May Occupational Therapy Delay the Need for Surgery in Carpometacarpal Osteoarthritis: A Randomised Controlled Trial.
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 180
- 试验地点
- 4
- 主要终点
- Number of participants in each group who have received surgery.
研究概览
简要总结
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.
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Single (Investigator)
入排标准
- 年龄范围
- 18 Years 至 100 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients with CMC-OA who are referred for review for the need for surgery in the CMC joint.
排除标准
- •Persons with cognitive dysfunction
- •Persons who do not understand the Norwegian language
- •Persons with other diseases or injuries that may negatively impact hand function
研究组 & 干预措施
Occupational therapy
Occupational therapy
干预措施: Occupational therapy (Other)
Control
Care as usual
干预措施: Care as usual (Other)
结局指标
主要结局
Number of participants in each group who have received surgery.
时间窗: Two years
次要结局
- Activity performance.(Two years)
- Hand and shoulder function(Two Years)
- Thumb flexion.(Two years)
- Thumb abduction.(Two years)
- Grip strength.(Two years)
- Pinch strength(Two years)
- Satisfaction with care.(Two years)
- Health related quality of life.(Two years)
- Joint mobility in 2-5 finger.(Two years)
- Hand Pain at rest and in activity(Two years)
- Number of painful hand joints.(Two years)
研究者
Ingvild Kjeken
Senior researcher
National Resource Center for Rehabilitation in Rheumatology