Commercial wrist extensor orthoses: A descriptive study of use and preference in patients with rheumatoid arthritis

Erica B. Stern, Steven R Ytterberg, Lea M. Larson, Caroline Parke Portoghese, William N R Kratz, Maren L. Mahowald, Hollis E. Krug

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

Objective. To describe patients' functional uses of 3 commercial wrist orthoses, to describe patients' preference patterns for the orthoses, and to clarify orthotic attributes that are viewed positively and negatively. Methods. Using a cross-overdesign, 42 patients with definite rheumatoid arthritis used each of 3 commercial orthoses for one week. There was a one-week washout between each week of use. At the end of the study, private semi-structured interviews were conducted with each participant. Data from close-ended questions were tabulated. Open-ended data were analyzed using qualitative methods. Results. Patients reported that the 3 commercial wrist orthoses reduced wrist pain similarly, but that comfort and a sense of security during functional tasks were only found if the orthoses were comfortable and well-fitting. Most subjects preferred the padded, short forearm orthosis, though a small number found it uncomfortably warm, and many complained that it was difficult to use when wearing long-sleeved garments. Common complaints about the two elastic orthoses included chafing at the thumb webspace and chafing at the proximal closures. Longer forearm length was often perceived as providing unnecessarily high levels of wrist support. Conclusions. No single orthosis suited all subjects. Satisfaction with an orthosis appears to be based not only on its therapeutic effect, but also the comfort and ease of its use. To maximize patient satisfaction and improve the likelihood of appropriate fit and comfort, several styles of commercial orthoses should be available. The current trend toward restricted clinic stocks appears contrary to both therapeutic goals and patient satisfaction.

Original languageEnglish (US)
Pages (from-to)27-35
Number of pages9
JournalArthritis Care and Research
Volume10
Issue number1
StatePublished - 1997
Externally publishedYes

Fingerprint

Orthotic Devices
Patient Preference
Wrist
Rheumatoid Arthritis
Patient Satisfaction
Forearm
Clothing
Thumb
Therapeutic Uses
Interviews
Pain

Keywords

  • Adherence
  • Occupational
  • Rheumatoid arthritis
  • Therapy
  • Wrist splint

ASJC Scopus subject areas

  • Rheumatology

Cite this

Stern, E. B., Ytterberg, S. R., Larson, L. M., Portoghese, C. P., Kratz, W. N. R., Mahowald, M. L., & Krug, H. E. (1997). Commercial wrist extensor orthoses: A descriptive study of use and preference in patients with rheumatoid arthritis. Arthritis Care and Research, 10(1), 27-35.

Commercial wrist extensor orthoses : A descriptive study of use and preference in patients with rheumatoid arthritis. / Stern, Erica B.; Ytterberg, Steven R; Larson, Lea M.; Portoghese, Caroline Parke; Kratz, William N R; Mahowald, Maren L.; Krug, Hollis E.

In: Arthritis Care and Research, Vol. 10, No. 1, 1997, p. 27-35.

Research output: Contribution to journalArticle

Stern, EB, Ytterberg, SR, Larson, LM, Portoghese, CP, Kratz, WNR, Mahowald, ML & Krug, HE 1997, 'Commercial wrist extensor orthoses: A descriptive study of use and preference in patients with rheumatoid arthritis', Arthritis Care and Research, vol. 10, no. 1, pp. 27-35.
Stern, Erica B. ; Ytterberg, Steven R ; Larson, Lea M. ; Portoghese, Caroline Parke ; Kratz, William N R ; Mahowald, Maren L. ; Krug, Hollis E. / Commercial wrist extensor orthoses : A descriptive study of use and preference in patients with rheumatoid arthritis. In: Arthritis Care and Research. 1997 ; Vol. 10, No. 1. pp. 27-35.
@article{1265369793c84c919e37ecae22a4ca63,
title = "Commercial wrist extensor orthoses: A descriptive study of use and preference in patients with rheumatoid arthritis",
abstract = "Objective. To describe patients' functional uses of 3 commercial wrist orthoses, to describe patients' preference patterns for the orthoses, and to clarify orthotic attributes that are viewed positively and negatively. Methods. Using a cross-overdesign, 42 patients with definite rheumatoid arthritis used each of 3 commercial orthoses for one week. There was a one-week washout between each week of use. At the end of the study, private semi-structured interviews were conducted with each participant. Data from close-ended questions were tabulated. Open-ended data were analyzed using qualitative methods. Results. Patients reported that the 3 commercial wrist orthoses reduced wrist pain similarly, but that comfort and a sense of security during functional tasks were only found if the orthoses were comfortable and well-fitting. Most subjects preferred the padded, short forearm orthosis, though a small number found it uncomfortably warm, and many complained that it was difficult to use when wearing long-sleeved garments. Common complaints about the two elastic orthoses included chafing at the thumb webspace and chafing at the proximal closures. Longer forearm length was often perceived as providing unnecessarily high levels of wrist support. Conclusions. No single orthosis suited all subjects. Satisfaction with an orthosis appears to be based not only on its therapeutic effect, but also the comfort and ease of its use. To maximize patient satisfaction and improve the likelihood of appropriate fit and comfort, several styles of commercial orthoses should be available. The current trend toward restricted clinic stocks appears contrary to both therapeutic goals and patient satisfaction.",
keywords = "Adherence, Occupational, Rheumatoid arthritis, Therapy, Wrist splint",
author = "Stern, {Erica B.} and Ytterberg, {Steven R} and Larson, {Lea M.} and Portoghese, {Caroline Parke} and Kratz, {William N R} and Mahowald, {Maren L.} and Krug, {Hollis E.}",
year = "1997",
language = "English (US)",
volume = "10",
pages = "27--35",
journal = "Arthritis and Rheumatology",
issn = "2326-5191",
publisher = "John Wiley and Sons Ltd",
number = "1",

