Differences in orthotic design for thumb osteoarthritis and its impact on functional outcomes: A scoping review

2016 ◽  
Vol 41 (4) ◽  
pp. 323-335 ◽  
Author(s):  
Pedro Henrique TQ de Almeida ◽  
Joy MacDermid ◽  
Tatiana Barcelos Pontes ◽  
Clarissa Cardoso dos Santos-Couto-Paz ◽  
João Paulo Chieregato Matheus

Background: 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. Objective: To examine the influence of different orthoses on pain, hand strength, and hand function of patients with thumb osteoarthritis. Study design: Literature review. Methods: 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. Results: In total, 12 studies reported improvements in pain and hand strength after the use of thumb orthoses. Comparisons between different orthotic designs were inconclusive. Conclusion: 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.

2021 ◽  
Vol 13 (10) ◽  
pp. 408-413
Author(s):  
Anna Somers

Paramedics often come across death because of the nature of their work. Attending an incident involving the death of a patient could affect a paramedic's mental health. A scoping literature review surrounding the readiness and education regarding death in the prehospital setting for paramedic students was carried out. Given the potential impact upon practitioner mental health, the review aimed to determine the quality and extent of new research regarding education in death for paramedics. Four themes arose from the review: inadequate preparation; methods of death education; improved confidence; and implications for more research.


2015 ◽  
Vol 16 (4) ◽  
pp. 174-183
Author(s):  
Kimberly D. Fraser ◽  
Jonathan Lai ◽  
Catherine Nissen ◽  
Queenie Choo ◽  
Jamie Davenport ◽  
...  

We explored the state of knowledge on home care supplies and equipment because not much is known about this topic. We used a scoping review for the literature review because it was the most appropriate approach considering the state of the literature. We searched for articles published in both the gray and peer-reviewed literature. We established five overarching themes based on the findings. These were supply management, durable medical equipment, wound care, best practices, and costs. This review demonstrates that although knowledge about home care supplies and equipment is growing, it is still an understudied area.


2019 ◽  
Vol 7 (3) ◽  
pp. 412-434 ◽  
Author(s):  
Christoph Lutz ◽  
Maren Schöttler ◽  
Christian Pieter Hoffmann

In this contribution, we investigate the privacy implications of social robots as an emerging mobile technology. Drawing on a scoping literature review and expert interviews, we show how social robots come with privacy implications that go beyond those of established mobile technology. Social robots challenge not only users’ informational privacy but also affect their physical, psychological, and social privacy due to their autonomy and potential for social bonding. These distinctive privacy challenges require study from varied theoretical perspectives, with contextual privacy and human–machine communication emerging as particularly fruitful lenses. Findings also point to an increasing focus on technological privacy solutions, complementing an evolving legal landscape as well as a strengthening of user agency and literacy.


2020 ◽  
Vol 27 (1) ◽  
Author(s):  
Mariele Lenhari Gonçalves ◽  
Aniele Tomadon ◽  
Lóris Aparecida Prado da Cruz ◽  
Thais de Oliveira Gozzo

Objetivo: Identificar as tecnologias em saúde na reabilitação física de mulheres que desenvolveram alterações no membro superior homolateral após a cirurgia para o câncer de mama. Método: Trata-se de uma Scoping literature review. Realizou-se a busca nas bases de dados LILACS, PubMed e Web of Science e o mecanismo de busca Google Scholar. Os descritores utilizados foram: Breast neoplasms, Biomedical technology e Rehabilitation. Resultados: Foram selecionados 33 estudos. Entre as tecnologias leve-duras, a mais utilizada foram os programas de exercícios físicos, tanto para a limitação da amplitude de movimentos do membro superior quanto para o linfedema, sendo estas as mais estudadas. Já as tecnologias duras mais avaliadas foram acupuntura, terapia de laser de baixo nível e plataformas de exercício on line, sendo empregadas, principalmente, para complicações como dor e linfedema. Destaque para a inter-relação entre as diferentes tecnologias, e como estas compõem a assistência prestadas às mulheres com câncer de mama durante a reabilitação física. Conclusão: A maioria dos estudos utilizaram as tecnologias leve-duras, com destaque para os programas de exercícios, e a associação de diferentes tecnologias, de intensidade variadas, empregadas com bons resultados físicos. Além de atuarem no estímulo ao autocuidado e na orientação das mulheres quanto a autogestão das complicações, promovendo a autonomia, confiança e retomada de seus papéis sociais.


