Sports Therapy

Push Braces Ortho Thumb Brace CMC to treat thumb osteoarthritis pain - Latex free  £45.16

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The Push CMC thumb brace has been designed and developed by Push Braces in conjunction with eminent hand therapists Judy Colditz and Nettie Koekebakker.

This brace is now well accepted by many medical professionals as the best brace on the market for people who suffer from osteoarthritis of the CMC joint of their thumb. Latex Free

CMC-1 osteoarthritis (thumb osteoarthritis of CMC joint) is a common thumb disorder. It is a type of ‘wear and tear’ of the articular cartilage, affecting in particular people between 40 and 60 years of age.The Push CMC is a slim and compact product. The brace can be used in the water. Hygiene is important around the hand. Therefore the synthetic material is antibacterial and the brace can be washed in a washing machine at 40°.

The Push CMC was especially developed for application with the following indications:
• CMC-1 osteoarthritis
• Postoperatively after arthroplasty of the CMC-1 joint
• Instability of the CMC-1 joint

Following improvements made to the Push Thumb Brace CMC in late 2015, please note the following two important aspects of using the Push CMC thumb brace. Both of these aspects are important when supplying and fitting the product to ensure the best possible function of the Push CMC.

1. The squeezing of the aluminium reinforcement of the Push CMC, to fit it around the thumb. The aluminium support feature that is built into the plastic part of the Push CMC can be bent to the shape of the thenar. Before applying the brace, hold the brace with both hands and bend the support part of the brace so it is slightly more open. You can then fit the brace, fix the straps and ask the wearer to form an "O" shape with their thumb and index finger. Be sure the thumb muscles are relaxed. After doing this apply pressure to shape the aluminium support part around the thenar. The brace will now be in the best position to allow optimum function by the user.

2. Bending the Velcro straps to fit the shape of the back of the hand. For proper functioning of the Velcro closure it is important that it is firmly strapped together for the entire length of the “hook” tab. In case the hand has a rounder shape, at the location of the Velcro closure, it is possible to shape the “hook” tab for better alignment. By bending the Velcro “hook” tabs firmly, they can be shaped to a good curved fit around the back of the hand. After closing, be sure to firmly press across the straps for a good hold.

In European countries, incidence rates vary between 16% and 25%. This means that one in every 4 to 5 people suffers from CMC arthritis.

Arthritis of the basal joint of the thumb, combined with a weakening of the ligaments, results in functional instability. This typically causes symptoms such as thumb pain, reduced hand function, weakness and stiffness. The thumb is responsible for an estimated 40% of all hand functions, so arthritis of the CMC joint may result in disabling restrictions of the hand.

Push has now introduced the ortho thumb brace CMC, or Push CMC for short. This new concept differs from standard solutions. The Push CMC stabilises the basal joint of the thumb and places the thumb’s metacarpal in a functional position. This creates a so-called ‘thumb arch’, which remains stable during activities of the hand and ensures proper gripping. It relieves the pain when the thumb is under stress. This method of stabilising leaves nearby joints, including the wrist, free. The aim is to achieve the best possible hand function.

The Push CMC thumb brace consists of a cylindrical section around the ball of the thumb and a fixed connection running along the palm to the outside of the hand. This can be closed at the back of the hand with two non-elastic bands. The cylindrical section consists of two components: an aluminium strip and a transparent, flexible, synthetic part. The aluminium strip can be shaped and individually adapted for maximum stabilization of the base of the thumb. The selected materials and rounded edges guarantee maximum comfort. The simple closing system enables patients to fit the brace themselves without any effort.

Please see the link below to a new article published in 2015 concerning the study entitled “Stabilization effectiveness and functionality of different thumb orthoses in female patients with first carpometacarpal joint osteoarthritis”, which was carried out by Nina Hamann
This article has recently been published in Clinical Biomechanics. In the article, three thumb orthoses were investigated in addition to the Push CMC. The study examined the stabilising capacity of the orthoses on the CMC joint and the MCP joint and the resulting effect of wearing the various orthoses on the function of the hand.

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