Effect of custom made splint in first carpo-metacarpal joint Osteoarthritis: A Quincy Experiments

Abstract Custom- made splints are in use of treatment of osteoarthritis but there are very few studies in this regards i.e.  effectiveness of use of these custom-made splints. So this present Quincy experiment interventional study was conducted to evaluate the effectiveness of custom-made splints (short dynamic splint) on pain, function, grip strength and key pinch in patients with first carpometacarpal (CMC) joint OA (grade 2nd and 3rd) in comparison to conventional treatment. Sixty patients with CMC joint osteoarthritis were randomly assigned to the splint (group A) or non splint group B) treatment. So 30 CMC joint osteoarthritis patients (grade 2nd and 3rd)were given custom-made splints (short dynamic splint)and 30 CMC joint OA (grade 2nd and 3rd)were given conventional treatment. Both groups were comparable statistically in both the groups (P>0.05) as per age, sex etc. In follow up assessment at 4th & 8th week, the Splint group shows significant improvement in all the outcomes (pain, grip and pinch strength) measures at all follow up except DASH score improvement at 2nd follow up in comparison to non splint group. So it can be concluded that the splint group shows significant improvement in all the outcomes (pain, grip and pinch strength) measures at all follow up except DASH score improvement at 2nd follow up in comparison to non splint group. Result of present study supports that rehabilitation intervention (Short Custom-Made splint) can significantly benefits to individuals with early osteoarthritis and by it we can delay the need for surgical intervention.

Keywords: CMC joint osteoarthritis, custom-made splints.

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