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espanolEl tratamiento de la osteoartritis (OA) tiene como primer objetivo reducir el dolor y mejorar la funcion de la articulacion afectada. La primera indicacion para el tratamiento conservador de la rizartrosis es la inmovilizacion. La intencion de inmovilizar es proveer soporte a la articulacion carpometacarpiana (CMC) del pulgar mientras se permiten movimientos funcionales de la mano. Hay una variedad de ortesis para el pulgar disponibles, tanto prefabricadas como hechas a medida, y en diferentes tipos de material. Lamentablemente no hay lineamientos especificos del tipo de ortesis adecuada para la OA de la articulacion CMC. El abordaje del Terapista Ocupacional incluye la consideracion de la utilizacion de ortesis. Ademas el Terapista Ocupacional confecciona ortesis termoconformadas hechas a medida EnglishThe treatment of osteoarthritis (OA) has as its primary objective to reduce pain and improve function of the affected joint. The first indication for conservative treatment is immobilization. The intention is to provide support to immobilize the carpometacarpal (CMC) of the thumb while functional hand movements are allowed. There are a variety of thumb splints available, both prefabricated and custommade, and different types of material. Unfortunately there are no specific guidelines on the type of correct splint for OA of the CMC joint. The Occupational Therapist approach includes consideration of the use of orthotics. Objective: Analyze the effect of two different splints: thermoformed orthotics immobilizing the CMC and metacarpophalangeal (MCP) joints of the thumb vs. the thermoformed orthotics immobilizing the CMC joint, on hand function and pain in individuals with CMC OA.

Comparación de ortesis para el tratamiento de la artrosis de la base del pulgar