APPENDIX B SAMPLE ORTHOSIS CARE AND USE SHEET
Cleaning your Orthosis: The plastic portion of your orthosis can be cleaned using soap and warm water. DO NOT wash orthosis in hot water, as it will melt. Stains can be removed from the orthosis with a scouring cleanser containing chlorine. Rinse and dry the orthosis, and be sure to dry the padding if needed. The straps and orthotic liners can be washed gently and line dried. These components need to be replaced for long-term orthosis usage. Orthosis with Attachments If your orthosis was fabricated with rubber bands or hardware to improve motion, be sure to follow the recommendations below: ● A light, steady pull is better than a hard or forceful pull. ● To achieve optimum comfort and benefit from your orthosis, the tension can be adjusted according to your therapist’s instructions. Please sign your name below to confirm your understanding of these instructions. Please retain this portion for your records. _________________________________________________________ I have been instructed in the care and use of my orthosis as described above and have been provided a copy of this information. Client __________________________________ Date __________ ● National Institute of Arthritis and Musculoskeletal and Skin Diseases http://www.niams.nih.gov ● National Institute on Aging http://www.nia.nih.gov Telephone: 1-800-222-2225 ● The American Occupational Therapy Association http://www.aota.org Telephone: 1-800-377-8555 ● The American Physical Therapy Association http://www.apta.org Telephone: 1-800-999-APTA ● The American Society of Hand Therapists http://www.asht.org Guglielmo, D., Murphy, L. B., Boring, M. A., Theis, K. A., Helmick, C. G., Hootman, J. M., Odom, E. L., Carlson, S. A., Liu, Y., Lu, H., & Croft, J. B. (2019). State-specific severe joint pain and physical inactivity among adults with arthritis, United States 2017. Morbidity and Mortality Weekly Report, 68 (17), 381-387. doi: 10.15585/mmwr.mm6817a2 Hammond, A., Jones, V., & Prior, Y. (2016). The effects of compression gloves on hand symptoms and hand function in rheumatoid arthritis and hand osteoarthritis: A systematic review. Clinical Rehabilitation, 30 (3), 213-224. Hand Therapy Certification Commission (HTCC). (2022). The CHT credential . https://htcc. org/about-htcc/CHT-Credential Harvard Health Publications. (2017). Living well with osteoarthritis: A guide to keeping your joints healthy . https://www.health.harvard.edu/pain/living-well-with-osteoarthritis-a-guide-to- relieving-the-pain-and-caring-for-your-joints Hauser, R. A., Ostergaard, S., & Santilli, S. (2012). Stabilization of rheumatoid thumb interphalangeal joint boutonniere deformity and severe subluxation with splinting and prolotherapy: A case report. Journal of Prolotherapy, 4 , e849-e854. Heinegård, D., & Saxne, T. (2011). The role of cartilage matrix in osteoarthritis. Nature Reviews: Rheumatology, 7 (1), 50-56. doi: 10.1038/nrrheum.2010.198 Herrero-Beaumont, G., Roman-Blas, J. A., Castaneda, S., & Jimenez, S. A. (2009). Primary osteoarthritis no longer primary: Three subsets with distinct etiological, clinical, and therapeutic characteristics. Seminars in Arthritis and Rheumatism, 39 (2), 71-80. Hochberg, M. C., Altman, R. D., April, K. T., Benkhalti, M., Guyatt, G., McGowan, J., Towheed, T., Welch, V., Wells, G., & Tugwell, P. (2012). American College of Rheumatology 2012 recommendations for the use of nonpharmacologic and pharmacologic therapies in osteoarthritis of the hand, hip, and knee . Arthritis Care & Research, 64 (4), 465-474. Holme, T. J., Karbowiak, M., Clements, J., Sharma, R., Craik, J., & Ellahee, N. (2021). Thumb CMCJ prosthetic total joint replacement: A systematic review. EFORT Open Reviews, 6 (5), 316-330. doi: 10.1302/2058-5241.6.200152 Howes, L. G. (2007). Selective COX-2 inhibitors, NSAIDs and cardiovascular events: Is celecoxib the safest choice? Therapeutics and Clinical Risk Management, 3 (5), 831-845. Huang, A. R., Mallet, L., Rochefort, C. M., Eguale, T., Buckeridge, D. L., & Tamblyn, R. (2012). Medication-related falls in the elderly: Causative factors and preventive strategies. Drugs & Aging, 29 (5), 359-376. Hunter, D. J., & Lo, G. H. (2008). The management of osteoarthritis: An overview and call to appropriate conservative treatment. Rheumatic Disease Clinics of North America, 34 (3), 689-712. Kalichman, L., & Hernandez-Molina, G. (2010). Hand osteoarthritis: An epidemiological perspective. Seminars in Arthritis and Rheumatism, 39 (6), 465-476. doi: 10.1016/j. semarthrit.2009.03.001 Katz, J. N., Arant, K. R., & Loeser, R. F. (2021). Diagnosis and treatment of hip and knee osteoarthritis: A review. JAMA, 325 (6), 568-578. Kennedy, C. A., Beaton, D. E., Solway, S., McConnell, S., & Bombardier, C. (2011). Disabilities of the arm, shoulder and hand (DASH). In The DASH and QuickDASH outcome measure user’s manual (3rd ed.). Institute for Work & Health. Khorashadi, L., Chew, F., & Ha, A. (2012). Radiologic guide to surgical treatment of first carpometacarpal joint osteoarthritis. American Journal or Roentgenology, 198 (5), 1152-1160. Knight, K. L., & Draper, D. O. (2013). Therapeutic modalities: The art and science . Lippincott Williams & Wilkins. Law, M., Baptiste, S., Carswell, A., McColl, M. A., Polatajko, H., & Pollock, N. (2014). Canadian occupational performance measure (5th ed.). CAOT. Leibovic, S. J. (2007). Arthrodesis of the interphalangeal joints with headless compression screws. Journal of Hand Surgery, 32 (7), 1113-1119.
