What is the Effectiveness of Different Splinting Techniques on Pain Reduction for Function in Adults with Hand Osteoarthritis (OA)?
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Authors
Buller, Kaelyn
Griffin, Anna
Hernandez , Katherine
O'Hagan, Maggie
Tinsley, Kennedy
Issue Date
2025-05-02
Volume
Issue
Type
Manuscript
Language
Keywords
Osteoarthritis , Older Adults , Orthotics , Pain Reduction , Function
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Abstract
ABSTRACT
BACKGROUND: Hand osteoarthritis (OA) is one of the most common forms of OA with a high incidence rate in the older adult population and causes a significant burden to society. Hand OA can result in pain, stiffness, and deformity of the hand. These symptoms, especially pain, reduced function and participation for individuals with hand OA.
AIM: This critically appraised topic (CAT) is aimed at determining the effectiveness of different splinting techniques on pain reduction for function in adults with hand OA.
METHODS: Literature search analysis led to the inclusion of Level 1A, 1B, 2A, and 2B studies regarding the prioritized aim. Studies were further analyzed to eliminate overlapping studies with RTCs included in systematic reviews and meta-analyses. Five total studies were included that met the established standards and were Level 1A and Level 1B evidence.
RESULTS: Level 1A and 1B literature analysis revealed that when compared to other forms of therapy for OA (hand exercise, physical agent modalities, assistive devices, etc.), orthoses showed a small to moderate, significant difference in long-term reduction of pain, but no significant difference in short-term pain reduction. Many different splints were found to have medium to long-term improved function for adults with hand OA. However, there were mixed results on whether there was a significant difference in pain reduction between rigid and soft splints. More RCTs are needed to assess the effects of a wearing schedule on pain reduction.
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Publisher
Creighton University
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Copyright is retained by the Author. A non-exclusive distribution right is granted to Creighton University