de Almeida Pedro Henrique Tq, MacDermid Joy, Pontes Tatiana Barcelos, Dos Santos-Couto-Paz Clarissa Cardoso, Matheus João Paulo Chieregato
1 Universidade de Brasília, Brasília, Brazil.
2 McMaster University, Hamilton, ON, Canada.
Prosthet Orthot Int. 2017 Aug;41(4):323-335. doi: 10.1177/0309364616661255. Epub 2016 Sep 9.
Orthoses are a well-known intervention for the treatment of thumb osteoarthritis; however, there is a multitude of orthotic designs and not enough evidence to support the efficacy of specific models.
To examine the influence of different orthoses on pain, hand strength, and hand function of patients with thumb osteoarthritis.
Literature review.
A scoping literature review of 14 publications reporting orthotic interventions for patients with thumb osteoarthritis was conducted. Functional outcomes and measures were extracted and analyzed.
In total, 12 studies reported improvements in pain and hand strength after the use of thumb orthoses. Comparisons between different orthotic designs were inconclusive.
The use of orthoses can decrease pain and improve hand function of patients with thumb osteoarthritis; however, the effectiveness of different orthoses still needs support through adequate evidence. Clinical relevance Multiple orthoses for thumb osteoarthritis are available. Although current studies support their use to improve pain and hand function, there is no evidence to support the efficacy of specific orthotic designs. Improved functional outcomes can be achieved through the use of short orthoses, providing thumb stabilization without immobilizing adjacent joints.
矫形器是治疗拇指骨关节炎的一种知名干预措施；然而，矫形器设计众多，且缺乏足够证据支持特定型号的疗效。
研究不同矫形器对拇指骨关节炎患者疼痛、手部力量和手部功能的影响。
文献综述。
对14篇报道拇指骨关节炎患者矫形器干预的文献进行范围综述。提取并分析功能结局和测量指标。
共有12项研究报告使用拇指矫形器后疼痛和手部力量有所改善。不同矫形器设计之间的比较尚无定论。
使用矫形器可减轻拇指骨关节炎患者的疼痛并改善手部功能；然而，不同矫形器的有效性仍需充分证据支持。临床相关性 有多种用于拇指骨关节炎的矫形器。尽管目前的研究支持使用它们来改善疼痛和手部功能，但没有证据支持特定矫形器设计的疗效。使用短矫形器可实现更好的功能结局，在不固定相邻关节的情况下提供拇指稳定。
