User perspectives on orthoses for thumb carpometacarpal osteoarthritis |
| |
| Affiliation: | 1. University of Groningen, University Medical Center Groningen, Department of Rehabilitation Medicine, Groningen, The Netherlands;2. Rehabilitation Center ‘Revalidatie Friesland’, Beetsterzwaag, The Netherlands;1. Department of Plastic, Reconstructive and Hand Surgery, Erasmus Medical Center, Rotterdam, the Netherlands;2. Hand and Wrist Center, Xpert Clinic, Rotterdam, the Netherlands;3. Department of Rehabilitation Medicine, Erasmus Medical Center, Rotterdam, the Netherlands;4. Center for Hand Therapy, Handtherapie Nederland, Utrecht, the Netherlands;1. Department of Health Sciences, Rehabilitation and Functional Performance Postgraduate Program, School of Medicine of Ribeirão Preto, University of São Paulo, Ribeirao Preto, São Paulo, Brazil;2. Department of Occupational Science and Occupational Therapy, University of Toronto, Toronto, Ontario, Canada;3. Laboratory of Biomechanics and Motor Control, School of Physical Education and Sport of Ribeirao Preto, University of São Paulo, São Paulo, Brazil;1. Midwestern University Occupational Therapy Department, Glendale, AZ, USA;2. Orfit Industries America, Physical Rehabilitation, Jericho, NY, USA;1. Department of Occupational Therapy, Tan Tock Seng Hospital, Singapore;2. Department of Epidemiology, Singapore Clinical Research Institute, Singapore;1. Center for Hand Therapy, Handtherapie Nederland, Utrecht;2. Department of Plastic, Reconstructive and Hand Surgery, Erasmus MC, University Medical Center, Rotterdam;3. Department of Rehabilitation Medicine, Erasmus MC, University Medical Center, Rotterdam;4. Hand and Wrist Center, Xpert Clinic, Rotterdam;5. Department of Plastic Surgery, Radboud University Medical Center, Nijmegen, the Netherlands |
| |
| Abstract: | Study DesignQualitative and interpretive description.IntroductionOrthoses are often the first-choice treatment for thumb carpometacarpal osteoarthritis (CMCOA). It is unknown to what extent the orthoses are used in the way intended by health professionals and why patients continue using the orthoses despite minimal pain reduction.Purpose of the StudyThe purpose of this study is to investigate user perspectives and experiences with 2 types of CMCOA orthoses.MethodsSemistructured interviews were conducted with 16 individuals with CMCOA who used the Push-Ortho-Thumb-Brace-CMC (Nea International BV, Netherlands) and a custom-made orthosis. The data were analyzed using the phenomenological and the framework approach.ResultsFour men and 12 women participated (mean age, 57 years; half of whom were employed). Five central phenomena were identified, explaining the essence of the relation between user and orthosis: the orthosis as stabilizer, tool, healer, preventer, and nuisance. Users mentioned better appearance and the ability to do a variety of activities as advantages of the Push-Ortho-Thumb-Brace-CMC and better support and the ability to do strenuous activities as advantages of the custom-made orthosis. The central phenomena were related to the users' understanding of the disease process and the working mechanism of the orthoses and affected the patterns of usage and orthosis preference.DiscussionIt is recommended that the provider recognizes user perspectives and discusses the disease process of CMCOA along with the working mechanism of the orthosis to support therapy adherence.ConclusionsThere is a wide variety in usage patterns of the CMCOA orthoses, which are influenced by different user perspectives. |
| |
| Keywords: | CMC-I osteoarthritis Orthosis Framework approach Phenomenology User perspectives |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
