An Exercise Program for Carpometacarpal Osteoarthritis Based on Biomechanical Principles

Abstract A review of the literature was performed to design a hand exercise regimen based on biomechanical principles of the carpometacarpal (CMC) joint and the forces that act upon the joint. Sixteen biomechanical studies were included in the review: four studies developed a mathematical model of t...

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Bibliographic Details
Published in:Journal of hand therapy 2012-07, Vol.25 (3), p.251-263
Main Authors: Valdes, Kristin, OTD, OT, CHT, von der Heyde, Rebecca, PhD, OTR/L, CHT
Format: Article
Language:English
Subjects:
Arthritis
Biomechanical Phenomena
Biomechanics
Carpometacarpal Joints - physiopathology
Cartilage
Exercise
Exercise Therapy - methods
Fingers & toes
Force
Humans
Joint Instability - physiopathology
Joint Instability - therapy
Ligaments
Ligaments, Articular - physiology
Muscle Strength - physiology
Muscle, Skeletal - physiology
Osteoarthritis
Osteoarthritis - physiopathology
Osteoarthritis - therapy
Physical fitness
Physical Medicine and Rehabilitation
Range of Motion, Articular - physiology
Tendons
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Summary:Abstract A review of the literature was performed to design a hand exercise regimen based on biomechanical principles of the carpometacarpal (CMC) joint and the forces that act upon the joint. Sixteen biomechanical studies were included in the review: four studies developed a mathematical model of the thumb and 12 performed cadaveric dissections to study the CMC joint. Clinical application of the biomechanical findings from the studies was synthesized into specific recommendations for a hand exercise program to preserve CMC joint range of motion and increase the strength of the stabilizing muscles of the thumb. The exercise regimen was developed in accordance with recommendations of the American College of Sports Medicine guidelines for the development of individualized exercise prescriptions. Level of Evidence 4.
ISSN:0894-1130
1545-004X
DOI:10.1016/j.jht.2012.03.008