Functional thumb orthosis for type I and II boutonniere deformity on the dominant hand in patients with rheumatoid arthritis: a randomized controlled study

Functional thumb orthosis for type I and II boutonniere deformity on the dominant hand in patients with rheumatoid arthritis: a randomized controlled study

Autor Silva, Paula Gabriel Autor UNIFESP Google Scholar
Lombardi, Imperio Autor UNIFESP Google Scholar
Breitschwerdt, Cristina Autor UNIFESP Google Scholar
Araujo, Pola Maria Poli Autor UNIFESP Google Scholar
Natour, Jamil Autor UNIFESP Google Scholar
Instituição Universidade Federal de São Paulo (UNIFESP)
Resumo Objective: To evaluate the effectiveness of a functional thumb orthosis on the dominant hand of patients with rheumatoid arthritis and boutonniere thumb.Methods: Forty patients with rheumatoid arthritis and boutonniere deformity of the thumb were randomly distributed into two groups. the intervention group used the orthosis daily and the control group used the orthosis only during the evaluation. Participants were evaluated at baseline as well as after 45 and 90 days, Assessments were preformed using the O'Connor Dexterity Test, Jamar dynamometer, pinch gauge, goniometry and the Health Assessment Questionnaire. A visual analogue scale was used to assess thumb pain in the metacarpophalangeal joint.Results: Patients in the intervention group experienced a statistically significant reduction in pain. the thumb orthosis did not disrupt grip and pinch strength, function, Health Assessment Questionnaire score or dexterity in either group.Conclusion: the use of thumb orthosis for type I and type II boutonniere deformities was effective in relieving pain.
Idioma Inglês
Data de publicação 2008-08-01
Publicado em Clinical Rehabilitation. London: Sage Publications Ltd, v. 22, n. 8, p. 684-689, 2008.
ISSN 0269-2155 (Sherpa/Romeo, fator de impacto)
Publicador Sage Publications Ltd
Extensão 684-689
Fonte http://dx.doi.org/10.1177/0269215508088989
Direito de acesso Acesso restrito
Tipo Artigo
Web of Science WOS:000258985400002
Endereço permanente http://repositorio.unifesp.br/handle/11600/30841

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