2012 ◽  
Vol 37 (1) ◽  
pp. 14-21 ◽  
Author(s):  
Mokhtar Arazpour ◽  
Monireh Ahmadi Bani ◽  
Stephen W Hutchins

Background:Using mechanical orthoses have some limitations for walking in paraplegic patients. The development of powered orthoses could potentially overcome some of the limitations of those currently available.Objectives:The aim of this review was to compare the evidence of the effect of powered gait orthoses (PGOs) when compared to reciprocating gait orthoses (RGOs) and also hip guidance orthoses (HGOs) in improving gait parameters and the energy efficiency of walking by spinal cord injury (SCI) patients.Study Design:Literature review.Methods:Using the PRISMA method, and based on selected keywords and their composition, a search was performed in PubMed, Science Direct, and ISI Web of Knowledge databases. Eight articles were selected for final evaluation.Results:The results of the analysis demonstrated that there is lack of evidence to show that currently-developed powered orthoses improve the walking parameters of SCI patients when compared to RGOs and HGOs.Conclusions:The changes offered by PGOs are not substantial enough for such orthoses to be currently considered preferable by SCI subjects for ambulatory purposes.Clinical relevanceThe development of powered orthoses is still in its infancy and progress needs to be made to improve their functionality and performance envelopes.


2014 ◽  
Vol 23 (4) ◽  
pp. 437-448 ◽  
Author(s):  
Rebecca J. Henderson ◽  
Andrew Johnson ◽  
Sheila Moodie

Background Parent-to-parent support for parents with children who are deaf or hard of hearing (D/HH) is identified as an important component of Early Hearing Detection and Intervention (EHDI) programs for children with hearing loss. Purpose The specific aim of this review was to identify the constructs and components of parent-to-parent support for parents of children who are D/HH. Research Design An extensive scoping literature review identified 39 peer-reviewed articles published from 2000 to 2014. Studies were selected and reviewed based on standardized procedures. Results Data were identified, extracted, and organized into libraries of thematic and descriptive content. A conceptual framework of parent-to-parent support for parents of children who are D/HH was developed and presented in a comprehensive, bidirectional informational graphic. The constructs and components of the conceptual framework are (a) well-being: parent, family, and child; (b) knowledge: advocacy, system navigation, and education; and (c) empowerment: confidence and competence. Conclusion The findings from this scoping review led to the development of a structured conceptual framework of parent-to-parent support for parents of children who are D/HH. The conceptual framework provides an important opportunity to explore and clearly define the vital contribution of parents in EHDI programs.


Genealogy ◽  
2021 ◽  
Vol 5 (2) ◽  
pp. 32
Author(s):  
Araceli Orozco-Figueroa

Recently, Black, Indigenous, and other People of Color (BIPOC) have encountered an escalation in adverse social conditions and trauma events in the United States. For individuals of Mexican ancestry in the United States (IMA-US), these recent events represent the latest chapter in their history of adversity: a history that can help us understand their social and health disparities. This paper utilized a scoping review to provide a historical and interdisciplinary perspective on discussions of mental health and substance use disorders relevant to IMA-US. The scoping review process yielded 16 peer reviewed sources from various disciplines, published from 1998 through 2018. Major themes included historically traumatic events, inter-generational responses to historical trauma, and vehicles of transmission of trauma narratives. Recommendations for healing from historical and contemporary oppression are discussed. This review expands the clinical baseline knowledge relevant to the diagnosis, treatment, and prevention of contemporary traumatic exposures for IMA-US.


Pharmacy ◽  
2021 ◽  
Vol 9 (2) ◽  
pp. 91
Author(s):  
Nicholas R. Nelson ◽  
Rebecca B. Carlson ◽  
Amanda H. Corbett ◽  
Dennis M. Williams ◽  
Denise H. Rhoney

Feedback is an effective pedagogy aimed to create cognitive dissonance and reinforce learning as a key component of clinical training programs. Pharmacy learners receive constant feedback. However, there is limited understanding of how feedback is utilized in pharmacy education. This scoping review sought to summarize the breadth and depth of the use of feedback within pharmacy education and identify areas for future research. PubMed, Embase, Scopus, and Web of Science were searched for English articles since January 2000 to identify studies related to feedback in pharmacy education. Sixty-four articles were included for analysis, stratified by moderate and major theory talk, where moderate theory talk explicitly included feedback into study design and major theory talk included feedback into both study design and analysis. Feedback was provided in Bachelor (14%), Master (15.6%), Doctor of Pharmacy (67.2%) and post-graduate programs (4.7%) on a variety of curricular objectives including communication and patient work up in didactic, objective structured clinical examination (OSCE), and experiential settings, and career/interview preparation in the co-curriculum. Feedback comments were mostly written in didactic courses, and both written and verbal in OSCE, experiential, and co-curricular settings. The pharmacy education feedback literature lacks depth beyond student perceptions, especially with respect to assessing the effectiveness and quality of feedback for learning. While feedback has been utilized throughout pharmacy education across myriad outcomes, several areas for inquiry exist which can inform the design of faculty and preceptor development programs, ensuring provision of effective, quality feedback to pharmacy learners.


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