Hand therapy versus corticosteroid injections in the treatment of de Quervain's disease: A systematic review and meta-analysis.
J Hand Ther
; 29(1): 3-11, 2016.
Article
em En
| MEDLINE
| ID: mdl-26705671
ABSTRACT
STUDY DESIGN:
Systematic review with meta-analysis.INTRODUCTION:
Although corticosteroid injections are often cited as best practice in the treatment of de Quervain's disease, no reviews have compared their effectiveness to a multimodal definition of hand therapy.PURPOSE:
To compare the effectiveness of corticosteroid injections with that of i) hand therapy alone and ii) combined hand therapy/corticosteroid injection approaches in the treatment of de Quervain's disease.METHODS:
Searches of key databases were performed to identify experimental studies published between January 1950 and November 2014. Outcome measures included treatment success, pain, quality of life, and function.RESULTS:
Both corticosteroid injections and hand therapy improved pain and function from baseline, but between-group differences were not significant (across 6 studies). However, significantly more participants were treated successfully when combined orthosis/corticosteroid injection approaches were compared to i) orthoses (RR 0.53, 95% CI 0.35-0.80) and ii) injections alone (RR 0.76, 95% CI 0.64-0.89).CONCLUSION:
Combined orthosis/corticosteroid injection approaches are more effective than either intervention alone in the treatment of de Quervain's disease. LEVEL OF EVIDENCE 1a.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Modalidades de Fisioterapia
/
Doença de De Quervain
/
Glucocorticoides
Tipo de estudo:
Guideline
/
Systematic_reviews
Limite:
Humans
Idioma:
En
Revista:
J Hand Ther
Assunto da revista:
REABILITACAO
Ano de publicação:
2016
Tipo de documento:
Article
País de afiliação:
Austrália