Name _________________________________________________ Therapist _______________________________ Date __________ Type and purpose of orthosis: _____________________________ ________________________________________________________ ________________________________________________________ Wearing schedule: ______________________________________ Special considerations for application: ____________________ Precautions: ● Keep your orthosis away from open flames, as it will burn. ● Avoid exposing the orthosis to temperatures above 135 degrees Fahrenheit. ● Do not leave the orthosis in a car or near a heat vent. ● Do not adjust the orthosis. ● Contact your therapist (XXX-XXX-XXXX) for adjustments or if any of the following occur: ○ Reddened areas on your skin lasting longer than 20 minutes. ○ Additional swelling, pain, or stiffness. ○ Numbness. Resources ● American College of Rheumatology http://www.rheumatology.org ● American Society for Surgery of the Hand: Goniometry/ Range of Motion Norm Values http://www.eatonhand.com/cht/cht044.htm ● Arthritis Foundation http://www.arthritis.org ● E-hand.com: The electronic textbook of hand surgery http://www.eatonhand.com/ References Agency for Healthcare Research and Quality (AHRQ). (2020). Self-management support. https://www.ahrq.gov/ncepcr/tools/self- mgmt/self.html Akaltun, M. S., Altindag, O., Turan, N., Gursoy, S., & Gur, A. (2021). Efficacy of high intensity laser therapy in knee osteoarthritis: A double-blind controlled randomized study. Clinical Rheumatology, 40 , 1989-1995 Altman, R., Alarcon, G., Appelrouth, D., Bloch, D., Borenstein, D., Brandt, K., Brown, C., Cooke, T. D., Daniel, W., & Gray, R. (1990). The American College of Rheumatology criteria for the classification and reporting of osteoarthritis of the hand. Arthritis & Rheumatism, 33 (11), 1601-1610. American Occupational Therapy Association (AOTA). (2020). Occupational therapy practice framework: Domain and process (4th ed.). American Journal of Occupational Therapy, 74 (Suppl. 2), 7412410010. https://doi.org/10.5014/ajot.2020.74S2001 American Physical Therapy Association (APTA). (n.d.). Becoming a PT. https://www.apta.org/ your-career/careers-in-physical- therapy/becoming-a-pt Amoako, A. O., & Pujalte, G. G. A. (2014). Osteoarthritis in young, active, and athletic individuals. Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders, 7 , 27-32. doi: 10.4137/CMAMD.S14386 Arthritis Foundation. (n.d.). Osteoarthritis. https://www.arthritis.org/diseases/osteoarthritis Badia, A. (2011). Management of the osteoarthritic thumb carpometacarpal joint. In T. Skirven, A. L., Osterman, J. Fedorczyk, & P. C. Amadio (Eds.), Rehabilitation of the hand and upper extremity (6th ed.; pp. 1356-1365). Elsevier. Beasley, J. (2011). Therapist’s examination and conservative management of arthritis of the upper extremity. In T. Skirven, A. L. Osterman, J. Fedorczyk, & P. C. Amadio (Eds.), Rehabilitation of the hand and upper extremity (6th ed.; pp. 1330-1343). Elsevier. Beasley, J. (2012). Osteoarthritis and rheumatoid arthritis: Conservative therapeutic management. Journal of Hand Therapy, 25 (2), 163-172. Bednar, J., Feldscher, S., & Seftchick, J. (2011). Wrist reconstruction: Salvage procedures. In T. Skirven, A. L. Osterman, J. Fedorczyk, & P. C. Amadio (Eds.), Rehabilitation of the hand and upper extremity (6th ed.; pp. 1024-1033). Elsevier. Bellew, J. W., Michlovitz, S. L., & Nolan Jr., T. P. (2016 ). Michlovitz’s modalities for therapeutic intervention (6th ed.). F.A. Davis. Bielefeld, T., & Neumann, D. (2011). Therapist’s management of the thumb carpometacarpal joint with osteoarthritis. In T. Skirven, A. L. Osterman, J. Fedorczyk, & P. C. Amadio (Eds.), Rehabilitation of the hand and upper extremity (6th ed.; pp. 1366-1376). Elsevier. Cannon, N. (2020). Diagnosis and treatment manual for physicians and therapists (5th ed.). Indiana Hand to Shoulder Center. Chen, C. C., & Bode, R. K. (2010). Psychometric validation of the Manual Ability Measure-36 (MAM-36) in clients with neurologic and musculoskeletal disorders. Archives of Physical Medicine and Rehabilitation, 91 (3), 414-420. Cole, B. J., & Schumacher, H. R. (2005). Injectable corticosteroids in modern practice. Journal of the American Academy of Orthopaedic Surgeons, 13 (1), 37-46. Cooper, C. (2020). Fundamentals of hand therapy: Clinical reasoning and treatment guidelines for common diagnoses of the upper extremity (3rd ed.). Mosby. Dewing, K. A., Setter, S. M., & Slusher, B. (2012). Osteoarthritis and rheumatoid arthritis 2012: Pathophysiology, diagnosis, and treatment. The Clinical Advisor: For Nurse Practitioners, 15 (10), i–vi. Duerinckx, J., & Verstreken, F. (2022). Total joint replacement for osteoarthritis of the carpometacarpal joint of the thumb: Why and how? EFORT Open Reviews, 7 (6), 349-355. doi: 10.1530/EOR-22-0027 Gabay, O., & Gabay, C. (2013). Hand osteoarthritis: New insights. Joint Bone Spine, 80 (2), 130-134.
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