Splints/orthotics in juvenile rheumatoid arthritis
Muggli E
Record ID 32003000703
English
Authors' objectives:
This aim of this report was to assess whether splints/orthotics improve function, range of motion and decrease pain and deformity in children with juvenile chronic arthritis, juvenile rheumatoid arthritis (JCA) or juvenile idiopathic arthritis.
Authors' recommendations:
- Three articles were reviewed that met inclusion and exclusion criteria.
- These articles were exclusively before and after intervention case series.
- One study assessed a night Seton skin traction (axis of tibea) combined with a daytime modified Engens extension orthosis. The children were aged between 12 months and six years.
- Although orthoses were not adequately applied, night traction was used for sufficiently long periods of time in all patients. This resulted in a reduction of knee flexion contractures with an improvement in active as well as passive range of motion.
- Two studies compared ready-made wrist splints (Tweeklon or Droitwich) with custom-made orthoplast cock-up splints. The children in one study were aged between 4 and 16 years and in the other, they were over 12 years old. Overall ready-made splints and custom-made splints resulted in an improvement of dexterity.
- One study reported that both splints (Droitwich plus custom-made) corrected ulnar deviation another study, which used the Tweeklon plus a custom-made splint, reported no effect on ulnar deviation.
- The studies did not assess any effect on pain, however one study reported that pain was not a prominent feature.
Authors' methods:
Review
Details
Project Status:
Completed
URL for project:
http://www.med.monash.edu.au/healthservices/cce/evidence/
Year Published:
2002
English language abstract:
An English language summary is available
Publication Type:
Not Assigned
Country:
Australia
MeSH Terms
- Arthritis
- Child
- Orthotic Devices
- Splints
Contact
Organisation Name:
Centre for Clinical Effectiveness
Contact Address:
Monash Institute of Health Services Research, Block E, Monash Medical Centre, Locked Bag 29, Clayton, Victoria 3168, Australia. Tel: +61 3 9594 7505; Fax: +61 3 9594 7552.
Contact Name:
cce@med.monash.edu.au.
Contact Email:
cce@med.monash.edu.au.
Copyright:
Centre for Clinical Effectiveness (CCE)
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.