Resumen
Este caso reporte describe cómo los terapeutas y las personas con artritis reumatoide (AR) pueden trabajar juntos para entender los problemas en las manos causados por la enfermedad y cómo los ortesis de movimiento relativo (OMR) pueden ser utilizados para ayudar a manejar esos problemas.
Los casos ilustran el uso adaptativo y/o protector de las OMR para la malformación de los dedos, subluxación de tendones, dolor articular e inestabilidad en la mano.
Además, se destaca la importancia de trabajar con los pacientes para seleccionar el tipo de OMR que mejor se adapte a sus necesidades individuales y contextos de uso.
En resumen, este artículo proporciona información práctica para fisioterapeutas que trabajan con pacientes con AR y problemas de mano relacionados.
La importancia de la RM ortesis en la fisioterapia
El presente artículo destaca la relevancia de incorporar la RM ortesis en el ámbito de la fisioterapia en las clínicas especializadas. La experiencia compartida demuestra cómo esta herramienta puede guiar una terapia efectiva y, por consiguiente, mejorar los tratamientos ofrecidos a los pacientes. No cabe duda de que la innovación en el sector es fundamental para optimizar los resultados terapéuticos.
Abstract original
Partnering with people living with rheumatoid arthritis for care of their hands: Four case reports using relative motion orthoses
Study design: Case report.
Introduction: Despite better disease control with more effective medications, people with rheumatoid arthritis (RA) continue to experience persistent and fluctuating levels of pain, swelling and functional limitations in their hands.
Purpose: To describe therapists and people living with RA working together to understand what could be occurring in their hands because of the RA and how relative motion (RM) orthoses may be used to self-manage common hand RA related problems.
Methods: Case reports are used to demonstrate how patient self-report, clinical exam, and observation of hand movement and function are integrated into the design of RM orthoses for individuals with RA. The cases are supported by photos and videos, including a personal narrative video exploring 1 persons' personal perspective on their use of RM orthoses.
Results: Case reports illustrate adaptive and/or protective RME orthoses use for RA related finger malalignment, tendon subluxation, joint pain and instability in the hand. The narrative video also introduces a person living with RA, who speaks candidly about her multiple RM orthoses and how she decides which orthosis is "best" for a given activity and the current level of RA related problems in her hands.
Discussion: It is not unusual for individuals with RA to have multiple RM orthoses, made for different purposes and fabricated from different materials. Mulitple RM orthosis options allows a person to select what is "best" for them, depending on the context of use and priorities or needs.
Conclusion: Partnering with people living with RA to understand how to use simple, low-profile, adaptive and protective RM orthoses may be an effective way to support self-management of common RA related hand problems.
| Autores | Lynne M Feehan Alison Hoens Julianne Wright Howell |
| revista | J Hand Ther |
| DOI | 10.1016/j.jht.2023.01.001 |