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The rheumatoid hand: orthotics as preventative
1Department of Orthopaedics and Rehabilitation, University of Miami School of Medicine, FL.
Seminars in Arthritis and Rheumatism
|October 1, 1991
Summary
This study discusses rheumatoid arthritis (RA) hand disease treatment, emphasizing early splinting and rehabilitation to prevent contractures. Timely intervention minimizes long-term hand dysfunction in RA patients.
Area of Science:
- Rheumatology
- Hand Surgery
- Physical Therapy
Background:
- Rheumatoid arthritis (RA) frequently affects the hands, leading to significant functional impairment.
- Effective management of hand disease in RA is crucial for maintaining patient quality of life.
Purpose of the Study:
- To discuss the treatment of hand disease in rheumatoid arthritis (RA) patients.
- To review current data on hand splinting, functional assessment, and RA staging.
- To provide recommendations for optimal splinting strategies in RA management.
Main Methods:
- Review of existing literature on hand splinting in RA.
- Analysis of methods for evaluating hand function.
- Examination of RA staging techniques.
Main Results:
- Splinting is a key component in managing RA hand disease.
- Early intervention with splinting is associated with better outcomes.
- Appropriate splinting can help prevent or minimize contractures.
Conclusions:
- Early and proactive splinting, before or during surgery, is recommended for RA patients.
- Rehabilitation and appropriate splinting are vital for minimizing contractures and preserving hand function in RA.
- A comprehensive approach including functional assessment and staging aids in tailoring treatment plans.