Effectiveness of proximal interphalangeal joint-blocking orthosis vs metacarpophalangeal joint-blocking orthosis in trigger digit management: A randomized clinical trial

Journal of Hand Therapy : Official Journal of the American Society of Hand Therapists
Sing Hwee TeoYoko Kin Yoke Wong

Abstract

Patients with Green's classification grade 2 or 3 A1-pulley trigger digit (TD) were recruited and randomized to receive the proximal interphalangeal joint-blocking orthosis (PIPJ-BO) or metacarpophalangeal joint-blocking orthosis (MCPJ-BO). TD is a common hand condition that can affect one's performance in activities of daily living. Conservative management of TD involves prescription of orthoses to facilitate recovery. No studies have evaluated the effectiveness of PIPJ-BO, optimal orthosis wear regime, and other factors affecting orthotic effectiveness. To compare the effectiveness of PIPJ-BO vs MCPJ-BO in TD management. Outcome measures included pain numerical rating scale, Green's classification grading, and Quick Disability of the Arm, Shoulder and Hand. Orthosis wear duration was also collated. Patients were followed up for 2 months, and changes between initial and final assessment score within each group and between both groups were analyzed. Thirty-five patients with 43 TD were included in final analysis. Twenty-three TD were allocated PIPJ-BO while 20 with MCPJ-BO. Pain reduction was observed in both groups, but reduction was greater in PIPJ-BO group (P = .02). About 47.83% in PIPJ-BO group and 40% in MCPJ-BO group imp...Continue Reading

Citations

Jul 21, 2020·Journal of Primary Care & Community Health·Stephen P MerryChristopher L Boswell
Aug 1, 2020·The Journal of the American Academy of Orthopaedic Surgeons·Joseph A GilArnold-Peter C Weiss
Aug 3, 2021·Journal of Hand Therapy : Official Journal of the American Society of Hand Therapists·Christopher BurtonLaurelie R Wishart

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