背景:据我们所知,对于拇指腕掌(CMC)骨关节炎患者,尚未研究职业表现在关节保护技术教育中的应用.
目的:本病例系列旨在调查诊所内基于职业的指导是否有用,并作为拇指CMC关节关节炎患者的教育工具是否令人满意。
方法:三名拇指CMC关节骨关节炎患者进行冲洗,冲洗,烘干盘子,移动锅和平底锅,操纵洗衣篮,除了常规治疗外,在治疗诊所与熟练的手治疗师进行关节保护教育期间,从投手中倾倒。通过3个问题的满意度调查评估了对该干预措施的满意度。通过拇指残疾检查在基线和4周随访时评估具有活动和功能的疼痛。
结果:本研究中的患者对将职业表现纳入其临床中的联合保护教育表示满意。在10点数字疼痛评定量表上,活动疼痛平均改善1.7/10,在拇指残疾检查上,功能平均改善10.04。
结论:虽然本研究中没有因果关系,手治疗师应考虑将职业干预作为拇指CMC关节骨关节炎患者关节保护教育的组成部分.
To our knowledge, the use of occupational performance in education on joint protection techniques has not been studied for individuals with thumb carpometacarpal (CMC) osteoarthritis.
This
case series was designed to investigate if occupation-based instruction inside the clinic was useful and found satisfactory as an educational tool for individuals with thumb CMC joint arthritis.
Three participants with thumb CMC joint osteoarthritis performed washing, rinsing, and drying a dish, moving a pot and pan, maneuvering a laundry basket, and pouring from a pitcher during joint protection education in the therapy clinic with a skilled hand therapist in addition to routine treatment. Satisfaction with this intervention was assessed via a 3-question satisfaction survey. Pain with activity and function via the Thumb Disability Examination were assessed at baseline and a 4week follow up.
Patients in this study expressed satisfaction with the inclusion of the performance of occupations in their joint protection education in the clinic. Pain with activity improved by an average of 1.7/10 on a 10-point Numeric Pain Rating Scale and function improved by an average of 10.04 on the Thumb Disability Examination.
Although no causal relationships can be assumed in this study, hand therapists should consider adding occupation-based intervention as a component of patient education on joint protection for individuals with thumb CMC joint osteoarthritis.