Thumb carpometacarpal joint osteoarthritis. Subluxation and dislocation of carpometacarpal joint of thumb
Conditions
Interventions
Intervention 1: Control group: Participants will be treated for 6 weeks, 3 sessions of 45 minutes per week, a total of 18 sessions. The evaluator and participants are double-blind, and the evaluations
The reason for combining these two is to prevent muscle fatigue. Even sessions: thumb opposition, index finger abduction, thumb abduction, Styrofoam ball pulling, thumb carpometacarpal joint extension
Sponsors
Shahid Beheshti University of Medical Sciences
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Patients with thumb carpometacarpal joint osteoarthritis who are diagnosed by a trained orthopedist in stage 2, 1 and 3 of the Eaton-Littler-Burton criteria based on radiographic evidence The hand with the thumb carpometacarpal joint osteoarthritis must be the patient's dominant hand. Average pain = 30 on a 100 mm VAS scale, where 0 means no pain and 100 the worst imaginable pain during the past 30 days and in the 48 hours before the baseline assessment Lack of crystal arthritis Lack of hemochromatosis Lack of autoimmune arthritis Lack of fibromyalgia which is checked by the orthopedist Lack of hand surgery Last 6 months or planned in the next 6 months No intra-articular injection of hyaluronic acid in the affected joint in the last 6 months and no intra-articular steroid in the affected joint in the last month No significant damage to the affected joint in the last 6 months
Exclusion criteria
Exclusion criteria: A score lower than 23 on the mini mental state examination Planning hand surgery in the next 6 months
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Improvement of pain scores in vas. Timepoint: Before the beginning of the intervention - the end of sessions 12 and 18. Method of measurement: Visual analogue scale.;Social participation based on copm. Timepoint: Before the intervention and the end of sessions 12 and 18. Method of measurement: Canadian Occupational Performance Measure.;Grip strength based on dynamometer. Timepoint: Before the intervention and the end of sessions 12 and 18. Method of measurement: Dynamometer.;Pinch strength. Timepoint: Before the intervention and the end of sessions 12 and 18. Method of measurement: Pinch gauge.;Range of motion. Timepoint: Before the intervention and the end of sessions 12 and 18. Method of measurement: Goniometry.;Muscle strength. Timepoint: Before the intervention and the end of sessions 12 and 18. Method of measurement: Manual muscle testing. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactAli Asghar Jamebozorgi
Shahid Beheshti University of Medical Sciences
Outcome results
None listed