PMID: 8945112Feb 1, 1996Paper

Immediate and short-term effects of three commercial wrist extensor orthoses on grip strength and function in patients with rheumatoid arthritis

Arthritis Care and Research : the Official Journal of the Arthritis Health Professions Association
E B SternM L Mahowald

Abstract

To investigate the immediate and short-term effects of 3 commercial wrist orthoses on grip strength and function. Thirty-six patients with definite rheumatoid arthritis participated in the randomized, controlled, cross-over design study of 3 commercial wrist extensor orthoses. Dominant-hand dynamometric grip strength was assessed at both initial and followup sessions while splinted and nonsplinted. Functional impact was assessed using a written questionnaire. All 3 commercial orthoses reduced grip strength when first donned. After a 1-week adjustment period, one orthosis, the Smith and Nephew Roylan D-Ring (Roylan), afforded splinted grip strength equal to that of the nonsplinted grip strength. The other 2 orthoses continued to reduce grip strength, and afforded splinted grip strength significantly below that of the Roylan. The Roylan was deemed comfortable by more subjects than the other orthoses. The belief that commercial orthotic use increases grip strength, either immediately or after 1 week, is not supported by this study's data. Different styles of commercial wrist orthoses appear to have differing influence on splinted grip strength.

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Citations

Jun 1, 1996·Arthritis Care and Research : the Official Journal of the Arthritis Health Professions Association·E B SternM L Mahowald
Jan 11, 2003·Arthritis and Rheumatism·Esther M J SteultjensCornelia H M van den Ende
Feb 1, 1997·Arthritis Care and Research : the Official Journal of the Arthritis Health Professions Association·E B SternM L Mahowald
Oct 23, 1998·Arthritis Care and Research : the Official Journal of the Arthritis Health Professions Association·G J TijhuisJ M Hazes
Dec 17, 1997·Journal of Hand Therapy : Official Journal of the American Society of Hand Therapists·C W JansenS M Hasson
Dec 16, 2003·Annals of the Rheumatic Diseases·A HammondR Kidao
Sep 14, 2007·Disability and Rehabilitation·Ingeborg G de BoerTheodora P M Vliet Vlieland
Jun 4, 2008·Best Practice & Research. Clinical Rheumatology·Alison Hammond
Nov 28, 2008·Arthritis and Rheumatism·M M VeehofM A F J van de Laar
Nov 1, 2008·Arthritis and Rheumatism·Peter TugwellSetorme Tsikata
Apr 24, 2004·Applied Ergonomics·Lena JohanssonGöran M Hägg
Sep 1, 2000·Modern Rheumatology·H IshikawaM Abe
Jun 26, 2013·Prosthetics and Orthotics International·Maja MlakarGaj Vidmar
Jul 17, 2014·Prosthetics and Orthotics International·Masayoshi IkedaJoji Mochida
Jan 22, 2003·The Cochrane Database of Systematic Reviews·M EganP Tugwell
Feb 20, 2004·The Cochrane Database of Systematic Reviews·E M J SteultjensC H M van den Ende
Mar 12, 2020·British Journal of Community Nursing·Melanie Lumbers
Dec 28, 2016·The American Journal of Occupational Therapy : Official Publication of the American Occupational Therapy Association·Chien-Hsiou LiuShih-Chen Fan

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