scholarly journals Arthritis glove provision in rheumatoid arthritis and hand osteoarthritis: A survey of United Kingdom rheumatology occupational therapists

Hand Therapy ◽  
2022 ◽  
pp. 175899832110606
Author(s):  
Alison Hammond ◽  
Yeliz Prior
Keyword(s):  
Rheumatoid Arthritis ◽  
United Kingdom ◽  
Hand Function ◽  
Symptom Relief ◽  
Occupational Therapists ◽  
Hand Osteoarthritis ◽  
North West ◽  
Hand Pain ◽  
And Function ◽  
Hand Symptoms

Introduction Hand pain and function limitations are common in rheumatoid arthritis (RA) and hand osteoarthritis (HOA). Provision of arthritis (compression) gloves to relieve hand symptoms is increasing in occupational therapy. Research evaluating arthritis gloves dates to the 1990s, focussing on night-wear of full-length finger gloves in RA. This survey examined glove provision in contemporary clinical practice in the United Kingdom. Methods A survey of arthritis glove provision in RA was conducted with Royal College of Occupational Therapists Rheumatology Specialist Section members. A more detailed survey about glove provision in RA and HOA was conducted with rheumatology occupational therapists in North-West England. Results Response rates were good, with 60 (73%) therapists responding to the national and 24 (69%) to the regional surveys. Most therapists provided open-finger gloves (commonly IsotonerTM) to about a third of their RA and HOA patients, and to those with any arthritic condition causing significant hand pain and/or swelling. Day-wear was as common as night-wear, and patients were advised to wear these ‘as and when’ for hand symptom relief and support for hand function. They were advised not to wear gloves continually in the day, and regularly perform hand exercises and monitor for potential adverse effects, for example, skin discolouration. Therapists commonly provide replacement gloves as these are often used long-term. Conclusion Prescription of arthritis gloves has changed considerably in the last 30 years, with open-finger gloves provided to a wider range of people with arthritis, for a broader range of clinical reasons.

Pain and Function: Occupational Therapists' Use of Orthotics in Rheumatoid Arthritis

2002 ◽  
Vol 65 (4) ◽  
pp. 165-171 ◽  
Author(s):  
Sarah Elizabeth Henderson ◽  
Ian R McMillan
Keyword(s):  
Rheumatoid Arthritis ◽  
Outcome Measures ◽  
Hand Function ◽  
Occupational Therapists ◽  
Postal Questionnaire ◽  
Easy Answer ◽  
Subjective Evidence ◽  
And Function ◽  
Intervening Variables ◽  
Objective Outcome

The use of orthotics in the management of rheumatoid arthritis appears to be relatively commonplace within occupational therapy departments. The aim of this study was to identify the frequency of orthotic use by occupational therapists, their beliefs about the efficacy of orthotic use, what they aimed to achieve by orthotic provision and any outcome measures used. The total membership of the British Association of Hand Therapists who were both occupational therapists and self-identified as working and/or having an interest in rheumatology (n = 132) were surveyed through a postal questionnaire. Of the responses received (n = 89, 67%), all the respondents (100%) were regular users of orthotics in the management of rheumatoid arthritis. The results showed that the most highly rated reasons for orthotic provision were to decrease hand and wrist pain and to improve hand function. Subjective comments from the respondents provided evidence of positive beliefs about the efficacy of orthotic use, despite a lack of objective outcome measures to support such comment. Given the complexity of the intervening variables that occur with orthotic use, perhaps there is no easy answer; however, with the expectation of evidence-based practice and intervention, it is suggested that an increased use of standardised outcome measures may provide additional strength in presenting, often subjective, evidence.

scholarly journals Comorbidity in hand osteoarthritis: its impact on hand pain and function

2016 ◽  
Vol 24 ◽  
pp. S446-S447
Author(s):  
W. Damman ◽  
R. Liu ◽  
M. Kloppenburg
Keyword(s):  
Hand Osteoarthritis ◽  
Hand Pain ◽  
And Function

scholarly journals Associations Of Abnormalities Detected On Mri And Radiography With Hand Pain And Function In A Population-Based Older Adult Cohort.

2020 ◽  
Author(s):  
Siti Maisarah Mattap ◽  
Karen Wills ◽  
Dawn Aitken ◽  
Andrew Halliday ◽  
Shi-Nan Luong ◽  
...  
Keyword(s):  
Grip Strength ◽  
Joint Space ◽  
Population Based ◽  
Hand Osteoarthritis ◽  
Imaging Features ◽  
Cross Sectional ◽  
X Ray ◽  
Hand Pain ◽  
Pain Scores ◽  
And Function

