OBJECTIVE: To determine the effect of joint protection and home exercises on hand function of patients with hand osteoarthritis (OA). METHODS: Randomized, controlled, 3-month trial with a blinded assessor. Primary outcome parameter was grip strength; secondary parameters were Health Assessment Questionnaire and visual analog scales (VAS) for pain and global hand function. Forty patients with hand OA were randomly assigned to 2 groups: One group received instruction for joint protection and home hand exercises (JPE group), the control group received an information session about hand OA. RESULTS:Grip strength improved by 25% in the JPE group (right hand, P < 0.0001; left hand, P = 0.0005), but not in the control group. Global hand function (by VAS) improved in a larger proportion (65%) of patients in the JPE group (P < 0.05). CONCLUSIONS: Joint protection and hand home exercises, easily administered and readily acceptable interventions, were found to increase grip strength and global hand function.
RCT Entities:
OBJECTIVE: To determine the effect of joint protection and home exercises on hand function of patients with hand osteoarthritis (OA). METHODS: Randomized, controlled, 3-month trial with a blinded assessor. Primary outcome parameter was grip strength; secondary parameters were Health Assessment Questionnaire and visual analog scales (VAS) for pain and global hand function. Forty patients with hand OA were randomly assigned to 2 groups: One group received instruction for joint protection and home hand exercises (JPE group), the control group received an information session about hand OA. RESULTS: Grip strength improved by 25% in the JPE group (right hand, P < 0.0001; left hand, P = 0.0005), but not in the control group. Global hand function (by VAS) improved in a larger proportion (65%) of patients in the JPE group (P < 0.05). CONCLUSIONS: Joint protection and hand home exercises, easily administered and readily acceptable interventions, were found to increase grip strength and global hand function.
Authors: D S Amaral; A L B P Duarte; S S Barros; S V Cavalcanti; A Ranzolin; V M M Leite; A T Dantas; A S C R C Oliveira; P S Santos; J C A Silva; C D L Marques Journal: Rheumatol Int Date: 2017-11-28 Impact factor: 2.631
Authors: Eni Halilaj; Douglas C Moore; Tarpit K Patel; Amy L Ladd; Arnold-Peter C Weiss; Joseph J Crisco Journal: J Orthop Res Date: 2015-06-12 Impact factor: 3.494
Authors: I Kjeken; H Dagfinrud; B Slatkowsky-Christensen; P Mowinckel; T Uhlig; T K Kvien; A Finset Journal: Ann Rheum Dis Date: 2005-04-13 Impact factor: 19.103
Authors: Margreet Kloppenburg; Tanja Stamm; Iain Watt; Franz Kainberger; Tim E Cawston; Fraser N Birrell; Ingemar F Petersson; Tore Saxne; Tore K Kvien; Barbara Slatkowsky-Christensen; Maxime Dougados; Laure Gossec; Ferdinand C Breedveld; Josef S Smolen Journal: Ann Rheum Dis Date: 2007-03-14 Impact factor: 19.103