Intervención de la terapia ocupacional en rizartrosis: revisión bibliográfica:
Bibliographic record
Abstract
Objetivos: conocer los efectos de diferentes intervenciones de terapia ocupacional en las personas con rizartrosis, averiguar los tipos de tratamiento que puede realizar un terapeuta ocupacional con personas que sufren rizartrosis e identificar los diferentes tests y escalas estandarizadas que un Terapeuta Ocupacional puede utilizar para conocer la valoracion de la mano con rizartrosis. Metodos: se realizo una revision bibliografica utilizando 5 bases de datos. Fueron seleccionados aquellos articulos relacionados con nuestra pregunta de estudio (tratamiento de la rizartrosis desde la terapia ocupacional) y que habian sido publicados en los ultimos diez anos (junio 2007-julio 2017) en ingles o en espanol y los sujetos comprendian una edad entre 18-65 anos. Resultados: fueron evaluados un total de 8 articulos en los cuales la terapia ocupacional ha mostrado efectos beneficiosos en el mantenimiento de la estabilidad dinamica de la articulacion trapeciometacarpiana, utilizando diferentes tecnicas como proteccion articular, tratamiento ortesico, tratamiento en habilidades motoras finas y ejercicios manuales con el fin de mejorar rango articular y fuerza muscular. Conclusion: existen discrepancias sobre que metodo de tratamiento es el adecuado asi como un consenso en cuanto a la aplicacion de dichas terapias. Ademas de ello, se han analizado las herramientas para la evaluacion de dicha patologia, siendo estas, la Escala Visual Analogica (EVA), el DASH (Disabilities of the arm, shoulder and hand), el AUSCAN (Australian Canadian Osteoarthritis Hand Index) , el Purdue Pegboard y la prueba de O´Connor. Objective: This review aims to identify the effects of different occupational therapy interventions in patients suffering from osteoarthritis of first carpometacarpal joint, to know the types of treatments available for occupational therapists, and to establish various tests and standardized scales that can be applied in the assessment of this condition. Methods: A literature review was carried out using five databases. Articles related to our study, which had been published in the last ten years (June 2007- June 2017) in English or Spanish, were examined. An additional criterion was selecting samples with patients aged between 18 and 65. Results: A total of eight articles were assessed in which occupational therapy has proved to have beneficial effects on maintaining the dynamic stability of the trapeziometacarpal joint, using different techniques such as joint protection, orthotic treatment, treatment of fine motor skills and manual exercises with the aim to improve joint range and muscle strength. Conclusion: There are some discrepancies about which method of treatment is the most appropriate as well as a consensus regarding the application of these therapies. In addition, the assessment tools for this pathology have been tested, these being the Visual Analog Scale (VAS), the Disabilities of the Arm, Shoulder and Hand (DASH), the Australian Canadian Osteoarthritis Hand Index (AUSCAN), the Purdue Pegboard and the O’Connor test. DeCS Rizartrosis; Artrosis Del Pulgar; Terapia De La Mano; Artrosis Trapeciometacarpiana; Rehabilitacion; Pulgar; Terapia Ocupacional. MeSH Rhizarthrosis; Thumb Arthrosis; Hand Therapy; Trapeziometacarpal Arthrosis; Rehabilitation; Thumb; Occupational Therapy.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.006 | 0.001 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.002 | 0.002 |
| Bibliometrics | 0.002 | 0.003 |
| Science and technology studies | 0.000 | 0.001 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.001 | 0.000 |
| Research integrity | 0.001 | 0.002 |
| Insufficient payload (model declined to judge) | 0.004 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; both teacher heads agree on what is shown here.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".