Anne Wajon - Academia.edu (original) (raw)

Papers by Anne Wajon

Research paper thumbnail of No difference between two types of exercise after proximal phalangeal fracture fixation: a randomised trial

Journal of physiotherapy, Jan 14, 2015

Are 6 weeks of synergistic wrist and finger exercises with the metacarpophalangeal joint constrai... more Are 6 weeks of synergistic wrist and finger exercises with the metacarpophalangeal joint constrained in an orthosis (constrained exercises) more effective than traditional finger exercises with the metacarpophalangeal joint unconstrained (unconstrained exercises) after open reduction and internal fixation of a proximal phalangeal fracture in terms of impairment, activity limitation and participation restriction at 6 and 12 weeks? Randomised, parallel-group trial with concealed allocation, intention-to-treat analysis and blinded outcome assessors. Sixty-six participants within 1 week of open reduction and internal fixation of proximal phalangeal fractures. The experimental group carried out 6 weeks of synergistic wrist and finger exercises with the metacarpophalangeal joint constrained, whilst the control group carried out finger exercises with the metacarpophalangeal joint unconstrained, as part of a comprehensive rehabilitation program. The primary outcomes were: active proximal in...

Research paper thumbnail of Clinical Update: Conservative Management of Carpometacarpal Joint Osteoarthritis

The Journal of Rheumatology, 2015

Research paper thumbnail of Trapeziometacarpal Arthritis of the Thumb

Bhandari/Evidence-Based Orthopedics, 2011

... Trapeziometacarpal Arthritis of the Thumb Anne Wajon1, Emma Carr2, Louise Ada3, and Ian A. Ed... more ... Trapeziometacarpal Arthritis of the Thumb Anne Wajon1, Emma Carr2, Louise Ada3, and Ian A. Edmunds4 ... 14. Bellamy N, Kirwan J, Boers M, et al. Recommendations for a core set of outcome measures for future Phase III clinical trials in knee, hip and hand osteoarthritis. ...

Research paper thumbnail of Surgery for thumb (trapeziometacarpal joint) osteoarthritis

Research paper thumbnail of Work-related thumb pain in physiotherapists is associated with thumb alignment during performance of PA pressures

Manual Therapy, 2007

Pain is common in the thumbs of physiotherapists. The purpose of this observational study was to ... more Pain is common in the thumbs of physiotherapists. The purpose of this observational study was to investigate whether there is an association between the alignment of the thumb during performance of postero-anterior (PA) pressures and the presence of thumb pain. One hundred and twenty-nine physiotherapists who attended the Musculoskeletal Physiotherapy Association Conference (2003) participated. After providing a history of any work-related thumb pain, participants applied a PA pressure mimicking the technique they would use on a cervical spine, while the position of their metacarpophalangeal (MP) and interphalangeal (IP) joints was photographed. There was an association (po0.05) between work-related thumb pain and alignment of the thumb during performance of PA pressures: participants who were able to maintain their MP and IP joints in extension were less likely to report pain. These findings serve as a guide to the safe performance of mobilization techniques, both for beginning practitioners and for experienced therapists complaining of thumb pain. r

Research paper thumbnail of Prevalence of Thumb Pain in Physical Therapists Practicing Spinal Manipulative Therapy

Journal of Hand Therapy, 2003

Pain is common in the thumbs of physiotherapists. The purpose of this observational study was to ... more Pain is common in the thumbs of physiotherapists. The purpose of this observational study was to investigate whether there is an association between the alignment of the thumb during performance of postero-anterior (PA) pressures and the presence of thumb pain. One hundred and twenty-nine physiotherapists who attended the Musculoskeletal Physiotherapy Association Conference (2003) participated. After providing a history of any work-related thumb pain, participants applied a PA pressure mimicking the technique they would use on a cervical spine, while the position of their metacarpophalangeal (MP) and interphalangeal (IP) joints was photographed. There was an association (po0.05) between work-related thumb pain and alignment of the thumb during performance of PA pressures: participants who were able to maintain their MP and IP joints in extension were less likely to report pain. These findings serve as a guide to the safe performance of mobilization techniques, both for beginning practitioners and for experienced therapists complaining of thumb pain. r

Research paper thumbnail of No difference between two splint and exercise regimens for people with osteoarthritis of the thumb: A randomised controlled trial

Australian Journal of Physiotherapy, 2005

The purpose of this study was to compare the effects of two 6-week splint and exercise regimens f... more The purpose of this study was to compare the effects of two 6-week splint and exercise regimens for patients with trapeziometacarpal osteoarthritis. Forty participants were enrolled in a randomised, controlled clinical trial. The experimental group received a newly designed thumb strap splint and an abduction exercise regimen, whereas the control group received current clinical practice consisting of a short opponens splint and a pinch exercise regimen. Outcome measures included pain (VAS at rest in cm), strength (tip pinch in kg), and hand function (Sollerman Test of Hand Function scored out of 80), measured by a blinded assessor at Weeks 0, 2, and 6. By Week 6 there was no significant difference in the extent of mean improvement between the groups in: pain, 0.5 cm (95% CI -1.1 to 2.1); strength, 0.1 kg (95% CI -0.8 to 0.9); or hand function, 0.7 points (95% CI -3.6 to 5.0). While both groups improved, neither regimen is superior to the other in patients with trapeziometacarpal osteoarthritis. [Wajon A and Ada L (2005): No difference between two splint and exercise regimens for people with osteoarthritis of the thumb: A randomised controlled trial. Australian Journal of Physiotherapy 51: 245-249]

