Article

For patients with De Quervain syndrome using thumb spica orthosis is
restricting, so many patient are dissatisfied with using static model. The aim of
this study is to compare the effect of modified dynamic and conventional static
orthoses on pinch power and functional abilities of hand in De Quervain syndrome.
Method In this quasi-experimental study, palmar and lateral pinch strength of the
thumb, pain and functional abilities of hand, patient's satisfaction of orthoses,
were evaluated after using modified dynamic and conventional static orthosis in
two groups. Results Both orthoses improved palmar and lateral pinch strength of
the thumb, pain level and functional abilities. In comparison of mentioned
variables, there was no significant difference between two groups regarding to
pain recovery and abilities improvement (p > 0.05).
However, the satisfaction
level of the patients who had used dynamic orthosis was higher (p < 0.05).
Conclusion It seems, adding a joint to the static thumb spica leads to patient's
relief and consequently to their satisfaction. Implications for Rehabilitation
The dynamic thumb spica, is easier to use and patients satisfaction is higher
than static thumb spica. Therefore, it can be used for conservative treatment of De Quervain syndrome.
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Langue : ANGLAIS