Postoperative rehabilitation following thumb base surgery: A systematic review of the literature

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dc.authorid0000-0002-4169-6302
dc.contributor.authorWouters, Robbert M.
dc.contributor.authorTsehaie, Jonathan
dc.contributor.authorHovius, Steven E. R.
dc.contributor.authorDilek, Burcu
dc.contributor.authorSelles, Ruud W.
dc.date.accessioned10.07.201910:49:13
dc.date.accessioned2019-07-10T19:50:34Z
dc.date.available10.07.201910:49:13
dc.date.available2019-07-10T19:50:34Z
dc.date.issued2018
dc.departmentİstanbul Medipol Üniversitesi, Sağlık Bilimleri Fakültesi, Fizyoterapi ve Rehabilitasyon Bölümü
dc.descriptionWOS: 000433381200016
dc.descriptionPubMed ID: 29030095
dc.description.abstractObjective: To provide an overview of rehabilitation for patients who underwent first carpometacarpal joint (CMC-1) arthroplasty, with emphasis on early active mobilization. Data Sources: PubMed/MEDLINE, Embase, CINAHL, and Cochrane were searched. Study Selection: Articles written in English that described the postoperative regimen (including immobilization period/method and/or description of exercises/physical therapy, follow-up 6wk) on CMC-1 arthroplasty were included. Data Extraction: The Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement was used as guidance in this review, and methodological quality was assessed using the Effective Public Health Practice Project quality assessment tool. Randomized studies were additionally scored using the Physiotherapy Evidence Database scale. Data Synthesis: Twenty-seven studies were included consisting of 1015 participants, in whom 1118 surgical procedures were performed. A summary of the components of postoperative rehabilitation used in the included studies of CMC-1 osteoarthritis is presented for different surgical interventions. We found that early active recovery (including short immobilization, early initiation of range of motion and strength exercises) provides positive outcomes for pain, limitations in activities of daily living, and grip and pinch strength, but comparative studies are lacking. Furthermore, 3 postoperative exercises/therapy phases were identified in the literature-the acute phase, the unloaded phase, and the functional phase-but again comparative studies are lacking. Conclusions: Early active recovery is used more often in the literature and does not lead to worse outcomes or more complications. This systematic review provides guidance for clinicians in the content of postoperative rehabilitation for CMC-1 arthroplasty. The review also clearly identifies the almost complete lack of high-quality comparative studies on postoperative rehabilitation after CMC-1 arthroplasty.
dc.identifier.citationWouters, R., Tsehaie, J., Hovius, S., Dilek, B. ve Selles, R. (2018). Postoperative rehabilitation following thumb base surgery: A systematic review of the literature. Archives of Physical Medicine and Rehabilitation, 99(6), 1177-1212. https://dx.doi.org/10.1016/j.apmr.2017.09.114
dc.identifier.doi10.1016/j.apmr.2017.09.114
dc.identifier.endpage1212
dc.identifier.issn0003-9993
dc.identifier.issn1532-821X
dc.identifier.issue6
dc.identifier.scopusqualityQ1
dc.identifier.startpage1177
dc.identifier.urihttps://dx.doi.org/10.1016/j.apmr.2017.09.114
dc.identifier.urihttps://hdl.handle.net/20.500.12511/2021
dc.identifier.volume99
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherW B Saunders Co-Elsevier Inc
dc.relation.ispartofArchives of Physical Medicine and Rehabilitationen_US
dc.relation.publicationcategoryDiğer
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectArthroplasty
dc.subjectCarpometacarpal Joints
dc.subjectOsteoarthritis
dc.subjectRehabilitation
dc.subjectThumb
dc.titlePostoperative rehabilitation following thumb base surgery: A systematic review of the literature
dc.typeReview Article

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