A systematic review of the benefits of occupation-based intervention for patients with upper extremity musculoskeletal disorders

Journal of Hand Therapy : Official Journal of the American Society of Hand Therapists
Gwen Weinstock-Zlotnick, Saurabh P Mehta

Abstract

Systematic review of intervention studies (level 3a). Occupation-based intervention (OBI) uses daily activities as a treatment modality. Its growing use with patients diagnosed with upper extremity musculoskeletal disorders (UE MSK) has driven interest in its supporting body of evidence. The purpose of this study was to locate, appraise, and summarize current evidence of the effectiveness of OBI in treating patients with UE MSK. Searches of PubMed, CINAHL, the Cochrane Register for Controlled Trials, and PEDro databases were conducted using predetermined keywords. Studies included in this systematic review described the use of OBI in UE MSK. Two examiners independently reviewed and assessed the quality of each study using the PEDro scale. Results of the database searches yielded 991 studies, 13 of which were deemed eligible to include in this review (6 randomized controlled trials, 4 pretreatment/post-treatment cohort or case series studies, and 3 single case reports). Quality of the studies varied, with 4 rated poor, 2 moderate, and 4 excellent. Overall, individuals receiving OBI showed superior benefits in patient-reported, performance, and physical measures assessing the upper extremity. Findings of this review provide preli...Continue Reading

Citations

Jul 2, 2021·Journal of Hand Therapy : Official Journal of the American Society of Hand Therapists·Serap Bastepe-GrayPreeti Raghavan

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