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The efficacy of wrist working splints in patients with non-destructive wrist arthritis.

Completed
Conditions
Rheumatoid arthritis (RA) patients with arthritis of the wrist.
Registration Number
NL-OMON27145
Lead Sponsor
niversity of TwenteDepartment of Psychology and Communication of Health and Risk
Brief Summary

/A

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
Not specified
Target Recruitment
60
Inclusion Criteria

1. Diagnosis of RA according to the 1987 ACR criteria;

2. Stable DMARD therapy during preceding 3 months and no change expected for the next 4 weeks;

Exclusion Criteria

1. Unable to wear a wrist splint (by a rash, allergies, etc.);

2. An injection of corticosteroid medication in the wrist or any small joints of the hand or flexor tendon sheath of the hand within the preceding 1 month or the expectation that such an injection will be indicated in the next 4 weeks;

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Patients are measured twice: at baseline and after 4 weeks. <br><br /><br /><br>Primary outcome measure is pain in the wrist (VAS 0 - 100 mm).
Secondary Outcome Measures
NameTimeMethod
Secondary outcome measures are:<br /><br>1. Pain in de wrist (box scale 0 - 10);<br /><br>2. Number of painful and swollen joints in the hand (joint count max score 11 and Ritchie scale (max score 33);<br /><br>3. Synovitis (ultrasound);<br /><br>4. Grip strength;<br /><br>5. Dexterity (SODA, DASH);<br /><br>6. Patient's subjective judgement about the effect of the splint on pain, swelling, grip strength and hand function.
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