Comparison of Custom-made Versus Prefabricated Thumb Splinting for Carpometacarpal Arthrosis: A Systematic Review and Meta-analysis
Filed under Reviews, Uncategorized
Baradaran, A., Baradaran, A., Ebrahimzadeh, M. H., Kachooei, A. R., Rivlin, M., & Beredjiklian, P. (2018). Comparison of Custom-made Versus Prefabricated Splint for Carpometacarpal Arthrosis: A Systematic Review and Meta-analysis. The archives of bone and joint surgery, 6(6), 478–485.
Article Review By: Dalton Busch
The Skinny – A systematic review and meta-analysis were composed to compare the effectiveness of prefabricated orthoses versus a custom-made thermoplastic splint. The splints were created to manage carpometacarpal (CMC) osteoarthritis (OA). A total of five randomized clinical trials with a total of 230 patients were analyzed following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.
In the weeds – Within the five randomized controlled trials, the researchers analyzed patients’ disability scores, pain scores, grip, and pinch strength, and integrated the data properly. All of the trials assessed were comparing results of the CMC OA orthoses as a non-surgical alternative. The primary outcome measure included was the Disabilities of the Arm Shoulder and Hand (DASH). Secondary measures that were extracted by the researchers included pain ratings, grip strength, and pinch strength. Further, the researchers looked into overall demographics, sample size, study design, and the type of splint utilized on the affected thumb.
Bringing it home – Overall findings from the systematic review pointed towards a statistical difference in the overall disability scores of patients who wore the prefabricated versus the custom, showing preference to the prefabricated. The secondary data relating to pain and grip/pinch strength both showed overall improvement wearing either the prefabricated or custom-made orthotic.
Rating (0-5) – 4: This systematic review and meta-analysis were done across five clinical trials with a large sample size of 230 patients. The review shows the effectiveness of both custom and prefabricated orthoses but shows lessened disability scores for prefabricated. The mean follow-up testing was 8.1 weeks which is a short-term retest as CMC OA orthoses could become a lifelong solution for patients who fall within this category. Improved research may look into long-term follow-up for more accurate data.
1 Comment
Leave a Comment
More To Read
The effects of cupping therapy as a new approach in the physiotherapeutic management of carpal tunnel syndrome
Article Review By: Rachel Reed Mohammadi, S., Roostayi, M. M., Naimi, S. S., & Baghban, A. A. (2019). The effects of cupping therapy as a new approach in the physiotherapeutic management of carpal tunnel syndrome. Physiotherapy research international : the journal for researchers and clinicians in physical therapy, 24(3), e1770. https://doi.org/10.1002/pri.1770 The Skinny: The purpose of this…
CMC Arthritis Orthosis in the Hand: Mechanics and Purpose
One of the most common diagnoses we see in hand therapy is osteoarthritis of the 1st carpo-metacarpal joint where the metacarpal articulates with the trapezium. Also known as basal joint arthritis (CMC arthritis), this causes pain, joint deformity, loss of strength and loss of function. Patients come to us looking for relief of symptoms and…
INTEROSSEOUS MUSCLE TIGHTNESS TESTING
May 2012 No. 19 INTEROSSEOUS MUSCLE TIGHTNESS TESTING Judy Colditz, OT/L, CHT, FAOTA INTEROSSEOUS MUSCLE TIGHTNESS TESTING – ARE YOU DOING IT CORRECTLY? The common term “Intrinsic Tightness Testing” is a misnomer as it describes a maneuver specifically designed to test tightness of the interosseous muscles. The interosseous muscles are small, short-fibered muscles contained within…
Soft Tissue Healing in Pediatrics
By: Chelsea Gonzalez Why do pediatric clients often not require as much hand therapy for soft tissue injuries when compared to adults? The simple answer: Kids have very elastic soft tissue, which can return to its original shape and position after stretch. This elasticity is lost with time as collagen fibers expand and their internal…
Sign-up to Get Updates Straight to Your Inbox!
Sign up with us and we will send you regular blog posts on everything hand therapy, notices every time we upload new videos and tutorials, along with handout, protocols, and other useful information.
This doesn’t surprise me as I think there is a high variability between therapist custom splint designs which may outweigh the potential benefit of having the splint custom fabricated.