WRIST SPLINTS IN RHEUMATOID-ARTHRITIS - A QUESTION OF BELIEF

被引：21

作者：

SPOORENBERG, A ^{[1
]}

BOERS, M ^{[1
]}

VANDERLINDEN, S ^{[1
]}

机构：

[1] UNIV LIMBURG HOSP,DEPT MED,DIV RHEUMATOL,POB 5800,6202 AZ MAASTRICHT,NETHERLANDS

来源：

CLINICAL RHEUMATOLOGY | 1994年 / 13卷 / 04期

关键词：

RHEUMATOID ARTHRITIS; SPLINTS; COMPLIANCE;

D O I：

10.1007/BF02242994

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Wrist splints are often used in the treatment of rheumatoid arthritis (RA). We applied a questionnaire to RA patients and rheumatologists to assess wrist splint use and to assess the policy of prescription. We related the reported use to patient satisfaction, severity of disease and physician's advice. Of 44 RA patients admitted to our hospital in 1990, 32 received one or more splints. Most patients (23) had both a wrist immobilization splint and a wrist activity splint (Futuro(R) cockup splint). The response rate to the questionnaire sent to all (n = 109) Dutch rheumatologists was 83%; 89 of 91 rheumatologists prescribed splints. Each rheumatologists prescribed yearly a mean of 30 immobilization splints (min-max: 2-120) and 51 activity splints (min-max: 4-170). Both types were mainly prescribed to relieve pain and reduce inflammation. From the patients' point of view, only the wrist activity splints were worth regular and continued use. Our findings suggest that if one prescribed splints, more attention should be paid to patient education and compliance.

引用

页码：559 / 563

页数：5

共 13 条

[1]

Partridge R.E.H., Duthie J.J.R., Controlled trial of the effects of complete immobilization of the joints in rheumatoid arthritis, Annals of the Rheumatic Diseases, 22, pp. 91-99, (1963)

[2]

Gault S.J., Spyker J.M., Beneficial effect of immobilization of joints in rheumatoid arthritis and related arthritides, Arthritis Rheum, 12, pp. 34-44, (1969)

[3]

Biddulph S.L., The effect of the Futuro wrist brace in painful conditions of the wrist, S Afr Med J, 60, pp. 389-391, (1981)

[4]

Falconer J., Hand splinting in rheumatoid arthritis, Arthritis Care Res, 4, pp. 81-86, (1991)

[5]

Nicholas J.J., Gruen H., Weiner G., Crawshaw C., Taylor F., Splinting in rheumatoid arthritis: factors affecting patient compliance, Arch Phys Med Rehabil, 63, pp. 92-94, (1982)

[6]

Belcon M.C., Haynes R.B., Tugwell P., A critical review of compliance studies in rheumatoid arthritis, Arthritis Rheum, 27, pp. 1227-1233, (1984)

[7]

Bradley L.A., Adherence with treatment regiments among adult rheumatoid arthritis patients: current status and future directions, Arthritis Care & Research, 2, pp. 33-39, (1989)

[8]

Oakes T.W., Ward J.R., Gray R.M., Klauber M.R., Moody P.H., Family expectations and arthritis patients compliance to hand resting splint regimen, J Chron Dis, 22, pp. 757-764, (1970)

[9]

Feinberg F., Brandt K.D., Use of resting splints by patients with rheumatoid arthritis, Am J Occupational Therapy, 35, pp. 173-178, (1981)

[10]

Moon M.H., Compliance in splint wearing behavior of patients with rheumatoid arthritis, NZ Med J, 83, pp. 360-365, (1976)

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