Attitudes, beliefs and common practices of hand therapists for base of thumb osteoarthritis in Australia (The ABC Thumb Study)

Vicky Duong, Kim L. Bennell, Leticia A. Deveza, Jillian P. Eyles, Paul W. Hodges, Melanie A. Holden, David J. Hunter, Ray Jongs, Donna Knapp, Yifang Mei, Bill Vicenzino, Anne Wajon, Sarah R. Robbins

Research output: Contribution to journalArticleResearchpeer-review

Abstract

Introduction: The purpose of this study was to identify attitudes, beliefs and common practices of hand therapists in Australia regarding assessment and management of base of thumb osteoarthritis. Methods: Monthly emails with a link to a 57-item cross-sectional survey were sent to members of the Australian Hand Therapy Association between November 2015 and February 2016. The survey included a case scenario of a patient with base of thumb osteoarthritis with questions about assessment and non-pharmacological and non-surgical treatment interventions for this case. Participants also rated their agreement with a series of 20 attitude and belief statements on a 6-point Likert scale. Data underwent descriptive analysis. Results: A total of 124 therapists accessed the survey, of which 77 (62%) returned completed answers and 47 (38%) partially completed it. The majority were occupational therapists (n = 92, 74%), and the remaining were physiotherapists. The most common clinical assessment methods used for base of thumb osteoarthritis were palpation (96%), range of motion (90%), the grind test (85%), and pain on opposition across the palm (82%). The commonly reported treatments included a combination of orthosis prescription (92%), pain education (78%), heat (75%) and exercise (74%). Conclusion: The findings highlight commonly used assessment tools and treatments for a typical patient with base of thumb osteoarthritis. Despite the low response rate, there is consistency among general treatment for base of thumb osteoarthritis. Variation exists within the specifics of exercise and orthosis prescription. The results of the survey reflect the lack of standardised recommendations for the management of base of thumb osteoarthritis.

LanguageEnglish
Pages19-27
Number of pages9
JournalHand Therapy
Volume23
Issue number1
DOIs
Publication statusPublished - 1 Mar 2018

Fingerprint

Thumb
Osteoarthritis
Hand
Orthotic Devices
Prescriptions
Exercise
Therapeutics
Pain
Palpation
Physical Therapists
Articular Range of Motion
Cross-Sectional Studies
Hot Temperature
Education
Surveys and Questionnaires

Keywords

  • carpometacarpal
  • Osteoarthritis
  • physiotherapy
  • scaphotrapeziotrapezoidal
  • thumb

Cite this

Duong, V., Bennell, K. L., Deveza, L. A., Eyles, J. P., Hodges, P. W., Holden, M. A., ... Robbins, S. R. (2018). Attitudes, beliefs and common practices of hand therapists for base of thumb osteoarthritis in Australia (The ABC Thumb Study). Hand Therapy, 23(1), 19-27. https://doi.org/10.1177/1758998317731437
Duong, Vicky ; Bennell, Kim L. ; Deveza, Leticia A. ; Eyles, Jillian P. ; Hodges, Paul W. ; Holden, Melanie A. ; Hunter, David J. ; Jongs, Ray ; Knapp, Donna ; Mei, Yifang ; Vicenzino, Bill ; Wajon, Anne ; Robbins, Sarah R. / Attitudes, beliefs and common practices of hand therapists for base of thumb osteoarthritis in Australia (The ABC Thumb Study). In: Hand Therapy. 2018 ; Vol. 23, No. 1. pp. 19-27.
@article{52cbc58b67fd44179f85e391dc31a0e5,
title = "Attitudes, beliefs and common practices of hand therapists for base of thumb osteoarthritis in Australia (The ABC Thumb Study)",
abstract = "Introduction: The purpose of this study was to identify attitudes, beliefs and common practices of hand therapists in Australia regarding assessment and management of base of thumb osteoarthritis. Methods: Monthly emails with a link to a 57-item cross-sectional survey were sent to members of the Australian Hand Therapy Association between November 2015 and February 2016. The survey included a case scenario of a patient with base of thumb osteoarthritis with questions about assessment and non-pharmacological and non-surgical treatment interventions for this case. Participants also rated their agreement with a series of 20 attitude and belief statements on a 6-point Likert scale. Data underwent descriptive analysis. Results: A total of 124 therapists accessed the survey, of which 77 (62{\%}) returned completed answers and 47 (38{\%}) partially completed it. The majority were occupational therapists (n = 92, 74{\%}), and the remaining were physiotherapists. The most common clinical assessment methods used for base of thumb osteoarthritis were palpation (96{\%}), range of motion (90{\%}), the grind test (85{\%}), and pain on opposition across the palm (82{\%}). The commonly reported treatments included a combination of orthosis prescription (92{\%}), pain education (78{\%}), heat (75{\%}) and exercise (74{\%}). Conclusion: The findings highlight commonly used assessment tools and treatments for a typical patient with base of thumb osteoarthritis. Despite the low response rate, there is consistency among general treatment for base of thumb osteoarthritis. Variation exists within the specifics of exercise and orthosis prescription. The results of the survey reflect the lack of standardised recommendations for the management of base of thumb osteoarthritis.",
keywords = "carpometacarpal, Osteoarthritis, physiotherapy, scaphotrapeziotrapezoidal, thumb",
author = "Vicky Duong and Bennell, {Kim L.} and Deveza, {Leticia A.} and Eyles, {Jillian P.} and Hodges, {Paul W.} and Holden, {Melanie A.} and Hunter, {David J.} and Ray Jongs and Donna Knapp and Yifang Mei and Bill Vicenzino and Anne Wajon and Robbins, {Sarah R.}",
year = "2018",
month = "3",
day = "1",
doi = "10.1177/1758998317731437",
language = "English",
volume = "23",
pages = "19--27",
journal = "Hand Therapy",
issn = "1758-9983",
publisher = "Asiaweek Ltd.",
number = "1",

