Global non-pharmacological treatments of rheumatic hand including orthoses prescription and, if required, occupational therapist treatment. Orthoses are medical dispositives, either commercial available fabrics splint or a custom-made splint that can be realised and delivered by occupational therapist, physical therapist, orthoprosthesis and medicine. Global static orthoses for the wrist, hand and fingers are often provided to individuals with rheumatoid hand arthritis and there is limited evidence for their efficacy to reduce pain and increase grip strength. Its preventive effect on deformities has not been demonstrated. Corrective wrist orthoses are sometimes indicated to limit deformities of the rheumatoid wrist and must be considered before to correct fingers deformity. There is limited evidence that functional commercially available fabric splints may reduce pain and improve function in rheumatoid hand. In progressive systemic sclerosis involved hands, use of static or dynamic splinting were sometimes proposed but to date there was no evidence on their efficacy to maintain mobility. One recent multicenter, randomized trial show an improved pain and disability at 12 months in a static rest splint for base-of-thumb osteoarthritis whereas no efficacy in preventing deformity. In rheumatologic hand management, occupational therapists provide patient education regarding joint protection techniques; provide information on assistive device means of adapting the environment and handling of orthoses with the goal of preservating and optimizing hand function. There is limited evidence that occupational adjustments therapy may reduce pain and improve function in rheumatoid hand. No research on the effects of assistive devices was publishing.