Effectiveness of Occupation-Based Intervention Compared With Therapeutic Exercise for Older Adults With Shoulder OA.
- Conditions
- Osteoarthritis Shoulder
- Interventions
- Procedure: Therapeutic ExerciseProcedure: Occupation-Based Intervention
- Registration Number
- NCT04641546
- Lead Sponsor
- Bay Path University
- Brief Summary
As a registered and licensed occupational therapist, I completed a six-week evidence based research study to determine the effects of occupation-based intervention and therapeutic exercises versus therapeutic exercises alone.
- Detailed Description
Importance: There is a need for evidence to support occupation-based intervention (OBI) for older adults with shoulder osteoarthritis (OA).
Objective: To evaluate the effectiveness of OBI on function in older adults with shoulder OA compared to therapeutic exercise (TE).
Design: Randomized controlled trial. Six-week intervention. 1-week and 4-week follow-up.
Setting: Outpatient clinic. Participants: Ten older adults with diagnosis of shoulder OA via convenience sampling.
Intervention: Participants were seen two times/week for six weeks. The OBI group completed 30 minutes of TE followed by 30 minutes of OBI. The TE group completed 60 minutes of TE.
Outcome and Measures: Functional outcomes were assessed at pre-, 1-week post, and 4-weeks posttreatment using the QuickDASH as the primary outcome measure.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 10
- Diagnosis of shoulder osteoarthritis (confirmed by physician examination or radiographic imaging)
- Aged 65 years or older
- Previous shoulder injuries
- Acute pathology
- Previous shoulder surgery
- Current use of pain medication
- Inflammatory arthritis
- Upper extremity neuropathy or myopathy
- Current participation in a home exercise program
- Score of <18 on the Mini-Mental State Examination (MMSE)
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Occupation-Based Intervention + Therapeutic Exercise Intervention Group Occupation-Based Intervention Sixty-minute occupational therapy sessions were completed two times a week for six weeks consisting of 30 minutes therapeutic exercise followed by 30 minutes of occupation-based intervention. Therapeutic Exercise Control Group Therapeutic Exercise Sixty-minute occupational therapy sessions were completed two times a week for six weeks consisting of therapeutic exercise only. Occupation-Based Intervention + Therapeutic Exercise Intervention Group Therapeutic Exercise Sixty-minute occupational therapy sessions were completed two times a week for six weeks consisting of 30 minutes therapeutic exercise followed by 30 minutes of occupation-based intervention.
- Primary Outcome Measures
Name Time Method Change between Pre-Intervention and 1-week Post-Intervention Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH) scores 1-week Post-Intervention To assess the impact of the intervention on physical function and symptoms of shoulder osteoarthritis.
* Minimum Value: 0 (no disability)
* Maximum Value: 100 (most severe disability)
* Higher scores = Worse outcome (greater upper extremity dysfunction)Change between Pre-Intervention and 4-weeks Post-Intervention Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH) scores 4-weeks Post-Intervention To assess the impact of the intervention on physical function and symptoms of shoulder osteoarthritis.
* Minimum Value: 0 (no disability)
* Maximum Value: 100 (most severe disability)
* Higher scores = Worse outcome (greater upper extremity dysfunction)Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH) Baseline scores Pre-Intervention To assess the impact of the intervention on physical function and symptoms of shoulder osteoarthritis.
* Minimum Value: 0 (no disability)
* Maximum Value: 100 (most severe disability)
* Higher scores = Worse outcome (greater upper extremity dysfunction)Change between 1-week and 4-weeks Post-Intervention Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH) scores 4-weeks Post-Intervention To assess the impact of the intervention on physical function and symptoms of shoulder osteoarthritis.
* Minimum Value: 0 (no disability)
* Maximum Value: 100 (most severe disability)
* Higher scores = Worse outcome (greater upper extremity dysfunction)
- Secondary Outcome Measures
Name Time Method Change between 1-week and 4-weeks Post-Intervention Shoulder Range of Motion (ROM) scores 4-weeks Post-Intervention Observing and grading ROM on a 3-point Likert scale to determine shoulder mobility and pain with movement.
* Minimum Value: 0 (unable/no pain)
* Maximum Value: 3 (fully able/lots of pain)
* Higher scores = Better outcome (full ROM/no pain with ROM)Change between Pre-Intervention and 1-week Jamar Hand Dynamometer scores 1-week Post-Intervention To measure grip strength.
* Minimum Value: 0 pounds
* Maximum Value: 200 pounds
* Higher scores = Better outcome (increased grip strength)Change between 1-week and 4-weeks Post-Intervention Canadian Occupational Performance Measure (COPM) scores 4-weeks Post-Intervention To determine the effect of the intervention on participants' self-perception of occupational performance and satisfaction over time.
