Swan neck deformities in rheumatoid arthritis: a qualitative study on the patients' perspectives on hand function problems and finger splints

• DOI: 10.1002/msc.180
• Publication Date: 2010-05-11T10:22:33Z
• Authors: F. J. van der Giesen; R. G. H. H. Nelissen; W. J. van Lankveld; C. Kremers‐Selten; A. J. Peeters; E. B. Stern; S. le Cessie; T. P. M. Vliet Vl...
• Keywords: Splints; Finger joint; Interphalangeal Joint

To identify hand function problems and the reasons for choosing a specific finger splint in patients with rheumatoid arthritis (RA) swan neck deformities. A qualitative study was performed alongside randomized, controlled cross-over trial comparing effectiveness of two types splints (the silver ring [SRS] prefabricated thermoplastic [PTS]) 50 RA Questions on patients' main problem type were at baseline after using each splint. The analyses included identification meaning units (sub)concepts related to preferences. deformities experience flexion initiation, painful proximal interphalangeal joint hyperextension, grip activities comprehensive activities. Reasons preferring or not included: effect, ease use, appearance, comfort side effects. Apart from slipping off negative attitude towards appearance splint, which appeared be more frequently mentioned connection SRS, no clear pattern positive appreciation either could distinguished. variety problems, including impairments functions limitations daily With prescription splints, substantial number potentially consequences their use need taken into account.