+ Resolve Article
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter

+ Translate
+ Subscribe to Site Feed
GeoScience Most Shared ContentMost Shared Content

A crossover trial of custom-made and commercially available wrist splints in adults with inflammatory arthritis

, : A crossover trial of custom-made and commercially available wrist splints in adults with inflammatory arthritis. Arthritis and Rheumatism 51(5): 792-799

Objective. To compare the effect of 3 wrist splints (2 prefabricated commercial splints and 1 custom made) on perceived wrist pain, hand function, and perceived upper extremity function in adults with inflammatory arthritis. Methods. Subjects (n = 45, mean age 49 years, mean disease duration 8.6 years) were randomly assigned to treatment order in a 3-phase crossover trial. Splints were worn for 4 weeks, separated by 1-week washouts. Outcomes were assessed at baseline, after each splint phase and washout period, and at 6 months' followup using a pain visual analog scale (VAS), the Arthritis Hand Function Test, and McMaster-Toronto Arthritis Patient Function Preference questionnaire. Data were analyzed with multivariate analyses of variance (MANOVAs), t-tests, and chi-square tests. Results. There did not appear to be order or carryover effects. MANOVA indicated that wrist splints significantly reduced pain (P = 0.007). The custom leather splint was most effective in reducing pain, from 4.1 cm to 2.8 cm on the VAS (P = 0.001). All splints improved hand strength, and the commercial Rolyan splint provided significantly stronger grip than the Anatech commercial splint (P = 0.04). In contrast to previous studies, splints did not compromise dexterity. There were several significant differences among splints, depending on the outcome measure. Improvements were maintained at 6 months. Conclusion. After 4 weeks' use, wrist splints reduce pain, improve strength, and do not compromise dexterity. Similar improvements were achieved with the custom leather splint and Rolyan commercial splint, which were superior to the Anatech commercial splint.


PMID: 15478158

DOI: 10.1002/art.20699

Other references

Patil, M.D.; Gupta, B.M., 1988: Effect of bean common mosaic virus on the growth and yield of cowpea (Vigna unguiculata (L.) Walp.). In the greenhouse and the field, bean common mosaic potyvirus significantly reduced the height, and the fresh and dry weights of shoot and root on inoculation. The number of pods/plant was significantly affected, but not the number of seeds/pod.

Vestermark, V.; Christensen, I.; Kay, L.; Windfeldt, M., 1990: Spontaneous intra-uterine total rupture of a velamentous umbilical cord; a case report. A case of spontaneous intra-uterine total rupture of a velamentous umbilical cord is reported. Shortly after delivery of an exsanguinated stillborn, a completely separated cord was spontaneously delivered. At its insertion the umbilical cord was v...

Gunnlaugsson, H.P.; Rasmussen, H.; Madsen, M.B.; Nornberg, P., 2009: Inhomogeneity of basaltic rocks at Gusev Crater on Mars. Abstracts of Papers Submitted to the Lunar and Planetary Science Conference 40

Gougoulias, N.E.; Varitimidis, S.E.; Bargiotas, K.A.; Dovas, T.N.; Karydakis, G.; Dailiana, Z.H., 2010: Skeletal muscle hydatid cysts presenting as soft tissue masses. Muscle hydatidosis is rare, accounting only for 3-5% of all cases. We present a case series of 9 patients (8 male, one female, mean age 59.3 years, range 48-75 years) with primary echinococcosis of skeletal muscles. The cysts presented as soft tis...

Gamiz Garcia, L.; Luque D.C.stro, M.D., 1997: Development and validation of a flow-injection method for the determination of albumin tannate, the active component of a pharmaceutical preparation. A flow-injection analysis method for the determination of albumin tannate in tablets is reported. After optimization of the variables involved, the method has been characterized and validated in terms of calibration using three procedures: repeata...

Macritchie, D., 1893: An Alleged Mongoloid Race in Europe. Science 21(529): 162-163

Naumov, R.L.; Gutova, V.P.; Ershova, A.S.; Papel'nitskaya, N.P., 1994: Borrelia infection of taiga ticks in the West Sayans. The paper provides microscopic findings of taiga ticks collected for the causative agent of Lyme's disease in May to July 1993 in the West Sayans. A total of 1,016 specimens were examined, among them 124 (12.2%) were found to have Borreliae....

Brown D.J.; Hunter A., 1984: The effect of thioacetamide on sulfobromophthalein and ouabain transport in isolated rat hepatocytes. The uptake and release of sulfobromophthalein (BSP) and ouabain were studied in hepatocytes isolated from rats which received thioacetamide (TA) (1, 2 or 4 mmol/kg) 6, 12, 24, 48 or 72 h before sacrifice. The effects of TA (1 mmol/kg) on hepatocyt...

Sawlewicz, J.; Saczewski, F., 1978: Synthesis of HBB analogs with potential antiviral activity. Acta Poloniae Pharmaceutica 35(4): 507-507

Percy, A.K.; Moore, J.F.; Waechter, C.J., 1984: Phosphoglyceride biosynthesis by brain microsomes: centrophenoxine, SaH-42-348, and DH-990 inhibit phospholipid N-methylation. The effects of centrophenoxine, SaH-42-348, and DH-990 on several enzymes involved in aminophospholipid biosynthesis in brain have been examined in vitro. Relatively high concentrations of centrophenoxine were required to achieve 50% inhibition of...