Joint protection : enabling change in musculoskeletal conditions

Hammond, A ORCID: https://orcid.org/0000-0002-5266-9991 2009, 'Joint protection : enabling change in musculoskeletal conditions' , in: International Handbook of Occupational Therapy Interventions (First Edition) , Springer, New York, pp. 325-332.

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Abstract

Joint protection includes applying ergonomic principles in daily life, altering working methods, using assistive devices and modifying environments. It is taught to people with musculoskeletal conditions (eg rheumatoid arthritis (RA)), osteoarthritis, as well as soft tissue rheumatisms. Common principles are to: distribute load over several joints; reduce effort by use of assistive devices; pace activities; use orthoses and exercise regularly. Cognitive-behavioral, self-efficacy and motor learning approaches are employed. Trials demonstrate using these approaches is significantly more effective than advice and demonstration alone in changing joint protection behavior, improving function and reducing pain in both early and established RA. When combined with hand exercises there is evidence it improves grip strength in hand OA but there is still conflicting evidence for effectiveness in soft tissue rheumatisms.

Item Type: Book Section
Editors: Soderback, I
Schools: Schools > School of Health and Society > Centre for Health Sciences Research
Publisher: Springer
ISBN: 9780387754239 (print); 9780387754246 (online)
Related URLs:
Depositing User: Professor Alison Hammond
Date Deposited: 26 Aug 2020 11:03
Last Modified: 26 Aug 2020 11:15
URI: http://usir.salford.ac.uk/id/eprint/58049

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