Orthotic use for CMC osteoarthritis: Variations among different health professionals in Brazil.
Study Design: Cross-sectional descriptive study. Introduction: Osteoarthritis (OA) is the most prevalent musculoskeletal disease in the adult and older adult populations. The use of orthoses to stabilize the thumb's articular complex is one of the most common conservative management strategies. Desp...
| Publicado en: | Journal of Hand Therapy Vol. 29; no. 4; pp. 440 - 451 |
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| Autores principales: | , , , , , |
| Formato: | CEU exam questions pictorial research tables/charts Journal Article |
| Publicado: |
Elsevier B.V.
Oct-Dec2016
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=120614970&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 120614970 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 08941130 4C0 jtl: Journal of Hand Therapy issn: 08941130 maglogo: N pubinfo: dt: Oct-Dec2016 vid: 29 iid: 4 pid: 82545 pub: Elsevier B.V. place: Philadelphia, Pennsylvania artinfo: ui: 120614970 120614970 120614970 10.1016/j.jht.2016.07.007 120614970 ppf: 440 ppct: 11 formats: tig: atl: Orthotic use for CMC osteoarthritis: Variations among different health professionals in Brazil. aug: au: de Almeida, Pedro H. T. Q. MacDermid, Joy C. Barcelos Pontes, Tatiana dos Santos-Couto-Paz, Clarissa Cardoso da Mota, Licia Maria H. Matheus, João Paulo C. affil: Faculdade de Ceilandia, University of Brasilia, Brasilia, DF, Brazil sug: subj: Orthoses Utilization Osteoarthritis Therapy Carpometacarpal Joints Pathology Orthoses Design Decision Making, Clinical Physical Therapists Occupational Therapists Rheumatologists Specialization Education, Continuing (Credit) Surveys Cross Sectional Studies Descriptive Research Questionnaires Descriptive Statistics Chi Square Test Fisher's Exact Test Comparative Studies P-Value Data Analysis Software Female Male Human Female Male ab: Study Design: Cross-sectional descriptive study. Introduction: Osteoarthritis (OA) is the most prevalent musculoskeletal disease in the adult and older adult populations. The use of orthoses to stabilize the thumb's articular complex is one of the most common conservative management strategies. Despite substantial research about this topic, there is insufficient evidence about the optimal use of orthoses to inform clinical practice, contributing to practice variations within and across health professionals. Purpose of the Study: To identify the prescription patterns, design preferences, and barriers for the use of orthotic devices among Brazilian health care professionals involved in the treatment of patients with OA of the basal thumb joint. Methods: An electronic questionnaire was sent to occupational therapists, physiotherapists, and rheu-matologists across Brazil through professional association mailing lists. Survey included questions about orthosis design, materials, and barriers to the use of orthotic interventions. Respondents indicated their use based on photographs of 25 orthoses models that were selected through bibliographic review and expert consultation. Descriptive statistics, the chi-square test for independence, and the Fisher exact test were used to compare differences among orthotic prescription preferences, barriers, and challenges observed amidst the 3 participants' professional classes. Results: There was no consensus about orthotic prescription among 275 professionals who answered the survey. About 69% of participants reported the use of multiple orthosis during treatment of patients with thumb OA. Results suggest significant variations in the number of joints included and stabilization strategies adopted, with a preference for orthotics made in rigid materials and involving the wrist, carpometacarpal, and metacarpophalangeal joints (P < .001). The lack of knowledge about orthotic options, institutional regulations, and policies were the major barriers reported by respondents (P < .01 ). Conclusion: A plentiful variety of different orthoses designs were observed in this study, and the prescriptions made by 3 professional classes showed differences regarding types of stabilization, joint involvement, and positioning. Despite the existence of clinical trials suggesting benefits for specific custom-made design models, our results indicated widespread clinical variation in practices and preferences. Level of Evidence: Not applicable. pubtype: Academic Journal doctype: CEU exam questions pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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