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IN HAND VOLUME 2 ISSUE 1 2018
DID YOU KNOW?
Susan Hannah – MEd, BSc OT, OT Reg. (Ont.)
MSK – Surgical, Hand and Wrist Specialty Program
Arthritis Program EducationaLLead Lecture, University of Toronto
Effects of client-centred multimodal treatment on impairment, function, and satisfaction of people with thumb carpometacarpal osteoarthritis.Shankland, B. et al. J Hand Ther. 2017;30(3):307-313.
THE JOURNAL OF HAND THERAPY IS
an excellent clinical resource that can guide practice and provide evidence regarding hand therapy treatment interventions. Both scientific and clinical articles are published. Regular features include original reports, clinical reviews, case studies, editorials, and book reviews.
In each of the upcoming CSHT newsletters, an article will be reviewed. In this newsletter, key points from the following article are summarized here:
Join the Discussion
• Previous research in this area focused on protocol driven research designs that assessed impairment changes.
• This pre-post study design with 60 participants, examined the bene:its of individually prescribed orthoses, joint protection and assistive device education programs based on the activities most often performed and valued by the patient. The COPM was used to help inform the decision making process.
• Treatment consisted of a client-centered 6-week program (3 visits in total) of orthosis use, use of joint protection techniques/assistive devices and evidence based CMC stabilization exercises.
• Outcomes used: COPM, DASH, total active range of motion (TAROM), lateral pinch strength, VAS (pain).
• At 6 weeks after treatment initiation, signi2icant improvements were noted across all outcome measures. The changes in pain and lateral pinch strength were signi2icantly associated with an improved ability to engage in activities that were identi2ied by the DASH.
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