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Thumbs Up For Function: Orthoses For The Osteoarthritic CMC Joint

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1.  All of the following orthosis have been reported in the literature to reduce pain with the osteoarthritic carpometacarpal joint EXCEPT:
  1. Comfort Cool
  2. Push MetaGrip
  3. Resting Pan
  4. Rhizo Forte
2.  All of the following outcome measures have been reported in the literature to improve when clients wore a carpometacarpal joint orthosis EXCEPT:
  1. DASH
  2. 9 hole peg
  3. AUSCAN
  4. Sollerman
3.  Which of the following orthosis provides the most joint stability but allows less hand function?
  1. An orthosis that supports the thumb carpometacarpal joint and the metacarpophalangeal joint
  2. An orthosis that supports the thumb carpometacarpal joint only
  3. An orthosis that supports the wrist and thumb carpometacarpal joint only
  4. An orthosis that supports the metacarpophalangeal only
4.  Which of the following orthosis allows the most hand function but allows less joint stability?
  1. An orthosis that supports the thumb carpometacarpal joint and the metacarpophalangeal joint
  2. An orthosis that supports the thumb carpometacarpal joint only
  3. An orthosis that supports the wrist and thumb carpometacarpal joint only
  4. An orthosis that supports the metacarpophalangeal only
5.  Carpometacarpal joint osteoarthritis is seen most commonly in individuals:
  1. Under 20 years of age
  2. 20-40 years of age
  3. 40-60 years of age
  4. Over 60 years of age
6.  Research as demonstrated that by wearing a carpometacarpal joint orthosis an individual with osteoarthritis, can result in:
  1. Increased pain
  2. Decreased pain
  3. Decreased pinch strength
  4. Decreased function
7.  Most of the current research indicates that a carpometacarpal joint orthosis for the treatment of osteoarthritis should be worn:
  1. During heavy or painful activities and at night
  2. Only during heavy or painful activities
  3. Only at night
  4. Only after the application of heat
8.  Wearing the carpometacarpal joint osteoarthritis orthosis resulted increased pinch strength due to joint stability in one study. Which orthosis resulted in the highest gains in pinch strength?
  1. Comfort Cool
  2. Resting Pan
  3. Forearm based thumb spica immobilizing the carpometacarpal joint and metacarpophalangeal joints
  4. Hand based orthosis immobilizing the carpometacarpal joint only
9.  Two studies have reported that clients prefer the following orthosis for the treatment of carpometacarpal joint osteoarthritis:
  1. A hand based orthosis that supports the thumb carpometacarpal joint
  2. An orthosis that supports the wrist and thumb carpometacarpal joint
  3. A Resting Pan orthosis
  4. An orthosis that supports the wrist joint only
10.  The best treatment plan for an individual with carpometacarpal joint osteoarthritis includes:
  1. Only an orthosis
  2. An orthosis and exercise
  3. Joint protection alone
  4. Orthosis, exercise, and joint protection

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