Osteoarthritis
Conditions
Keywords
Osteoarthritis, Thumb, Splint, Pain, Function, Osteoarthritis of the trapeziometacarpal (TMC) joint
Brief summary
Forty participants were enrolled in a randomized, controlled clinical trial to evaluate the effectiveness of a functional thumb splint for trapeziometacarpal OA in the dominant hand.
Detailed description
Treatment, Randomized, Single Blind, Placebo Control, Parallel Assignment, Efficacy Study
Interventions
Patients in the study group received the splint on the day of the first evaluation and took it with them for use during activities of daily living and patients in the control group only used the splint during the evaluations
Sponsors
Study design
Eligibility
Inclusion criteria
* clinical and radiological diagnosis of idiopathic Grade II and III OA of the TMC joint on the dominant hand; * either gender; * over 40 years of age; * pain in the base of the thumb of the dominant hand greater than three and less than or equal to seven on the 0 to 10-cm visual analogue scale (VAS) for pain.
Exclusion criteria
* severe deformities of the dominant hand that did not allow gripping between the first, second and third fingers; * deformities of distal interphalangeal joint; * use of a splint on the thumb in the previous six months; * surgery on the hand under study in the previous six months or scheduled in the upcoming six months; * allergy to the splint material; * incapacity to respond to the questionnaire and perform the tests; * geographic inaccessibility; * injections in the hand under study in the previous six months; * other associated diseases such as carpal tunnel syndrome, fractures in the carpus, tendonitis, chronic inflammatory arthropathy; * alterations in the use of anti-inflammatory medication and analgesics in the previous three months.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain (VAS) | baseline (T0), after 45 days (T45), after 90 dias (T90) and after 180 dias (T180) |
Secondary
| Measure | Time frame |
|---|---|
| Grip and pinch strength (dynamometer) | baseline (T0), after 45 days (T45), after 90 dias (T90) and after 180 dias (T180) |
| Dexterity (O'Connor test) | baseline (T0), after 45 days (T45), after 90 dias (T90) and after 180 dias (T180) |
| Function (DASH) | baseline (T0), after 45 days (T45), after 90 dias (T90) and after 180 dias (T180) |