Bani Monireh Ahmadi, Arazpour Mokhtar, Kashani Reza Vahab, Mousavi Mohammad Ebrahim, Hutchins Stephen William
Department of Orthotics and Prosthetics, University of Social Welfare and Rehabilitation Science, Tehran, Islamic Republic of Iran.
Disabil Rehabil Assist Technol. 2013 May;8(3):232-7. doi: 10.3109/17483107.2012.699992. Epub 2012 Jul 17.
The objective of this study was to compare the effect of prefabricated and custom made thumb splints on pain, function, grip strength and key pinch In patients with basilar joint osteoarthritis.
Volunteer patients (n = 35) with first carpometacarpal joint osteoarthritis were assigned randomly to wear either a prefabricated or custom-made thumb splint or assigned to a control group. This was designed as a cross over study with two 4-week treatment periods, 2 weeks of wash out time for intervention groups between the test conditions and 10-weeks follow-up for the control group. All parameters were measured at the first visit and during the 4th, 6th and 10th weeks In the three groups.
In the control group, paIn increased and pinch strength decreased but no statistically significant differences were found In function and grip strength. Both splints changed grip strength with no significant differences between them. PaIn was reduced with the splints, and functions and pinch strength increased significantly as compared to the baseline and control groups. In comparing the two splints only significant differences were observed In pain.
In comparing two splints, paIn was the only significantly different parameter between tested parameters; with the custom-made splints demonstrating better results In paIn reduction.
本研究的目的是比较预制拇指夹板和定制拇指夹板对基底关节骨关节炎患者疼痛、功能、握力和捏力的影响。
将35例第一腕掌关节骨关节炎的志愿者患者随机分配，分别佩戴预制拇指夹板或定制拇指夹板，或分配到对照组。本研究设计为交叉研究，有两个为期4周的治疗期，干预组在不同测试条件之间有2周的洗脱期，对照组有10周的随访期。在三组的第一次就诊时以及第4、6和10周测量所有参数。
在对照组中，疼痛增加，捏力下降，但在功能和握力方面未发现统计学上的显著差异。两种夹板均改变了握力，两者之间无显著差异。夹板减轻了疼痛，与基线组和对照组相比，功能和捏力显著增加。在比较两种夹板时，仅在疼痛方面观察到显著差异。
在比较两种夹板时，疼痛是测试参数之间唯一显著不同的参数；定制夹板在减轻疼痛方面显示出更好的效果。
