Finger dexterity and hand function: Effect of three commercial wrist extensor orthoses on patients with rheumatoid arthritis

Erica B. Stern, Steven R. Ytterberg, Hollis E. Krug, Maren L. Mahowald

Research output: Contribution to journalArticle

25 Scopus citations

Abstract

Objective. To investigate the effect of 3 commercial wrist orthoses on finger dexterity and hand function of patients with rheumatoid arthritis (RA). Methods. Forty-two patients with definite RA participated in the cross-over study comparing 3 styles of commercial wrist orthoses. Finger dexterity and hand function of the dominant hand were assessed while splinted and unsplinted, at the initial session and after a week of intermittent orthosis use. Finger dexterity was assessed using two subtests from the Purdue Pegboard Test (Purdue) and hand function was assessed using the Jebsen-Taylor Hand Function Test (Jebsen-Taylor). Results. Both finger dexterity and hand function were reduced by splinting; men and women were affected similarly. There was no difference in finger dexterity or hand function afforded by the 3 orthoses. Results on both the Purdue and Jebsen-Taylor tests showed a significant learning effect across time. Conclusions. The 3 commercial wrist orthoses studied reduce dexterity similarly and significantly. When commercial wrist orthoses are to be used during tasks that require maximum dexterity, this reduction should be weighed against the known benefits of splinting.

Original languageEnglish (US)
Pages (from-to)197-205
Number of pages9
JournalArthritis and Rheumatism
Volume9
Issue number3
DOIs
StatePublished - Jun 1996

Keywords

  • Learning effect
  • Occupational therapy
  • Wrist splint

ASJC Scopus subject areas

  • Rheumatology

Fingerprint Dive into the research topics of 'Finger dexterity and hand function: Effect of three commercial wrist extensor orthoses on patients with rheumatoid arthritis'. Together they form a unique fingerprint.

  • Cite this