Abstract Objective To describe associations between hand abnormalities on MRI or radiographs (X-ray) and pain and function in a cross-sectional study of community-based older adults. Methods Distal and proximal interphalangeal index finger joints (n=221) were examined using MRI, X-ray, and hand examination. Hand pain, function, and stiffness were assessed using Australian/Canadian hand osteoarthritis index (AUSCAN) questionnaire. Grip strength was assessed using dynamometer. Models were adjusted for age, sex, and other MRI or X-ray abnormalities. Results Absence of collateral ligament (CLs) on MRI (relative risk; RR=3.15 (95% confidence interval 1.33, 7.50), and joint space narrowing (JSN) on X-ray (RR=2.96 (1.33, 6.58)) was associated with having a painful joint after adjustment for confounders. JSN was also associated with tender joints (RR=2.19 (1.01, 4.76)). Effusion-synovitis was associated with better AUSCAN pain scores (OR=0.51 (0.28, 0.94)) and JSN with worse AUSCAN pain scores (odds ratio; OR=1.67 (1.13, 2.48)). Absent CLs were also associated with stiffer joints (OR=3.12 (1.26, 7.70)) and weaker grip strength (β=-1.69 (-2.95, -0.43)) independent of pain and other features; JSN was also associated with weaker grip strength (β=-0.87 (-1.62, -0.14)). No other MRI or X-ray abnormalities were associated with pain or function independent of age, sex or pain. Conclusion Most MRI abnormalities were not associated with pain and function cross-sectionally. Absent CLs and JSN were associated with painful joints and weak grip strength independent of pain and other imaging features. JSN was also associated with tender joints and absent CLs with stiff joints. Unexpectedly, effusions were associated with reduced odds of pain.

Effects of Orem's Self-Care Model of Nursing on Hand Symptoms and Life Activities in Geriatric Individuals Diagnosed with Rheumatoid Arthritis: A Pilot Study

2021 ◽  
pp. RTNP-D-20-00093
Author(s):  
Halil Ibrahim Tuna ◽  
Guler Balci Alparslan
Keyword(s):  
Rheumatoid Arthritis ◽  
Nursing Care ◽  
Intervention Group ◽  
Self Care ◽  
University Hospital ◽  
Control Group ◽  
Care Model ◽  
Hand Pain ◽  
Phone Calls ◽  
Hand Symptoms

Background and PurposeAccording to Orem's self-care deficit theory, when patients cannot meet their care needs, they need nursing systems for maintaining their health. Nursing care for elderly patients with rheumatoid arthritis (RA) should be based on maintaining self-care. This study aims to determine the effects of Orem's self-care model of nursing care given to geriatric patients with RA on hand symptoms, life activities, and hand pain.MethodsThe study sample comprised a total of 22 patients (intervention group, 11; control group, 11) who met the sample selection criteria at a rheumatology outpatient clinic of a university hospital between June 17, 2019 and September 20, 2019. All interviews with patients in the intervention group were conducted by daily phone calls and a face-to-face interview at the hospital every 4 weeks. Patients continued to receive routine prescription by a physician during the course of application.ResultsNo difference was observed between the groups in terms of descriptive patient characteristics (p > .05). Hand pain, hand symptoms, and life activities of patients in the intervention group were measured at study initiation, week 4, and week 8. Intragroup comparison revealed that hand pain, hand symptoms, and life activity scores were lowest at week 8 in the intervention group (p < .05).Implications for PracticeThis study indicates that nursing care given according to Orem's self-care model is effective in reducing pain, improving hand functions, and performing life activities.

Exercise for Hand Osteoarthritis: A Cochrane Systematic Review

2017 ◽  
Vol 44 (12) ◽  
pp. 1850-1858 ◽  
Author(s):  
Nina Østerås ◽  
Ingvild Kjeken ◽  
Geir Smedslund ◽  
Rikke H. Moe ◽  
Barbara Slatkowsky-Christensen ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Systematic Review ◽  
Hand Function ◽  
Joint Stiffness ◽  
Risk Of Bias ◽  
Finger Joint ◽  
Hand Osteoarthritis ◽  
Hand Pain ◽  
Quality Evidence

Objective.To assess the benefits and harms of exercise compared with other interventions, including placebo or no intervention, in people with hand osteoarthritis (OA).Methods.Systematic review using Cochrane Collaboration methodology. Six electronic databases were searched up until September 2015. Inclusion criteria: randomized or controlled clinical trials comparing therapeutic exercise versus no exercise, or comparing different exercise programs. Main outcomes: hand pain, hand function, finger joint stiffness, quality of life, adverse events, and withdrawals because of adverse effects. Risk of bias and quality of the evidence were assessed.Results.Seven trials were included in the review, and up to 5 trials (n = 381) were included in the pooled analyses with data from postintervention. Compared to no exercise, low-quality evidence indicated that exercise may improve hand pain [5 trials, standardized mean difference (SMD) −0.27, 95% CI −0.47 to −0.07], hand function (4 trials, SMD −0.28, 95% CI −0.58 to 0.02), and finger joint stiffness (4 trials, SMD −0.36, 95% CI −0.58 to −0.15) in people with hand OA. Quality of life was evaluated by 1 study (113 participants) showing very low-quality evidence for no difference. Three studies reported on adverse events, which were very few and not severe.Conclusion.Pooled results from 5 studies with low risk of bias showed low-quality evidence for small to moderate beneficial effects of exercise on hand pain, function, and finger joint stiffness postintervention. Estimated effect sizes were small, and whether they represent a clinically important change may be debated.

SAT0478 Comorbidity in Hand Osteoarthritis: Its Impact on Hand Pain and Function

2016 ◽  
Vol 75 (Suppl 2) ◽  
pp. 843.2-843
Author(s):  
W. Damman ◽  
R. Liu ◽  
F. Rosendaal ◽  
M. Kloppenburg
Keyword(s):  
Hand Osteoarthritis ◽  
Hand Pain ◽  
And Function
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