}

TY - JOUR

T1 - Commercial wrist extensor orthoses

T2 - A descriptive study of use and preference in patients with rheumatoid arthritis

AU - Stern, Erica B.

AU - Ytterberg, Steven R

AU - Larson, Lea M.

AU - Portoghese, Caroline Parke

AU - Kratz, William N R

AU - Mahowald, Maren L.

AU - Krug, Hollis E.

PY - 1997

Y1 - 1997

N2 - Objective. To describe patients' functional uses of 3 commercial wrist orthoses, to describe patients' preference patterns for the orthoses, and to clarify orthotic attributes that are viewed positively and negatively. Methods. Using a cross-overdesign, 42 patients with definite rheumatoid arthritis used each of 3 commercial orthoses for one week. There was a one-week washout between each week of use. At the end of the study, private semi-structured interviews were conducted with each participant. Data from close-ended questions were tabulated. Open-ended data were analyzed using qualitative methods. Results. Patients reported that the 3 commercial wrist orthoses reduced wrist pain similarly, but that comfort and a sense of security during functional tasks were only found if the orthoses were comfortable and well-fitting. Most subjects preferred the padded, short forearm orthosis, though a small number found it uncomfortably warm, and many complained that it was difficult to use when wearing long-sleeved garments. Common complaints about the two elastic orthoses included chafing at the thumb webspace and chafing at the proximal closures. Longer forearm length was often perceived as providing unnecessarily high levels of wrist support. Conclusions. No single orthosis suited all subjects. Satisfaction with an orthosis appears to be based not only on its therapeutic effect, but also the comfort and ease of its use. To maximize patient satisfaction and improve the likelihood of appropriate fit and comfort, several styles of commercial orthoses should be available. The current trend toward restricted clinic stocks appears contrary to both therapeutic goals and patient satisfaction.

AB - Objective. To describe patients' functional uses of 3 commercial wrist orthoses, to describe patients' preference patterns for the orthoses, and to clarify orthotic attributes that are viewed positively and negatively. Methods. Using a cross-overdesign, 42 patients with definite rheumatoid arthritis used each of 3 commercial orthoses for one week. There was a one-week washout between each week of use. At the end of the study, private semi-structured interviews were conducted with each participant. Data from close-ended questions were tabulated. Open-ended data were analyzed using qualitative methods. Results. Patients reported that the 3 commercial wrist orthoses reduced wrist pain similarly, but that comfort and a sense of security during functional tasks were only found if the orthoses were comfortable and well-fitting. Most subjects preferred the padded, short forearm orthosis, though a small number found it uncomfortably warm, and many complained that it was difficult to use when wearing long-sleeved garments. Common complaints about the two elastic orthoses included chafing at the thumb webspace and chafing at the proximal closures. Longer forearm length was often perceived as providing unnecessarily high levels of wrist support. Conclusions. No single orthosis suited all subjects. Satisfaction with an orthosis appears to be based not only on its therapeutic effect, but also the comfort and ease of its use. To maximize patient satisfaction and improve the likelihood of appropriate fit and comfort, several styles of commercial orthoses should be available. The current trend toward restricted clinic stocks appears contrary to both therapeutic goals and patient satisfaction.

KW - Adherence

KW - Occupational

KW - Rheumatoid arthritis

KW - Therapy

KW - Wrist splint

UR - http://www.scopus.com/inward/record.url?scp=84988288938&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84988288938&partnerID=8YFLogxK

M3 - Article

AN - SCOPUS:84988288938

VL - 10

SP - 27

EP - 35

JO - Arthritis and Rheumatology

JF - Arthritis and Rheumatology

SN - 2326-5191

IS - 1

ER -