alexa Researching the Effectiveness of Therapeutic Interventions for Carpometacarpal Osteoarthritis | Open Access Journals
ISSN: 2157-7595
Journal of Yoga & Physical Therapy
Like us on:
Make the best use of Scientific Research and information from our 700+ peer reviewed, Open Access Journals that operates with the help of 50,000+ Editorial Board Members and esteemed reviewers and 1000+ Scientific associations in Medical, Clinical, Pharmaceutical, Engineering, Technology and Management Fields.
Meet Inspiring Speakers and Experts at our 3000+ Global Conferenceseries Events with over 600+ Conferences, 1200+ Symposiums and 1200+ Workshops on
Medical, Pharma, Engineering, Science, Technology and Business

Researching the Effectiveness of Therapeutic Interventions for Carpometacarpal Osteoarthritis

Kristin Valdes*

Rocky Mountain University of Health Professions, Provo, Utah, USA

*Corresponding Author:
Kristin Valdes,
OTD, OT, CHT
Rocky Mountain University of Health Professions
Provo, Utah, USA
Tel: 941 468-5500
E-mail: [email protected]

Received Date: December 23, 2013; Accepted Date: January 27, 2014; Published Date: January 31, 2014

Citation: Valdes K (2014) Researching the Effectiveness of Therapeutic Interventions for Carpometacarpal Osteoarthritis. J Yoga Phys Ther 4:153. doi: 10.4172/2157-7595.1000153

Copyright: © 2014 Valdes K. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


Visit for more related articles at Journal of Yoga & Physical Therapy

The carpometacarpal (CMC) joint of the thumb plays a vital role in optimal hand function. The thumb CMC joint is frequently affected by osteoarthritis (OA), a degenerative condition that can result in deterioration of the joint surfaces [1,2]. Individuals with CMC joint OA have decreased grip strength that impacts hand function and their ability to perform resistive grip tasks and seemingly simple tasks such as wringing out washcloths and performing meal preparation tasks [3,4]. The purpose of this short communication is to enhance the readers understanding the clinical reasoning that is required of therapists that prescribe exercises to individuals with CMC OA of and to illustrate the need for further research in this area.

A systematic review looking at the efficacy of conservative interventions for CMC OA was published and found that conservative interventions such as orthotic provision, hand exercises, application of heat, joint protection education, and the provision of adaptive equipment improve grip strength and function [5].

The efficacy of exercise was established in the systematic review but it was found that there was much disparity between the exercise interventions for the CMC joint that were analyzed in the review. A comprehensive literature review was performed and data was gathered from bench studies that looked at the biomechanical forces that act on the CMC joint. The findings from the bench studies characterized the causes of instability at the basal thumb joint resulting from ligament instability and contact forces. This information led to the publication of an article that proposed an exercise program based on the findings of the bench studies [6].

More recent collaborative work with Jorge Villafañe has gathered data on grip and pinch strength, the validity of the measuring instruments used to assess pinch and grip, and thumb and finger abduction strength in a population of 70 to 90 year old females with CMC OA and normal controls [7]. Another study aimed to establish the cutoff values scores for minimal clinically important difference (MCID) of grip, tripod pinch, and tip pinch for patients that have CMC OA. The concept of the MCID refers to the smallest difference in a score that is considered to be worthwhile or important [8]. Women with CMC OA demonstrated 10 Kg mean lower grip strength (6.2 Kg) when compared to healthy controls (16.8 Kg) (p<0.01). The MCID from baseline score in this patient population was 0.84 Kg for grip, 0.33 Kg for tip and 0.35 Kg for tripod pinch for the affected right hand. It was also found that maximum handgrip strength and pinch strength can be measured reliably, using the Jamar hand dynamometer and pinch meter, in patients with thumb CMC OA, which enables its use in research and in the clinic to determine the effect on interventions on improving grip.

The CMC joint and the effectiveness of the interventions that therapists provide to improve and restore hand strength and function provide a fascinating research topic. Further research studies may positively affect the outcomes and interventions that therapists provide to their patients with CMC OA.

References

Select your language of interest to view the total content in your interested language
Post your comment

Share This Article

Recommended Conferences

Article Usage

  • Total views: 11597
  • [From(publication date):
    January-2014 - Oct 19, 2017]
  • Breakdown by view type
  • HTML page views : 7825
  • PDF downloads :3772
 

Post your comment

captcha   Reload  Can't read the image? click here to refresh

Peer Reviewed Journals
 
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2017-18
 
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

Agri, Food, Aqua and Veterinary Science Journals

Dr. Krish

[email protected]

1-702-714-7001 Extn: 9040

Clinical and Biochemistry Journals

Datta A

[email protected]

1-702-714-7001Extn: 9037

Business & Management Journals

Ronald

[email protected]

1-702-714-7001Extn: 9042

Chemical Engineering and Chemistry Journals

Gabriel Shaw

[email protected]

1-702-714-7001 Extn: 9040

Earth & Environmental Sciences

Katie Wilson

[email protected]

1-702-714-7001Extn: 9042

Engineering Journals

James Franklin

[email protected]

1-702-714-7001Extn: 9042

General Science and Health care Journals

Andrea Jason

[email protected]

1-702-714-7001Extn: 9043

Genetics and Molecular Biology Journals

Anna Melissa

[email protected]

1-702-714-7001 Extn: 9006

Immunology & Microbiology Journals

David Gorantl

[email protected]

1-702-714-7001Extn: 9014

Informatics Journals

Stephanie Skinner

[email protected]

1-702-714-7001Extn: 9039

Material Sciences Journals

Rachle Green

[email protected]

1-702-714-7001Extn: 9039

Mathematics and Physics Journals

Jim Willison

[email protected]

1-702-714-7001 Extn: 9042

Medical Journals

Nimmi Anna

[email protected]

1-702-714-7001 Extn: 9038

Neuroscience & Psychology Journals

Nathan T

[email protected]

1-702-714-7001Extn: 9041

Pharmaceutical Sciences Journals

John Behannon

[email protected]

1-702-714-7001Extn: 9007

Social & Political Science Journals

Steve Harry

[email protected]

1-702-714-7001 Extn: 9042

 
© 2008-2017 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version
adwords