* Minimum Value: 0
* Maximum Value: 10
* Higher scores = Better outcome (greater client-perceived changes in satisfaction and performance of daily occupations)Jamar Hand Dynamometer Baseline Scores Pre-Intervention To measure grip strength.
* Minimum Value: 0 pounds
* Maximum Value: 200 pounds
* Higher scores = Better outcome (increased grip strength)Change between Pre-Intervention and 4-weeks Post-Intervention Jamar Hand Dynamometer scores 4-weeks Post-Intervention To measure grip strength.
* Minimum Value: 0 pounds
* Maximum Value: 200 pounds
* Higher scores = Better outcome (increased grip strength)Change between Pre-Intervention and 1-week Numeric Pain Rating Scale (NPRS) Scores 1-week Post-Intervention To measure pain.
* Minimum Value: 0 (no pain)
* Maximum Value: 10 (worst possible pain)
* Higher scores = Worse outcome (increased pain)Change between 1-week and 4-weeks Post-Intervention Numeric Pain Rating Scale (NPRS) scores 4-weeks Post-Intervention To measure pain.
* Minimum Value: 0 (no pain)
* Maximum Value: 10 (worst possible pain)
* Higher scores = Worse outcome (increased pain)Change between Pre-Intervention and 4-weeks Post-Intervention Canadian Occupational Performance Measure (COPM) scores 4-weeks Post-Intervention To determine the effect of the intervention on participants' self-perception of occupational performance and satisfaction over time.
* Minimum Value: 0
* Maximum Value: 10
* Higher scores = Better outcome (greater client-perceived changes in satisfaction and performance of daily occupations)Change between Pre-Intervention and 1-week Shoulder Range of Motion (ROM) scores 1-week Post-Intervention Observing and grading ROM on a 3-point Likert scale to determine shoulder mobility and pain with movement.
* Minimum Value: 0 (unable/no pain)
* Maximum Value: 3 (fully able/lots of pain)
* Higher scores = Better outcome (full ROM/no pain with ROM)Change between Pre-Intervention and 4-weeks Post-Intervention Shoulder Range of Motion (ROM) scores 4-weeks Post-Intervention Observing and grading ROM on a 3-point Likert scale to determine shoulder mobility and pain with movement.
* Minimum Value: 0 (unable/no pain)
* Maximum Value: 3 (fully able/lots of pain)
* Higher scores = Better outcome (full ROM/no pain with ROM)Change between Pre-Intervention and 4-weeks Post-Intervention Numeric Pain Rating Scale (NPRS) Scores 4-weeks Post-Intervention To measure pain.
* Minimum Value: 0 (no pain)
* Maximum Value: 10 (worst possible pain)
* Higher scores = Worse outcome (increased pain)Change between 1-week and 4-weeks Post-Intervention Jamar Hand Dynamometer Scores 4-weeks Post-Intervention To measure grip strength.
* Minimum Value: 0 pounds
* Maximum Value: 200 pounds
* Higher scores = Better outcome (increased grip strength)Canadian Occupational Performance Measure (COPM) Baseline Scores Pre-Intervention To determine the effect of the intervention on participants' self-perception of occupational performance and satisfaction over time.
* Minimum Value: 0
* Maximum Value: 10
* Higher scores = Better outcome (greater client-perceived changes in satisfaction and performance of daily occupations)Change between Pre-Intervention and 1-week Post-Intervention Canadian Occupational Performance Measure (COPM) scores 1-week Post-Intervention To determine the effect of the intervention on participants' self-perception of occupational performance and satisfaction over time.
* Minimum Value: 0
* Maximum Value: 10
* Higher scores = Better outcome (greater client-perceived changes in satisfaction and performance of daily occupations)Shoulder Range of Motion (ROM) Baseline Scores Pre-Intervention Observing and grading ROM on a 3-point Likert scale to determine shoulder mobility and pain with movement.
* Minimum Value: 0 (unable/no pain)
* Maximum Value: 3 (full able/lots of pain)
* Higher scores = Better outcome (fully ROM/no pain with ROM)Numeric Pain Rating Scale (NPRS) Baseline Scores Pre-Intervention To measure pain.
* Minimum Value: 0 (no pain)
* Maximum Value: 10 (worst possible pain)
* Higher scores = Worse outcome (increased pain)
Trial Locations
- Locations (1)
Bay Path University
🇺🇸Jacksonville, Florida, United States