The effectiveness of working wrist splints in adults with rheumatoid arthritis: A mixed methods systematic review

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dc.contributor.authorRamsey, Luciaen
dc.contributor.authorWinder, Robert Johnen
dc.contributor.authorMcVeigh, Joseph G.en
dc.date.accessioned2024-07-04T14:48:27Z
dc.date.available2024-07-04T14:48:27Z
dc.date.issued2014-04-01en
dc.description.abstractOBJECTIVE: To evaluate the effectiveness of working wrist splints in people with rheumatoid arthritis. DATA SOURCES AND STUDY SELECTION: This review adhered to the Preferred Reporting Items for Systematic reviews and Meta-Analyses guidelines. Ten databases were searched from inception until September 2012 for quantitative and qualitative studies on the effectiveness of working wrist splints in rheumatoid arthritis. DATA EXTRACTION: Data was extracted on participants, interventions, outcome measures and results. Experimental studies were evaluated using the van Tulder scale and the Cochrane Risk of Bias tool. Data was extracted by a single reviewer and all studies were reviewed by two blind reviewers. DATA SYNTHESIS: Twenty-three studies were included in the review (n = 1,492), 13 experimental studies including 9 randomized controlled trials (RCTs) and 2 qualitative studies. Data was summarized using best evidence synthesis and a meta-ethnographical approach guided qualitative evidence synthesis. There is strong quantitative evidence (including 9 RCTs), supported by conclusions from qualitative literature, that working wrist splints reduce pain (d = 0.7-0.8), moderate evidence that grip strength is improved (d = 0.3-0.4) and dexterity impaired and insufficient evidence of their effect on function. CONCLUSIONS: Working wrist splints reduce pain and improve grip in rheumatoid arthritis. The effect of splints on function is not yet clear.en
dc.description.statusPeer revieweden
dc.description.versionPublished Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationRamsey, L., Winder, R. and McVeigh, J. (2014) ‘The effectiveness of working wrist splints in adults with rheumatoid arthritis: A mixed methods systematic review’, Journal of Rehabilitation Medicine, 46(6), pp. 481–492. Available at: https://doi.org/10.2340/16501977-1804en
dc.identifier.doihttps://doi.org/10.2340/16501977-1804en
dc.identifier.endpage492en
dc.identifier.issn1650-1977en
dc.identifier.issued6en
dc.identifier.journaltitleJournal of Rehabilitation Medicineen
dc.identifier.startpage481en
dc.identifier.urihttps://hdl.handle.net/10468/16101
dc.identifier.volume46en
dc.language.isoenen
dc.publisherMedical Journals Swedenen
dc.relation.ispartofJournal of Rehabilitation Medicineen
dc.rights© 2014 The Authors. doi: 10.2340/16501977-1804; J Rehabil Med 46 Journal Compilation © 2014 Foundation of Rehabilitation Informationen
dc.subjectWorking wrist splinten
dc.subjectRheumatoid arthritisen
dc.subjectMixed methods systematic reviewen
dc.titleThe effectiveness of working wrist splints in adults with rheumatoid arthritis: A mixed methods systematic reviewen
dc.typeArticle (peer-reviewed)en
oaire.citation.issue6en
oaire.citation.volume46en
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