The College of Occupational Therapists (2015) has published the Hand and wrist orthoses for adults with rheumatological conditions: practice guideline for occupational therapists. The publication, although written for occupational therapists, will be relevant to physiotherapists, hand therapists, orthotists and others who prescribe or use orthoses.
The guideline covers the treatment of adults who may benefit from a hand or wrist orthosis as an intervention for a rheumatological condition. It provides specific evidence-based recommendations which describe the most appropriate care or action to be taken. The recommendations are intended to be used alongside the therapist’s clinical expertise and aims to support their decision-making and clinical reasoning with respect to the prescription of orthoses. The guideline was developed following a process accredited by the National Institute for Health and Care Excellence (NICE) and covers three key areas: rheumatoid arthritis: orthoses for activity and rest; osteoarthritis: base of thumb orthoses and optimising service user outcomes.
Alongside the guideline a Quick Reference Guide is available with other implementation tools. The College of Occupational Therapists (2015) Hand and wrist orthoses for adults with rheumatological conditions: practice guideline for occupational therapists is available from the COT website.