{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,10]],"date-time":"2026-04-10T03:52:16Z","timestamp":1775793136236,"version":"3.50.1"},"reference-count":22,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2014,3,6]],"date-time":"2014-03-06T00:00:00Z","timestamp":1394064000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J of Rheum Dis"],"published-print":{"date-parts":[[2016,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>Custom\u2010made splints may be useful in the conservative treatment of osteoarthritis (<jats:styled-content style=\"fixed-case\">OA<\/jats:styled-content>) of trapeziometacarpal (<jats:styled-content style=\"fixed-case\">TMC<\/jats:styled-content>) joint <jats:styled-content style=\"fixed-case\">OA<\/jats:styled-content>. Our aim was to evaluate usefulness of a custom\u2010made splint and educational program in patients with symptomatic <jats:styled-content style=\"fixed-case\">TMC<\/jats:styled-content> joint <jats:styled-content style=\"fixed-case\">OA<\/jats:styled-content> in daily clinical practice.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Fifty patients with symptomatic <jats:styled-content style=\"fixed-case\">TMC<\/jats:styled-content> joint <jats:styled-content style=\"fixed-case\">OA<\/jats:styled-content>, not treated with surgery, were enrolled in a open prospective study in a clinical day setting and treated with a \u2018butterfly\u2019 custom\u2010made thermoplastic short opponens splint to be worn 16\u00a0h\/day for 30\u00a0days and then when needed, for 12\u00a0months. Patients were evaluated at enrolment (T0), at the first month (T1) and at the 12th month (T2) since splint application for pain (main outcome measure) by numeric rating scale 0\u201310. At T0 and T1, a Jamar dynamometer (kg) was used to assess hand strength, a pinch gauge to evaluate pinch strength (kg) and Dreiser test to assess hand disability (secondary outcome measures).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The comparison between T0 and T1 showed a significant improvement in all the outcome measures (<jats:italic>P\u00a0<\/jats:italic>&lt;<jats:italic>\u00a0<\/jats:italic>0.0001 for pain, muscle and pinch strength; <jats:italic>P\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>0.001 for Dreiser test). Moreover, at the end of 12\u00a0months follow\u2010up, patients maintained the reduction of pain (T2 <jats:italic>vs<\/jats:italic>. T1, <jats:italic>P<\/jats:italic>\u00a0=\u00a0<jats:styled-content style=\"fixed-case\">NS<\/jats:styled-content>) and showed a reduced consumption of analgesics (<jats:italic>P\u00a0<\/jats:italic>&lt;<jats:italic>\u00a0<\/jats:italic>0.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>A custom\u2010made thermoplastic short opponens splint for 30 consecutively days for at least 16\u00a0h\/day, followed by occasional use on pain outbreak is an useful conservative treatment in symptomatic <jats:styled-content style=\"fixed-case\">TMC<\/jats:styled-content> joint <jats:styled-content style=\"fixed-case\">OA<\/jats:styled-content>.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1756-185x.12318","type":"journal-article","created":{"date-parts":[[2014,3,6]],"date-time":"2014-03-06T06:58:39Z","timestamp":1394089119000},"page":"773-780","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Is an intervention with a custom\u2010made splint and an educational program useful on pain in patients with trapeziometacarpal joint osteoarthritis in a daily clinical setting?"],"prefix":"10.1111","volume":"19","author":[{"given":"Susanna","family":"Maddali\u2010Bongi","sequence":"first","affiliation":[{"name":"Division of Medicine Department of Experimental and Clinical Medicine University of Florence Florence Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Angela","family":"Del Rosso","sequence":"additional","affiliation":[{"name":"Division of Medicine Department of Experimental and Clinical Medicine University of Florence Florence Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Felice","family":"Galluccio","sequence":"additional","affiliation":[{"name":"Division of Medicine Department of Experimental and Clinical Medicine University of Florence Florence Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fabrizio","family":"Sigismondi","sequence":"additional","affiliation":[{"name":"Associazione Multidisciplinare Riabilitazione Reumatologica (AMuRR) Florence Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marco","family":"Matucci\u2010Cerinic","sequence":"additional","affiliation":[{"name":"Division of Medicine Department of Experimental and Clinical Medicine University of Florence Florence Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,3,6]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/ard.2004.023564"},{"key":"e_1_2_8_3_1","first-page":"677","article-title":"Prevalence and burden of osteoarthritis: results from a population survey in Norway","volume":"35","author":"Grotle M","year":"2008","journal-title":"J Rheumatol"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/ard.50.7.467"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1053\/joca.2001.0460"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/ard.2009.104562"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200407000-00013"},{"key":"e_1_2_8_8_1","doi-asserted-by":"crossref","first-page":"2614","DOI":"10.2106\/00004623-200512000-00003","article-title":"Prevalence of osteoarthrosis of the trapeziometacarpal joint","volume":"87","author":"Sodha S","year":"2005","journal-title":"J Bone Joint Surg Am"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/ard.2006.062091"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-150-10-200905190-00003"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.2340\/16501977-0542"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/acr.20427"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2474-11-253"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445-5994.2009.01960.x"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.4081\/reumatismo.2012.1"},{"key":"e_1_2_8_16_1","doi-asserted-by":"crossref","first-page":"661","DOI":"10.2106\/00004623-196951040-00004","article-title":"A study of the basal joint of the thumb. 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