Effectiveness of an Occupation-Based Intervention Compared With Therapeutic Exercise for Older Adults With Shoulder Osteoarthritis: A Pilot Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 10
- 试验地点
- 2
- 主要终点
- Change between Pre-Intervention and 1-week Post-Intervention Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH) scores
研究概览
简要总结
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.
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 65 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Diagnosis of shoulder osteoarthritis (confirmed by physician examination or radiographic imaging)
- •Aged 65 years or older
排除标准
- •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)
结局指标
主要结局
Change between Pre-Intervention and 1-week Post-Intervention Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH) scores
时间窗: 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
时间窗: 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
时间窗: 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
时间窗: 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)
次要结局
- Change between 1-week and 4-weeks Post-Intervention Shoulder Range of Motion (ROM) scores(4-weeks Post-Intervention)
- Change between Pre-Intervention and 1-week Jamar Hand Dynamometer scores(1-week Post-Intervention)
- Change between 1-week and 4-weeks Post-Intervention Canadian Occupational Performance Measure (COPM) scores(4-weeks Post-Intervention)
- Jamar Hand Dynamometer Baseline Scores(Pre-Intervention)
- Change between Pre-Intervention and 4-weeks Post-Intervention Jamar Hand Dynamometer scores(4-weeks Post-Intervention)
- Change between Pre-Intervention and 1-week Numeric Pain Rating Scale (NPRS) Scores(1-week Post-Intervention)
- Change between 1-week and 4-weeks Post-Intervention Numeric Pain Rating Scale (NPRS) scores(4-weeks Post-Intervention)
- Change between Pre-Intervention and 4-weeks Post-Intervention Canadian Occupational Performance Measure (COPM) scores(4-weeks Post-Intervention)
- Change between Pre-Intervention and 1-week Shoulder Range of Motion (ROM) scores(1-week Post-Intervention)
- Change between Pre-Intervention and 4-weeks Post-Intervention Shoulder Range of Motion (ROM) scores(4-weeks Post-Intervention)
- Change between Pre-Intervention and 4-weeks Post-Intervention Numeric Pain Rating Scale (NPRS) Scores(4-weeks Post-Intervention)
- Change between 1-week and 4-weeks Post-Intervention Jamar Hand Dynamometer Scores(4-weeks Post-Intervention)
- Canadian Occupational Performance Measure (COPM) Baseline Scores(Pre-Intervention)
- Change between Pre-Intervention and 1-week Post-Intervention Canadian Occupational Performance Measure (COPM) scores(1-week Post-Intervention)
- Shoulder Range of Motion (ROM) Baseline Scores(Pre-Intervention)
- Numeric Pain Rating Scale (NPRS) Baseline Scores(Pre-Intervention)
研究者
Kelli Cabrera
Principal Investigator
Bay Path University