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(Reference retrieved automatically from Web of Science through information on FAPESP grant and its corresponding number as mentioned in the publication by the authors.)

Orthosis for rhizarthrosis: A systematic review and meta-analysis

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Author(s):
Meireles, Sandra Mara [1] ; Jones, Anamaria [1] ; Natour, Jamil [1]
Total Authors: 3
Affiliation:
[1] Univ Fed Sao Paulo, Escola Paulista Med, Rheumatol Div, Sao Paulo, SP - Brazil
Total Affiliations: 1
Document type: Review article
Source: SEMINARS IN ARTHRITIS AND RHEUMATISM; v. 48, n. 5, p. 778-790, APR 2019.
Web of Science Citations: 0
Abstract

Objective: investigating the effectiveness of orthosis for rhizarthrosis by means of a systematic review and meta-analysis. Methods: A systematic review was carried out using eight electronic databases. The randomized controlled trials included were those presenting subjects using orthosis for rhizarthrosis compared with individuals without orthosis or other rehabilitation interventions, as well as studies that compared different types of orthosis. The systematic review was performed according to the Cochrane methodology. The statistical software Review Manager 5.3 was employed to analyze the data. Results: Fourteen studies were included in the review and three of them participated in the meta-analysis. The orthosis group had a reduction in pain in the long term as compared to the control group with a statistically significant difference, a medium effect size, and low-quality evidence {[}Effect size -0.52, Confidence Interval 95% -0.94 to -0.11, p = 0.01), I-2 = 50%]. The orthosis group presented improvements regarding function in the long term as compared to control group, with a statistically significant difference, a medium effect size, and moderate quality of evidence {[}Effect size -0.44, Confidence Interval 95% -0.72 to -0.15, p = 0.002), I-2 = 0%]. Conclusion: the orthosis for rhizarthrosis presents low-quality evidence for reducing pain in the long term and moderate evidence for an increase in function in the long term. Since imprecision and inconsistency of the data were aspects which influenced the quality of the evidence, future studies with larger samples and standardized data are needed. (C) 2018 Elsevier Inc. All rights reserved. (AU)

FAPESP's process: 13/11720-4 - EFFECTIVENESS OF ORTHOSIS FOR RHIZARTHROSIS STUDY I: ORTHOSIS FOR RHIZARTHROSIS: A SYSTEMATIC REVIEW. STUDY II: COMPARISON OF EFFECTIVENESS BETWEEN FUNCTIONAL AND NIGHTTIME ORTHOSIS USE FOR RHIZARTHROSIS: RANDOMIZED, CONTROLLED, BLINDED, CLINICAL TRIAL.
Grantee:Sandra Mara Meireles Adolph
Support Opportunities: Scholarships in Brazil - Post-Doctoral