Jose Manuel Pérez-Mármol1, Ma Carmen García-Ríos2, María Azucena Ortega-Valdivieso3, Enrique Elías Cano-Deltell3, María Isabel Peralta-Ramírez4, Kelly Ickmans5, María Encarnación Aguilar-Ferrándiz6. 1. Department of Physical Therapy, Faculty of Health Science, Biomedicina Program, University of Granada (UGR), Spain. 2. Department of Physical Therapy, University of Granada (UGR), Spain. 3. Department of Physical Therapy, Faculty of Health Science, University of Granada (UGR), Spain. 4. Department of Personality, Evaluation and Psychological Treatment, University of Granada (UGR), Spain. 5. Departments of Human Physiology and Physiotherapy, Pain in Motion Research Group, Faculty of Physical Education and Physiotherapy, Vrije Universiteit Brussel (VUB), Brussels, Belgium; Department of Physical Medicine and Physiotherapy, University Hospital Brussels, Brussels, Belgium. 6. Department of Physical Therapy, Faculty of Health Science, Instituto de Investigación Biosanitaria Granada (IBIS Granada), University of Granada (UGR), Spain. Electronic address: encaguilar@hotmail.com.
Abstract
STUDY DESIGN: A randomized clinical trial. INTRODUCTION: Rehabilitation treatments for improving fine motor skills (FMS) in hand osteoarthritis (HOA) have not been well explored yet. PURPOSE OF THE STUDY: To assess the effectiveness of a rehabilitation program on upper limb disability, independence of activities of daily living (ADLs), fine motor abilities, functional independency, and general self-efficacy in older adults with HOA. METHODS: About 45 adults (74-86 years) with HOA were assigned to an experimental group for completing an FMS intervention or a control group receiving conventional occupational therapy. Both interventions were performed 3 times/wk, 45 minutes each session, during 8 weeks. Upper limb disability, performance in ADLs, pinch strength, manual dexterity, range of fingers motion, functional independency, and general self-efficacy were assessed at baseline, immediately after treatment, and after 2 months of follow-up. RESULTS:FMS group showed significant improvements with a small effect size on manual dexterity (P ≤ .034; d ≥ 0.48) and a moderate-high effect on range of index (P ≤ .018; d ≥ 0.58) and thumb (P ≤ .027; d ≥ 0.39) motion. The control group showed a significant worse range of motion over time in some joints at the index (P ≤ .037; d ≥ 0.36) finger and thumb (P ≤ .017; d ≥ 0.55). CONCLUSIONS: A rehabilitation intervention for FMS may improve manual dexterity and range of fingers motion in HOA, but its effects on upper limb disability, performance in ADLs, pinch strength, functionality, and self-efficacy remain uncertain. Specific interventions of the hand are needed to prevent a worsening in range of finger motion. LEVEL OF EVIDENCE: 1b.
RCT Entities:
STUDY DESIGN: A randomized clinical trial. INTRODUCTION: Rehabilitation treatments for improving fine motor skills (FMS) in hand osteoarthritis (HOA) have not been well explored yet. PURPOSE OF THE STUDY: To assess the effectiveness of a rehabilitation program on upper limb disability, independence of activities of daily living (ADLs), fine motor abilities, functional independency, and general self-efficacy in older adults with HOA. METHODS: About 45 adults (74-86 years) with HOA were assigned to an experimental group for completing an FMS intervention or a control group receiving conventional occupational therapy. Both interventions were performed 3 times/wk, 45 minutes each session, during 8 weeks. Upper limb disability, performance in ADLs, pinch strength, manual dexterity, range of fingers motion, functional independency, and general self-efficacy were assessed at baseline, immediately after treatment, and after 2 months of follow-up. RESULTS: FMS group showed significant improvements with a small effect size on manual dexterity (P ≤ .034; d ≥ 0.48) and a moderate-high effect on range of index (P ≤ .018; d ≥ 0.58) and thumb (P ≤ .027; d ≥ 0.39) motion. The control group showed a significant worse range of motion over time in some joints at the index (P ≤ .037; d ≥ 0.36) finger and thumb (P ≤ .017; d ≥ 0.55). CONCLUSIONS: A rehabilitation intervention for FMS may improve manual dexterity and range of fingers motion in HOA, but its effects on upper limb disability, performance in ADLs, pinch strength, functionality, and self-efficacy remain uncertain. Specific interventions of the hand are needed to prevent a worsening in range of finger motion. LEVEL OF EVIDENCE: 1b.
Authors: Tim J Knobbe; Daan Kremer; Michele F Eisenga; Eva Corpeleijn; Coby Annema; Joke M Spikman; Gerjan Navis; Stefan P Berger; Stephan J L Bakker Journal: Sci Rep Date: 2022-09-28 Impact factor: 4.996