A Systematic Review of Conservative Interventions for Osteoarthritis of the Hand

Study DesignSystematic Review.IntroductionHand therapy interventions for patients with hand osteoarthritis (OA) can include splinting, joint protection technique instruction, paraffin, exercises, and provision of a home exercise program.PurposeExamine the quality of the evidence regarding the hand therapy interventions for hand OA.MethodsTwenty-one studies dated between 1986 and 2009 were included in the systematic review for analysis.ResultsThe current evidence provides varied support for the interventions of orthotics, hand exercises, joint protection techniques, the utilization of adaptive devices, and paraffin. Findings for the use of joint protection techniques are supported for improvements in function and pain reduction. Minimal evidence exists for paraffin used for the treatment of hand OA.ConclusionsThe current literature supports the use of orthotics, hand exercises, application of heat, and joint protection education combined with provision of adaptive equipment to improve grip strength and function.Level of Evidence2A.