Research paper thumbnail of No difference between two types of exercise after proximal phalangeal fracture fixation: a randomised trial

Journal of physiotherapy, Jan 14, 2015

Are 6 weeks of synergistic wrist and finger exercises with the metacarpophalangeal joint constrai... more Are 6 weeks of synergistic wrist and finger exercises with the metacarpophalangeal joint constrained in an orthosis (constrained exercises) more effective than traditional finger exercises with the metacarpophalangeal joint unconstrained (unconstrained exercises) after open reduction and internal fixation of a proximal phalangeal fracture in terms of impairment, activity limitation and participation restriction at 6 and 12 weeks? Randomised, parallel-group trial with concealed allocation, intention-to-treat analysis and blinded outcome assessors. Sixty-six participants within 1 week of open reduction and internal fixation of proximal phalangeal fractures. The experimental group carried out 6 weeks of synergistic wrist and finger exercises with the metacarpophalangeal joint constrained, whilst the control group carried out finger exercises with the metacarpophalangeal joint unconstrained, as part of a comprehensive rehabilitation program. The primary outcomes were: active proximal in...

Research paper thumbnail of Clinical Update: Conservative Management of Carpometacarpal Joint Osteoarthritis

The Journal of Rheumatology, 2015

Research paper thumbnail of Trapeziometacarpal Arthritis of the Thumb

Bhandari/Evidence-Based Orthopedics, 2011

... Trapeziometacarpal Arthritis of the Thumb Anne Wajon1, Emma Carr2, Louise Ada3, and Ian A. Ed... more ... Trapeziometacarpal Arthritis of the Thumb Anne Wajon1, Emma Carr2, Louise Ada3, and Ian A. Edmunds4 ... 14. Bellamy N, Kirwan J, Boers M, et al. Recommendations for a core set of outcome measures for future Phase III clinical trials in knee, hip and hand osteoarthritis. ...

Research paper thumbnail of Surgery for thumb (trapeziometacarpal joint) osteoarthritis

Research paper thumbnail of Work-related thumb pain in physiotherapists is associated with thumb alignment during performance of PA pressures

Manual Therapy, 2007

Pain is common in the thumbs of physiotherapists. The purpose of this observational study was to ... more Pain is common in the thumbs of physiotherapists. The purpose of this observational study was to investigate whether there is an association between the alignment of the thumb during performance of postero-anterior (PA) pressures and the presence of thumb pain. One hundred and twenty-nine physiotherapists who attended the Musculoskeletal Physiotherapy Association Conference (2003) participated. After providing a history of any work-related thumb pain, participants applied a PA pressure mimicking the technique they would use on a cervical spine, while the position of their metacarpophalangeal (MP) and interphalangeal (IP) joints was photographed. There was an association (po0.05) between work-related thumb pain and alignment of the thumb during performance of PA pressures: participants who were able to maintain their MP and IP joints in extension were less likely to report pain. These findings serve as a guide to the safe performance of mobilization techniques, both for beginning practitioners and for experienced therapists complaining of thumb pain. r

Research paper thumbnail of Prevalence of Thumb Pain in Physical Therapists Practicing Spinal Manipulative Therapy

Journal of Hand Therapy, 2003

Pain is common in the thumbs of physiotherapists. The purpose of this observational study was to ... more Pain is common in the thumbs of physiotherapists. The purpose of this observational study was to investigate whether there is an association between the alignment of the thumb during performance of postero-anterior (PA) pressures and the presence of thumb pain. One hundred and twenty-nine physiotherapists who attended the Musculoskeletal Physiotherapy Association Conference (2003) participated. After providing a history of any work-related thumb pain, participants applied a PA pressure mimicking the technique they would use on a cervical spine, while the position of their metacarpophalangeal (MP) and interphalangeal (IP) joints was photographed. There was an association (po0.05) between work-related thumb pain and alignment of the thumb during performance of PA pressures: participants who were able to maintain their MP and IP joints in extension were less likely to report pain. These findings serve as a guide to the safe performance of mobilization techniques, both for beginning practitioners and for experienced therapists complaining of thumb pain. r

Research paper thumbnail of No difference between two splint and exercise regimens for people with osteoarthritis of the thumb: A randomised controlled trial

Australian Journal of Physiotherapy, 2005

The purpose of this study was to compare the effects of two 6-week splint and exercise regimens f... more The purpose of this study was to compare the effects of two 6-week splint and exercise regimens for patients with trapeziometacarpal osteoarthritis. Forty participants were enrolled in a randomised, controlled clinical trial. The experimental group received a newly designed thumb strap splint and an abduction exercise regimen, whereas the control group received current clinical practice consisting of a short opponens splint and a pinch exercise regimen. Outcome measures included pain (VAS at rest in cm), strength (tip pinch in kg), and hand function (Sollerman Test of Hand Function scored out of 80), measured by a blinded assessor at Weeks 0, 2, and 6. By Week 6 there was no significant difference in the extent of mean improvement between the groups in: pain, 0.5 cm (95% CI -1.1 to 2.1); strength, 0.1 kg (95% CI -0.8 to 0.9); or hand function, 0.7 points (95% CI -3.6 to 5.0). While both groups improved, neither regimen is superior to the other in patients with trapeziometacarpal osteoarthritis. [Wajon A and Ada L (2005): No difference between two splint and exercise regimens for people with osteoarthritis of the thumb: A randomised controlled trial. Australian Journal of Physiotherapy 51: 245-249]