0
Summaries for Patients |

The Effects of Splinting on Thumb Arthritis FREE

[+] Article and Author Information

The summary below is from the full report titled “Splint for Base-of-Thumb Osteoarthritis. A Randomized Trial.” It is in the 19 May 2009 issue of Annals of Internal Medicine (volume 150, pages 661-669). The authors are F. Rannou, J. Dimet, I. Boutron, G. Baron, F. Fayad, Y. Macé, J. Beaudreuil, P. Richette, P. Ravaud, M. Revel, and S. Poiraudeau.


Ann Intern Med. 2009;150(10):I-34. doi:10.7326/0003-4819-150-10-200905190-00001
Text Size: A A A

What is the problem and what is known about it so far?

Osteoarthritis (arthritis) is the most common cause of joint pain in middle-age and older persons. It often occurs in large joints, such as the knees and hips, but it can also occur in the hands. Thumb arthritis is fairly common. Thumb osteoarthritis causes pain at the base of the thumb, which limits movement and function. Treatment of thumb arthritis includes drugs and steroid injections for pain. Some experts recommend splinting. Splinting is inexpensive and safe, but no research has yet shown that it helps persons with thumb arthritis.

Why did the researchers do this particular study?

To see whether splinting improves pain and hand function in people with thumb arthritis.

Who was studied?

101 women and 11 men with thumb arthritis who received care at 2 medical centers in France.

How was the study done?

The researchers randomly assigned half of the participants to receive a custom-made thumb splint, which they were told to wear at night. The other participants received any treatment they needed for their arthritis except for a thumb splint. The researchers then measured pain and hand function and compared the measures in the 2 groups.

What did the researchers find?

Pain and hand function improved more in persons who wore the splint than in those who did not; however, it took more than 1 month to find evidence of these improvements.

What were the limitations of the study?

The researchers could not keep participants from knowing that they were going to receive a splint the way they could if they compared 2 different pills. As a result, the improve-ments the researchers found could have been due to patients' expectations about the splint's effects, rather than the splint itself.

What are the implications of the study?

Splinting is an effective treatment of thumb arthritis, and it might help avoid other treatments, such as drugs and steroid injections, for pain.

Figures

Tables

References

Letters

NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Comments

Submit a Comment
Submit a Comment

Summary for Patients

Clinical Slide Sets

Terms of Use

The In the Clinic® slide sets are owned and copyrighted by the American College of Physicians (ACP). All text, graphics, trademarks, and other intellectual property incorporated into the slide sets remain the sole and exclusive property of the ACP. The slide sets may be used only by the person who downloads or purchases them and only for the purpose of presenting them during not-for-profit educational activities. Users may incorporate the entire slide set or selected individual slides into their own teaching presentations but may not alter the content of the slides in any way or remove the ACP copyright notice. Users may make print copies for use as hand-outs for the audience the user is personally addressing but may not otherwise reproduce or distribute the slides by any means or media, including but not limited to sending them as e-mail attachments, posting them on Internet or Intranet sites, publishing them in meeting proceedings, or making them available for sale or distribution in any unauthorized form, without the express written permission of the ACP. Unauthorized use of the In the Clinic slide sets will constitute copyright infringement.

Toolkit

Want to Subscribe?

Learn more about subscription options

Advertisement
Related Articles
Journal Club
Related Point of Care
Topic Collections
PubMed Articles
Forgot your password?
Enter your username and email address. We'll send you a reminder to the email address on record.
(Required)
(Required)