Daytime Functional Usage Versus Night-Time Wearing: Identifying the Optimal Wearing Regimen for a Custom-Made Orthosis in the Treatment of Trapeziometacarpal Osteoarthritis

IF 3.6 2区医学 Q1 REHABILITATION

Archives of physical medicine and rehabilitation Pub Date : 2024-10-01 DOI:10.1016/j.apmr.2024.06.013

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引用次数: 0

Abstract

Objective

To compare the functional (daytime) use to the nightly use of an orthosis for patients affected by trapeziometacarpal osteoarthritis (OA).

Design

Randomized, controlled single-blind trial.

Setting

The rheumatology outpatient clinic of the University.

Participants

Sixty participants diagnosed with trapeziometacarpal OA.

Interventions

Participants were randomly assigned into 2 groups: a functional group that used a functional hand-based thumb immobilization orthosis during activities of daily living and a night-time group that used the same orthosis at night.

Main Outcomes Measures

The patients were evaluated at baseline and after 45, 90, 180, and 360 days considering: pain at the base of the thumb and in the hand, range of motion of the thumb, grip, and pinch strength, manual dexterity, and hand function.

Results

The groups were homogeneous at the beginning of the trial. No statistically significant difference was observed between groups over time for trapeziometacarpal pain (P=.646). For general hand pain, no statistically significant difference was found between groups over time (P=.594). Although both groups improved from baseline, there were no statistically significant differences between the groups in the vast majority of the assessed parameters. Statistically significant differences between the groups were found only in the following outcomes: thumb palmar abduction of the right hand (P=.023), pick-up test with closed eyes of the right hand (P=.048), and tripod grip strength of the right hand (P=.006).

Conclusions

Both groups showed improvement in pain and function from baseline to the end of the intervention. However, there were no reported differences in these outcomes after a 1-year follow-up between the functional (daytime) and night-time use of orthosis in patients with trapeziometacarpal OA. This suggests that both types of usage can be offered to patients.

查看原文本刊更多论文

日间功能使用与夜间佩戴：确定定制矫形器治疗掌骨骨关节炎的最佳佩戴方案

研究目的本研究旨在对受梯形掌骨性关节炎影响的患者在功能性（白天）使用矫形器和夜间使用矫形器的情况进行比较：随机对照单盲试验：参与者：60 名被诊断为肩胛骨骨关节炎的患者：60名确诊患有掌骨骨关节炎的患者：参与者被随机分为两组：功能组和夜间组，前者在日常生活中使用基于手部功能的拇指固定矫形器，后者在夜间使用相同的矫形器：对患者进行基线评估，并在45天、90天、180天和360天后对拇指根部和手部疼痛、拇指活动范围、握力和捏力、手部灵活性和手部功能进行评估：试验开始时，各组情况相同。在斜方肌-掌骨疼痛方面，随着时间的推移，各组之间没有发现明显的统计学差异（P=0.646）。在一般手部疼痛方面，各组间的差异也没有统计学意义（P=0.594）。虽然两组患者的病情都比基线有所改善，但在绝大多数评估参数上，组间差异无统计学意义。只有在以下结果中，组间差异具有统计学意义：右手拇指掌外展（p=0.023）、右手闭眼拾物测试（p=0.048）和右手三脚架握力（p=0.006）：结论：从基线到干预结束，两组患者的疼痛和功能都有所改善。结论：从基线到干预结束，两组患者的疼痛和功能都有所改善，但在为期一年的随访中，使用功能性矫形器（日间）和夜间使用矫形器的斜方肌掌骨关节炎患者在这些结果上并无差异。这表明患者可以同时使用两种矫形器。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Archives of physical medicine and rehabilitation 医学-康复医学

CiteScore

6.20

自引率

4.70%

发文量

495

审稿时长

38 days

期刊介绍： The Archives of Physical Medicine and Rehabilitation publishes original, peer-reviewed research and clinical reports on important trends and developments in physical medicine and rehabilitation and related fields. This international journal brings researchers and clinicians authoritative information on the therapeutic utilization of physical, behavioral and pharmaceutical agents in providing comprehensive care for individuals with chronic illness and disabilities. Archives began publication in 1920, publishes monthly, and is the official journal of the American Congress of Rehabilitation Medicine. Its papers are cited more often than any other rehabilitation journal.