User perspectives on orthoses for thumb carpometacarpal osteoarthritis

Journal of Hand Therapy : Official Journal of the American Society of Hand Therapists
Johann S GrüschkeCorry K van der Sluis

Abstract

Qualitative and interpretive description. Orthoses are often the first-choice treatment for thumb carpometacarpal osteoarthritis (CMCOA). It is unknown to what extent the orthoses are used in the way intended by health professionals and why patients continue using the orthoses despite minimal pain reduction. The purpose of this study is to investigate user perspectives and experiences with 2 types of CMCOA orthoses. Semistructured interviews were conducted with 16 individuals with CMCOA who used the Push-Ortho-Thumb-Brace-CMC (Nea International BV, Netherlands) and a custom-made orthosis. The data were analyzed using the phenomenological and the framework approach. Four men and 12 women participated (mean age, 57 years; half of whom were employed). Five central phenomena were identified, explaining the essence of the relation between user and orthosis: the orthosis as stabilizer, tool, healer, preventer, and nuisance. Users mentioned better appearance and the ability to do a variety of activities as advantages of the Push-Ortho-Thumb-Brace-CMC and better support and the ability to do strenuous activities as advantages of the custom-made orthosis. The central phenomena were related to the users' understanding of the disease proc...Continue Reading

Citations

Sep 11, 2020·Nature·Remco van ErpElison Matioli
Jul 16, 2020·Archives of Physical Medicine and Rehabilitation·Nicola MarottaAntonio Ammendolia
Jul 28, 2021·Journal of Hand Therapy : Official Journal of the American Society of Hand Therapists·Kimberly H McVeighPeter M Murray
Dec 1, 2020·Journal of Hand Therapy : Official Journal of the American Society of Hand Therapists·Serpil Savaş, Çiğdem Aydoğan
Dec 7, 2020·Journal of Hand Therapy : Official Journal of the American Society of Hand Therapists·Patricia SiegelColin Baugh

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