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Study evaluates efficacy of splints for thumb base osteoarthritis

Study evaluates efficacy of splints for thumb base osteoarthritis Study evaluates efficacy of splints for thumb base osteoarthritis
Study evaluates efficacy of splints for thumb base osteoarthritis Study evaluates efficacy of splints for thumb base osteoarthritis

What's new?

For thumb base osteoarthritis, splints may not add any extra benefit.

A study published in “Rheumatology” portrays that there is no extra advantage of the addition of a thumb splint to supportive and high-quality self-management programme for thumb osteoarthritis offered by clinicians.

A pragmatic, parallel-group, multicentre, randomized controlled trial was carried out to explore the efficacy, clinical effectiveness, and cost-effectiveness of splints (orthoses) in individuals suffering from symptomatic basal thumb joint osteoarthritis and having at least moderate hand pain and dysfunction.

Utilizing a computer-based minimization system, 349 patients were randomly assigned (1:1:1) to one of the three treatment arms: (i) a therapist supported self-management programme (SSM, n=116), (ii) a therapist aided self-management programme and a placebo thumb splint (SSM+PS, n=117) (iii) a therapist aided self-management programme and a verum thumb splint (SSM+S, n=116).

The subjects were blinded to arm randomization, were given 90 min treatment over 8 weeks, and were monitored for 12 weeks from baseline. The primary outcome parameter was Australian/Canadian (AUSCAN) hand pain at eight weeks ascertained utilizing the intention to treat analysis. The costs of therapy were estimated.

At 8 weeks, 292 (84%) subjects offered AUSCAN Osteoarthritis Hand Index hand pain scores. All the cohorts improved, with no mean treatment difference between the cohorts, as shown in the following table:


The average 12-week costs were: (i) SSM £586; (ii) SSM+S £738; and (iii) SSM+PS £685. Thus, no additional advantage of using splints for thumb base osteoarthritis is witnessed.

Source:

Rheumatology

Article:

The clinical and cost effectiveness of splints for thumb base osteoarthritis: a randomized controlled clinical trial

Authors:

Jo Adams et al.

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