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Updated: Aug 30, 2026

A Structured Rehabilitation Protocol for Improved Multifunctional Prosthetic Control: A Case Study
Published on: November 6, 2015
[Rhizarthrosis and orthotic treatment. Review of literature]
A Dupeyron1, S Ehrler, M E Isner-Horobeti
1Service de médecine physique et réadaptation, hôpital de Hautepierre, avenue Molière, 67098, Strasbourg, France.
Objectives:
Trapeziometacarpal arthritis or rhizarthrosis is extremely frequent. Numerous treatments are available including drugs, physiotherapy, use of orthotic devices, surgery, etc. Few of these methods have been really evaluated. We propose a critical review of the literature on orthotic treatment in rhizarthrosis.
Materials And Methods:
Review of the results of hand splint used in rhizarthrosis from eight studies published over the last ten years.
Results:
Resting hand splints offer lasting and significant pain relief with a satisfactory compliance. They should be applied early in treatment and evaluated with regular follow-up. The drop-out rate is about 10%. Working hand splints, either alone or associated with a resting splint are also efficient. These is no modification in either the force or the ranges of motion. The functional benefit is satisfactory if the follow-up allows some tolerance and thus an optimal compliance.
Conclusion:
The major interest of the use of splinting is analgesia. The pain releif obtained with splint is similar when used alone or with a working hand splint. Working hand splint can improve hand function during vocational and avocational activities.

