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Current practice patterns in conservative thumb CMC joint care: survey results.
Virginia H O'Brien1, Jamie L McGaha2
1University of Minnesota Medical Center, Fairview, Fairview Hand Center, Minneapolis, MN, USA.
Summary
Hand therapists use varied methods for thumb carpometacarpal joint (CMCJ) pain. More consistent use of functional outcome measures is recommended for better patient outcomes in conservative care pathways.
Area of Science:
- Orthopedics
- Occupational Therapy
- Rehabilitation Medicine
Background:
- Conservative care for thumb carpometacarpal joint (CMCJ) pain lacks well-defined best practice pathways in current literature.
- Understanding current clinical practice patterns is essential for improving patient care.
Purpose of the Study:
- To investigate the current assessment and conservative intervention practices of hand therapists for patients experiencing thumb CMCJ pain.
- To identify variations and potential areas for improvement in the management of thumb CMCJ pain.
Main Methods:
- A cross-sectional descriptive survey was conducted.
- The survey was distributed online to members of the American Society of Hand Therapists (ASHT).
- Data collected included evaluation measures and intervention techniques used for thumb CMCJ pain, followed by descriptive analysis.
Main Results:
- A 23.5% response rate was achieved from ASHT membership.
- Survey results indicated varied utilization of evaluation measures and therapeutic interventions, including orthotics, joint protection, and patient education.
- Interventions were categorized using the International Classification of Functioning and Disability (ICF) domains.
Conclusions:
- Hand therapists employ a broad range of interventions targeting body functions and structures for thumb CMCJ pain.
- There is a need for more consistent application of psychometrically-sound functional outcome measures assessing activities and participation.
- Future research should explore environmental and personal factors influencing thumb CMCJ pain management.
