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Research Article  |   January 2007
Splinting for Osteoarthritis of the Carpometacarpal Joint: A Review of the Evidence
Author Affiliations
  • Mary Y. Egan, PhD, OT Reg. (Ont.), is Associate Professor, School of Rehabilitation Sciences, Faculty of Health Sciences, University of Ottawa, 451 Smyth Road, Ottawa, Ontario, K1H 8M5 Canada; mary.egan@uottawa.ca
  • Lucie Brosseau, PhD, PT Reg. (Ont.), is Professor, School of Rehabilitation Sciences, Faculty of Health Sciences, University of Ottawa, Ontario, Canada
Article Information
Arthritis / Musculoskeletal Impairments / Splinting / Original Articles
Research Article   |   January 2007
Splinting for Osteoarthritis of the Carpometacarpal Joint: A Review of the Evidence
American Journal of Occupational Therapy, January/February 2007, Vol. 61, 70-78. doi:10.5014/ajot.61.1.70
American Journal of Occupational Therapy, January/February 2007, Vol. 61, 70-78. doi:10.5014/ajot.61.1.70
Abstract

OBJECTIVE. Our objective was to review the evidence regarding the effectiveness of splinting for carpometacarpal osteoarthritis.

METHODS. A systematic review was conducted. Clinical considerations, occupational therapy exemplars, and further research questions were identified.

RESULTS. There was fair evidence for the effectiveness of splinting to relieve pain and improve function. There was no clear evidence of the superiority of one type of splint over another for pain relief, comfort, or function. Patient preference regarding type of splint varied.

CONCLUSIONS. Research to date indicates that splinting may help relieve pain in persons with carpometacarpal osteoarthritis. Further investigation is recommended using controlled methodology, more thorough reporting of outcomes, and tracking of analgesic use.