Article

Best practice for
conservative clinical care pathways is not well outlined in the literature for
patients with thumb carpometacarpal joint (CMCJ) pain. This self-report survey
investigated the current practice patterns of assessments and conservative
interventions for the painful thumb CMCJ among hand therapists. METHODS: An
online survey was distributed to members of the American Society of Hand
Therapists (ASHT). Questions were included about evaluation measures and
intervention techniques used for this population. A descriptive analysis was
completed of the results. RESULTS: A total of 23.5% of the ASHT membership
responded to the survey. Results were categorized using the International
Classification of Functioning and Disability domains as a framework. The survey
results report varying use of evaluation measures, therapeutic interventions,
including orthotic fabrication, joint protection and patient education all
therapeutic interventional techniques, and modalities. CONCLUSION: Therapists use
a comprehensive array of evaluation measures and interventions for body functions
and structures in the care of thumb CMC pain. In contrast, more consistent use is
needed of psychometrically-sound functional outcome measures that show change in
activities and participation.
This survey highlights areas to employ current
evidence, as well as, future research should address environmental factors and
personal factors for this population LEVEL OF EVIDENCE: Not applicable.
CI - Copyright (c) 2014 Hanley & Belfus. Published by Elsevier Inc. All rights reserved.
- Pouce

Langue : ANGLAIS