}

Duong, V, Bennell, KL, Deveza, LA, Eyles, JP, Hodges, PW, Holden, MA, Hunter, DJ, Jongs, R, Knapp, D, Mei, Y, Vicenzino, B, Wajon, A & Robbins, SR 2018, 'Attitudes, beliefs and common practices of hand therapists for base of thumb osteoarthritis in Australia (The ABC Thumb Study)', Hand Therapy, vol. 23, no. 1, pp. 19-27. https://doi.org/10.1177/1758998317731437

Attitudes, beliefs and common practices of hand therapists for base of thumb osteoarthritis in Australia (The ABC Thumb Study). / Duong, Vicky; Bennell, Kim L.; Deveza, Leticia A.; Eyles, Jillian P.; Hodges, Paul W.; Holden, Melanie A.; Hunter, David J.; Jongs, Ray; Knapp, Donna; Mei, Yifang; Vicenzino, Bill; Wajon, Anne; Robbins, Sarah R.

In: Hand Therapy, Vol. 23, No. 1, 01.03.2018, p. 19-27.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - Attitudes, beliefs and common practices of hand therapists for base of thumb osteoarthritis in Australia (The ABC Thumb Study)

AU - Duong, Vicky

AU - Bennell, Kim L.

AU - Deveza, Leticia A.

AU - Eyles, Jillian P.

AU - Hodges, Paul W.

AU - Holden, Melanie A.

AU - Hunter, David J.

AU - Jongs, Ray

AU - Knapp, Donna

AU - Mei, Yifang

AU - Vicenzino, Bill

AU - Wajon, Anne

AU - Robbins, Sarah R.

PY - 2018/3/1

Y1 - 2018/3/1

N2 - Introduction: The purpose of this study was to identify attitudes, beliefs and common practices of hand therapists in Australia regarding assessment and management of base of thumb osteoarthritis. Methods: Monthly emails with a link to a 57-item cross-sectional survey were sent to members of the Australian Hand Therapy Association between November 2015 and February 2016. The survey included a case scenario of a patient with base of thumb osteoarthritis with questions about assessment and non-pharmacological and non-surgical treatment interventions for this case. Participants also rated their agreement with a series of 20 attitude and belief statements on a 6-point Likert scale. Data underwent descriptive analysis. Results: A total of 124 therapists accessed the survey, of which 77 (62%) returned completed answers and 47 (38%) partially completed it. The majority were occupational therapists (n = 92, 74%), and the remaining were physiotherapists. The most common clinical assessment methods used for base of thumb osteoarthritis were palpation (96%), range of motion (90%), the grind test (85%), and pain on opposition across the palm (82%). The commonly reported treatments included a combination of orthosis prescription (92%), pain education (78%), heat (75%) and exercise (74%). Conclusion: The findings highlight commonly used assessment tools and treatments for a typical patient with base of thumb osteoarthritis. Despite the low response rate, there is consistency among general treatment for base of thumb osteoarthritis. Variation exists within the specifics of exercise and orthosis prescription. The results of the survey reflect the lack of standardised recommendations for the management of base of thumb osteoarthritis.

AB - Introduction: The purpose of this study was to identify attitudes, beliefs and common practices of hand therapists in Australia regarding assessment and management of base of thumb osteoarthritis. Methods: Monthly emails with a link to a 57-item cross-sectional survey were sent to members of the Australian Hand Therapy Association between November 2015 and February 2016. The survey included a case scenario of a patient with base of thumb osteoarthritis with questions about assessment and non-pharmacological and non-surgical treatment interventions for this case. Participants also rated their agreement with a series of 20 attitude and belief statements on a 6-point Likert scale. Data underwent descriptive analysis. Results: A total of 124 therapists accessed the survey, of which 77 (62%) returned completed answers and 47 (38%) partially completed it. The majority were occupational therapists (n = 92, 74%), and the remaining were physiotherapists. The most common clinical assessment methods used for base of thumb osteoarthritis were palpation (96%), range of motion (90%), the grind test (85%), and pain on opposition across the palm (82%). The commonly reported treatments included a combination of orthosis prescription (92%), pain education (78%), heat (75%) and exercise (74%). Conclusion: The findings highlight commonly used assessment tools and treatments for a typical patient with base of thumb osteoarthritis. Despite the low response rate, there is consistency among general treatment for base of thumb osteoarthritis. Variation exists within the specifics of exercise and orthosis prescription. The results of the survey reflect the lack of standardised recommendations for the management of base of thumb osteoarthritis.

KW - carpometacarpal

KW - Osteoarthritis

KW - physiotherapy

KW - scaphotrapeziotrapezoidal

KW - thumb

UR - http://www.scopus.com/inward/record.url?scp=85043579270&partnerID=8YFLogxK

U2 - 10.1177/1758998317731437

DO - 10.1177/1758998317731437

M3 - Article

VL - 23

SP - 19

EP - 27

JO - Hand Therapy

T2 - Hand Therapy

JF - Hand Therapy

SN - 1758-9983

IS - 1

ER -