Orthotic management of trigger finger by occupational therapists in KwaZulu-Natal

Abstract

Implications for occupational therapy practice

• This study informs further understanding of the current assessment prior to splinting and treatment practices that occupational therapists in the South African context provide for their clients with trigger finger.
• The study demonstrates that irrespective of the participant’s level of experience and their clinical settings, the considerations when deciding on splint types remain the same.
• The results are consistent with available literature particularly with which splint type to issue. However, the development for a guide regarding the orthotic management of trigger finger covering aspects like the splint regime and the recommendations of exercises is vital as discrepancies emerged largely from these areas. The type of exercises, stages at which they may be introduced, duration and frequency should be considered for deeper engagement. 
• The development of this protocol will ensure consistency of treatment and evidence-based practice.