tailieunhanh - Báo cáo y học: "Effects of rehabilitative interventions on pain, function and physical impairments in people with hand osteoarthritis: a systematic review"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học General Psychiatry cung cấp cho các bạn kiến thức về ngành y đề tài: Effects of rehabilitative interventions on pain, function and physical impairments in people with hand osteoarthritis: a systematic review. | Ye et al. Arthritis Research Therapy 2011 13 R28 http content 13 1 R28 RESEARCH ARTICLE Open Access Effects of rehabilitative interventions on pain function and physical impairments in people with hand osteoarthritis a systematic review Liuzhen Ye1 2 Leonid Kalichman3 Alicia Spittle2 4 5 Fiona Dobson6 7 Kim Bennell 6 Abstract Introduction Hand osteoarthritis OA is associated with pain reduced grip strength loss of range of motion and joint stiffness leading to impaired hand function and difficulty with daily activities. The effectiveness of different rehabilitation interventions on specific treatment goals has not yet been fully explored. The objective of this systematic review is to provide evidence based knowledge on the treatment effects of different rehabilitation interventions for specific treatment goals for hand OA. Methods A computerized literature search of Medline the Cumulative Index to Nursing and Allied Health Literature CINAHL ISI Web of Science the Physiotherapy Evidence Database PEDro and SCOPUS was performed. Studies that had an evidence level of 2b or higher and that compared a rehabilitation intervention with a control group and assessed at least one of the following outcome measures - pain physical hand function or other measures of hand impairment - were included. The eligibility and methodological quality of trials were systematically assessed by two independent reviewers using the PEDro scale. Treatment effects were calculated using standardized mean difference and 95 confidence intervals. Results Ten studies of which six were of higher quality PEDro score 6 were included. The rehabilitation techniques reviewed included three studies on exercise two studies each on laser and heat and one study each on splints massage and acupuncture. One higher quality trial showed a large positive effect of 12-month use of a night splint on hand pain function strength and range of motion. Exercise had no effect on hand pain or function