Comparison between Care Strategies for Patients with Osteoarthritis of the Hands Based on the Use of Joint Protection, Assistive Technology and Exercises  

作　　者：Daniele dos Santos Scarcella Talita Dias da Silva Victoria Yanara Hernandes da Silva Maria Cândida de Miranda Luzo Selma Lancman Marcia Uchoa de Rezende Carlos Bandeira de Mello Monteiro Daniele dos Santos Scarcella;Talita Dias da Silva;Victoria Yanara Hernandes da Silva;Maria Cândida de Miranda Luzo;Selma Lancman;Marcia Uchoa de Rezende;Carlos Bandeira de Mello Monteiro(Instituto de Ortopedia e Traumatologia, Hospital das Clnicas HCFMUSP, Faculdade de Medicina, Universidade de So Paulo, So Paulo, Brazil;Programa de Ps-Graduao em Cincias da Reabilitao, Faculdade de Medicina, Universidade de So Paulo, So Paulo, Brazil;Escola de Artes, Cincias e Humanidades, Universidade de So Paulo, So Paulo, Brazil)

机构地区：[1]Instituto de Ortopedia e Traumatologia, Hospital das Clnicas HCFMUSP, Faculdade de Medicina, Universidade de So Paulo, So Paulo, Brazil [2]Programa de Ps-Graduao em Cincias da Reabilitao, Faculdade de Medicina, Universidade de So Paulo, So Paulo, Brazil [3]Escola de Artes, Cincias e Humanidades, Universidade de So Paulo, So Paulo, Brazil

出　　处：《Open Journal of Orthopedics》2024年第7期295-311,共17页矫形学期刊（英文）

摘　　要：Background: Osteoarthritis (OA) is a disabling disease that can affect 6% to 12% of the adult population and more than a third of people over 65 years of age. Purpose: To assess whether a group of people with hand osteoarthritis (hOA) who received different types of treatment improved their function after two years of follow-up. Method: The entire sample (n = 97) underwent three follow-up assessments regarding anthropometric parameters of the upper limbs and ability to perform functional activities. Subsequently, the sample was divided into two groups for the intervention periods, called the First Period (n = 73) and the Second Period (n = 24);the First Period kept the same protocol with orientations, and the Second Period went to an intervention with orientation strength exercises and use of orthosis. Findings: In the separate analysis of the three questions of the DASH pain module, no differences were found between the assessment moments for groups of guidelines, treatment, or symptoms. Significant effects were observed for F(2, 162) = 3.5, p = 0.033, η2 = 0.04, and interaction for moments and intervention F(2, 162) = 4.3, p = 0.016, η2 = 0.05. Implications: It can be concluded that only guidance treatment does not benefit patients with hand osteoarthritis. In contrast, guidance, exercise, and orthosis treatment can significantly improve the disease.Background: Osteoarthritis (OA) is a disabling disease that can affect 6% to 12% of the adult population and more than a third of people over 65 years of age. Purpose: To assess whether a group of people with hand osteoarthritis (hOA) who received different types of treatment improved their function after two years of follow-up. Method: The entire sample (n = 97) underwent three follow-up assessments regarding anthropometric parameters of the upper limbs and ability to perform functional activities. Subsequently, the sample was divided into two groups for the intervention periods, called the First Period (n = 73) and the Second Period (n = 24);the First Period kept the same protocol with orientations, and the Second Period went to an intervention with orientation strength exercises and use of orthosis. Findings: In the separate analysis of the three questions of the DASH pain module, no differences were found between the assessment moments for groups of guidelines, treatment, or symptoms. Significant effects were observed for F(2, 162) = 3.5, p = 0.033, η2 = 0.04, and interaction for moments and intervention F(2, 162) = 4.3, p = 0.016, η2 = 0.05. Implications: It can be concluded that only guidance treatment does not benefit patients with hand osteoarthritis. In contrast, guidance, exercise, and orthosis treatment can significantly improve the disease.

关 键 词：Hand Osteoarthritis Hand Deformities Occupational Therapy 

分 类 号：G63[文化科学—教育学]