Hand Osteoarthritis
Conditions
Brief summary
The purpose of this study is to evaluate the effect of a hand exercise intervention on function and osteoarthritis symptoms in persons with hand osteoarthritis .
Detailed description
Hand osteoarthritis (OA) is one of the most prevalent musculoskeletal diseases in an adult population. The disease may have large influences on an individual's function, health related quality of life and participation in the society. In recently published clinical guidelines for management, non-pharmacological approaches are considered as core treatments. Several studies have demonstrated that exercise may reduce pain and improve function in persons with knee OA, and a similar effect is suggested for hip OA. Regarding effect of exercises in hand OA, available research results are limited, and randomised controlled trials (RCT) of good quality are needed.
Interventions
OTHERHand exercise program
Hand exercise program three times/week for 12 weeks. In total four group sessions, otherwise home based. Weekly telephone calls from experienced physiotherapist/occupational therapist addressing adjustments of the exercise program and encouragement of program adherence.
Sponsors
Norwegian Fund for Postgraduate Training in Physiotherapy
Diakonhjemmet Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Masking
DOUBLE (Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
40 Years to 85 Years
Healthy volunteers
No
Inclusion criteria
* The American College of Rheumatology (ACR) classification criteria for clinical hand osteoarthritis * FIHOA ≥ 5 at pre-baseline * The persons must have a telephone
Exclusion criteria
* Persons with cognitive dysfunction * Persons who do not understand Norwegian language * Persons with inflammatory rheumatic diseases (e.g. rheumatoid arthritis, ankylosing spondylitis) or cancer * Persons that have recently experienced severe trauma * Persons that have recently gone through OA surgery or other major surgery
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The functional index for hand osteoarthritis (FIHOA) | 6 months |
| Patient specific function scale (PSFS) | 6 months |
Secondary
| Measure | Time frame |
|---|---|
| Fatigue (numeric rating scale, 0-10) | 6 months |
| Patient global assessment of disease activity (Numeric rating scale, 0-10) | 6 months |
| Exercise self-efficacy | 6 months |
| Health related quality of life (15D) | 6 months |
| Self-reported work ability and sick leave | 6 months |
| Hand joint pain (Numeric rating scale, 0-10) | 6 months |
| Grip strength (JAMAR) | 6 months |
| Grip size | 6 months |
| Hand functioning (The Moberg Pick Up Test) | 6 months |
| Global assessment of change of hand problem | 6 months |
| Self-reported health care utilisation | 6 months |
| Hand joint stiffness (Numeric rating scale, 0-10) | 6 months |
Countries
Norway
Outcome results
None listed