A systematic review of conservative interventions for osteoarthritis of the hand.
METHODS
Systematic Review.


BACKGROUND
Hand therapy interventions for patients with hand osteoarthritis (OA) can include splinting, joint protection technique instruction, paraffin, exercises, and provision of a home exercise program.


OBJECTIVE
Examine the quality of the evidence regarding the hand therapy interventions for hand OA.


METHODS
Twenty-one studies dated between 1986 and 2009 were included in the systematic review for analysis.


RESULTS
The current evidence provides varied support for the interventions of orthotics, hand exercises, joint protection techniques, the utilization of adaptive devices, and paraffin. Findings for the use of joint protection techniques are supported for improvements in function and pain reduction. Minimal evidence exists for paraffin used for the treatment of hand OA.


CONCLUSIONS
The current literature supports the use of orthotics, hand exercises, application of heat, and joint protection education combined with provision of adaptive equipment to improve grip strength and function.


METHODS
2A.
Valdes
Kristin
K
Hand Works Therapy, Sarasota, FL, USA. hotglassgal@comcast.net
Marik
Tambra
T
D017679:Cryotherapy; D005081:Exercise Therapy; D006225:Hand / Q000503:physiopathology*; D018737:Hand Strength; D006358:Hot Temperature / Q000627:therapeutic use; D006801:Humans; D028022:Low-Level Light Therapy; D009989:Orthotic Devices; D010003:Osteoarthritis / Q000503:physiopathology* / Q000628:therapy*; D010147:Pain Measurement; D010232:Paraffin / Q000627:therapeutic use; D012107:Research Design; D013165:Splints
D010232:Paraffin