Custom-made versus prefabricated splints in carpometacarpal joint OA .
Comparison of custom-made and prefabricated neoprene splinting in patients with the first carpometacarpal joint osteoarthritis
Disabil Rehabil Assist Technol. 2013 May;8(3):232-7. doi: 10.3109/17483107.2012.699992. Epub 2012 Jul 17.31 patients with a diagnosis of grade 1 and 2 thumb carpometacarpal joint osteoarthritis were randomized to wear a custom-made splint, a prefabricated splint, or no splint for 4 weeks in a cross-over study design. Following a 2 week washout period, the intervention was changed and the new splint was worn for another 4 weeks. Results indicated that both splints significantly improved pain and function compared to the control group. Following the first 4-week intervention, there were no significant differences between splints in pain, but the custom-made splint produced significantly better improvements in pain following the second 4-week intervention (i.e. at 10 weeks).
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