 were included in the systematic review for analysis.
Results
The current evidence provides varied support for the interventions of orthotics, hand exercises, joint protection techniques, the utilization of adaptive devices, and paraffin. Findings for the use of joint protection techniques are supported for improvements in function and pain reduction. Minimal evidence exists for paraffin used for the treatment of hand OA.
Conclusions
The current literature supports the use of orthotics, hand exercises, application of heat, and joint protection education combined with provision of adaptive equipment to improve grip strength and function.
Level of Evidence
2A.
Hand Works Therapy, Sarasota, Florida
Apple Physical Therapy, Tacoma, Washington
Correspondence and reprint requests to Kristin Valdes, OTD, OTR, CHT, Hand Works Therapy, Sarasota, FL 34239;
ABSTRACT