Occupational Therapy and Surgery in Carpometacarpal Osteoarthritis

Not Applicable

Completed

• Conditions: Osteoarthritis in the Carpometacarpal (CMC) Joint
• Interventions: Other: Care as usual; Other: Occupational therapy

• Registration Number: NCT01794754
• Lead Sponsor: National Resource Center for Rehabilitation in Rheumatology

Brief Summary

The purpose of the study is to investigate if occupational therapy may delay or prevent the need for surgery in patients with carpometacarpal(CMC) osteoarthritis (OA) who are scheduled for surgery in the CMC-joint.

Our study hypothesis is that compared to participants in the intervention group, significantly more participants in the control group have received CMC-surgery after two years.

Detailed Description

Hand osteoarthritis (OA) is one of the most prevalent musculoskeletal diseases in an adult population, and approximately 68% of people between the ages of 71 and 80 years have radiographic OA in the carpometacarpal (CMC) joint.

Currently, there is no cure for hand OA. However, several studies have demonstrated that hand exercises and CMC-orthoses may reduce pain and improve grip strength, and in a recent study, assistive devices improved activity performance and satisfaction with performance in people with hand-OA. Still, most people do not receive any such treatment, but those with severe CMC-OA are often referred for surgery in this joint. The effect of occupational therapy to prevent or delay need for surgery CMC-OA has been investigated in a small study with 33 participants, but randomised controlled trails (RCT) of good quality are needed.

Study Timeline

• Study First Submitted: 2013-02-15
• Study First Submitted QC: 2013-02-19
• Study First Posted: 2013-02-20
• Study Start: 2013-04
• Primary Completion: 2017-06
• Status Verified: 2018-08
• Study Completion: 2018-08
• Last Update Submitted: 2018-08-30
• Last Update Posted: 2018-08-31

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 180

Inclusion Criteria

• Patients with CMC-OA who are referred for review for the need for surgery in the CMC joint.

Exclusion Criteria

• Persons with cognitive dysfunction
• Persons who do not understand the Norwegian language
• Persons with other diseases or injuries that may negatively impact hand function

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Control	Care as usual	Care as usual
Occupational therapy	Occupational therapy	Occupational therapy

Primary Outcome Measures

Name	Time	Method
Number of participants in each group who have received surgery.	Two years

Secondary Outcome Measures

Name	Time	Method
Satisfaction with care.	Two years	On Numeric Rating Scales, 0 - 10.
Health related quality of life.	Two years	EQ5D, a patient reported outcome/questionnaire.
Hand Pain at rest and in activity	Two years	Measured on Numeric Rating Scales, 0 - 10.
Number of painful hand joints.	Two years	Examination.
Joint mobility in 2-5 finger.	Two years	Flexion deficit in millimetre.
Thumb flexion.	Two years	Goniometer
Thumb abduction.	Two years	Pollexograph.
Grip strength.	Two years	Grip-It, measured in Newton)
Pinch strength	Two years	Grip-It, measured in Newton
Activity performance.	Two years	MAP-Hand - a patient reported outcome/questionnaire.
Hand and shoulder function	Two Years	Quick-Dash, a patient reported outcome/questionnaire

Trial Locations

Locations (4)

Haukeland University Hospital; 🇳🇴 Bergen, Norway

National resource center for rehabilitation in rheumatology; 🇳🇴 Oslo, Norway

Haugesund Rheumatism Hospital; 🇳🇴 Haugesund, Norway

St Olavs Hospital; 🇳🇴 Trondheim, Norway