Effectiveness of a Progressive Resistance Strength Program on Hand Osteoarthritis: a Randomized Controlled Trial
试验速览
- 阶段
- 4 期
- 状态
- 已完成
- 发起方
- 入组人数
- 60
- 试验地点
- 2
- 主要终点
- Change in Pain
研究概览
简要总结
Background: Hand osteoarthritis (OA) is highly prevalent, affecting 55-70% of the population over 55 years with an age-related progressive increase. The OA of interphalangeal (IF) and carpometacarpal joints may have varying degrees of deformity associated with pain, decreased of grip and pinch strength, decreased range of motion and functional impairment. Systematic reviews and meta-analyzes have shown the beneficial effect of exercise for lower limb OA, however for hand OA exercise is still used based on recommendations based on clinical experience and low quality studies, not allowing a conclusion about the effects of exercise in pain, function and strength in hand OA patients.
Objective: assess the effectiveness of progressive resistance strength training program on pain, function and strength in hand OA patients.
Methods: diagnostic of hand OA according to American College of Rheumatology of at least 1year, age over 50 years, both genders, pain in IF joints between 3-8 cm on a 10-cm numerical pain scale (NPS). Sixty patients who meet the eligibility criteria were randomized into exercise group (EG) and control group (CG). Both groups performed a session regarding joint protection and energy conservation before randomization. The EG performed a progressive resistance strength training program for intrinsic muscles of the hand for 12 weeks. The outcome measures were NPS; Australian/Canadian (AUSCAN) Hand Osteoarthritis Index and Cochin Hand Functional Scale for hand function; grip and pinch strengthening using the Hydraulic Hand Dynamometer and a pinch gauge dynamometer and satisfaction with the treatment using a Likert scale. A blinded evaluator performed the evaluations at baseline, 6 and 12 weeks after treatment baseline.
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 (Outcomes Assessor)
入排标准
- 年龄范围
- 50 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •diagnostic of hand OA according to american college of rheumatology of at least 1year;
- •age over 50 years;
- •both genders;
- •pain in interphalangeal joints between 3-8 cm on a 10-cm numerical pain scale
排除标准
- •other joint disease in hands;
- •other rheumatic systemic disease;
- •surgery in hands or writs;
- •exercise or joint injection in hands in the previous 3 months;
- •disability to perform the exercises.
结局指标
主要结局
Change in Pain
时间窗: Baseline, after 6 and 12 weeks
Measured by a numerical pain scale
次要结局
- Change in grip strength(Baseline, after 6 and 12 weeks)
- Change in pinch stength(Baseline, after 6 and 12 weeks)
- Change in Patient satisfaction with treatment(6 and 12 weeks)
- Change in hand function(Baseline, after 6 and 12 weeks)
研究者
Michele Nery
Master Student
Federal University of São Paulo