Osteoarthritis Shoulder
Conditions
Brief summary
As a registered and licensed occupational therapist, I completed a six-week evidence based research study to determine the effects of occupation-based intervention and therapeutic exercises versus therapeutic exercises alone.
Detailed description
Importance: There is a need for evidence to support occupation-based intervention (OBI) for older adults with shoulder osteoarthritis (OA). Objective: To evaluate the effectiveness of OBI on function in older adults with shoulder OA compared to therapeutic exercise (TE). Design: Randomized controlled trial. Six-week intervention. 1-week and 4-week follow-up. Setting: Outpatient clinic. Participants: Ten older adults with diagnosis of shoulder OA via convenience sampling. Intervention: Participants were seen two times/week for six weeks. The OBI group completed 30 minutes of TE followed by 30 minutes of OBI. The TE group completed 60 minutes of TE. Outcome and Measures: Functional outcomes were assessed at pre-, 1-week post, and 4-weeks posttreatment using the QuickDASH as the primary outcome measure.
Interventions
PROCEDURETherapeutic Exercise
Passive range of motion (PROM), active-assistive range of motion (AAROM), active range of motion (AROM), and strengthening activities.
PROCEDUREOccupation-Based Intervention
Collecting and placing items in cabinets, washing windows and tables, and hanging clothes on a clothesline.
Sponsors
Bay Path University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Intervention model description
Randomized Controlled Trial
Eligibility
Sex/Gender
ALL
Age
65 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Diagnosis of shoulder osteoarthritis (confirmed by physician examination or radiographic imaging) * Aged 65 years or older
Exclusion criteria
* Previous shoulder injuries * Acute pathology * Previous shoulder surgery * Current use of pain medication * Inflammatory arthritis * Upper extremity neuropathy or myopathy * Current participation in a home exercise program * Score of \<18 on the Mini-Mental State Examination (MMSE)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH) Baseline scores | Pre-Intervention | To assess the impact of the intervention on physical function and symptoms of shoulder osteoarthritis. * Minimum Value: 0 (no disability) * Maximum Value: 100 (most severe disability) * Higher scores = Worse outcome (greater upper extremity dysfunction) |
| Change between Pre-Intervention and 1-week Post-Intervention Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH) scores | 1-week Post-Intervention | To assess the impact of the intervention on physical function and symptoms of shoulder osteoarthritis. * Minimum Value: 0 (no disability) * Maximum Value: 100 (most severe disability) * Higher scores = Worse outcome (greater upper extremity dysfunction) |
| Change between Pre-Intervention and 4-weeks Post-Intervention Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH) scores | 4-weeks Post-Intervention | To assess the impact of the intervention on physical function and symptoms of shoulder osteoarthritis. * Minimum Value: 0 (no disability) * Maximum Value: 100 (most severe disability) * Higher scores = Worse outcome (greater upper extremity dysfunction) |
| Change between 1-week and 4-weeks Post-Intervention Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH) scores | 4-weeks Post-Intervention | To assess the impact of the intervention on physical function and symptoms of shoulder osteoarthritis. * Minimum Value: 0 (no disability) * Maximum Value: 100 (most severe disability) * Higher scores = Worse outcome (greater upper extremity dysfunction) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Shoulder Range of Motion (ROM) Baseline Scores | Pre-Intervention | Observing and grading ROM on a 3-point Likert scale to determine shoulder mobility and pain with movement. * Minimum Value: 0 (unable/no pain) * Maximum Value: 3 (full able/lots of pain) * Higher scores = Better outcome (fully ROM/no pain with ROM) |
| Change between Pre-Intervention and 1-week Shoulder Range of Motion (ROM) scores | 1-week Post-Intervention | Observing and grading ROM on a 3-point Likert scale to determine shoulder mobility and pain with movement. * Minimum Value: 0 (unable/no pain) * Maximum Value: 3 (fully able/lots of pain) * Higher scores = Better outcome (full ROM/no pain with ROM) |
| Change between Pre-Intervention and 4-weeks Post-Intervention Shoulder Range of Motion (ROM) scores | 4-weeks Post-Intervention | Observing and grading ROM on a 3-point Likert scale to determine shoulder mobility and pain with movement. * Minimum Value: 0 (unable/no pain) * Maximum Value: 3 (fully able/lots of pain) * Higher scores = Better outcome (full ROM/no pain with ROM) |
| Change between 1-week and 4-weeks Post-Intervention Shoulder Range of Motion (ROM) scores | 4-weeks Post-Intervention | Observing and grading ROM on a 3-point Likert scale to determine shoulder mobility and pain with movement. * Minimum Value: 0 (unable/no pain) * Maximum Value: 3 (fully able/lots of pain) * Higher scores = Better outcome (full ROM/no pain with ROM) |
| Jamar Hand Dynamometer Baseline Scores | Pre-Intervention | To measure grip strength. * Minimum Value: 0 pounds * Maximum Value: 200 pounds * Higher scores = Better outcome (increased grip strength) |
| Change between Pre-Intervention and 1-week Jamar Hand Dynamometer scores | 1-week Post-Intervention | To measure grip strength. * Minimum Value: 0 pounds * Maximum Value: 200 pounds * Higher scores = Better outcome (increased grip strength) |
| Canadian Occupational Performance Measure (COPM) Baseline Scores | Pre-Intervention | To determine the effect of the intervention on participants' self-perception of occupational performance and satisfaction over time. * Minimum Value: 0 * Maximum Value: 10 * Higher scores = Better outcome (greater client-perceived changes in satisfaction and performance of daily occupations) |
| Change between 1-week and 4-weeks Post-Intervention Jamar Hand Dynamometer Scores | 4-weeks Post-Intervention | To measure grip strength. * Minimum Value: 0 pounds * Maximum Value: 200 pounds * Higher scores = Better outcome (increased grip strength) |
| Numeric Pain Rating Scale (NPRS) Baseline Scores | Pre-Intervention | To measure pain. * Minimum Value: 0 (no pain) * Maximum Value: 10 (worst possible pain) * Higher scores = Worse outcome (increased pain) |
| Change between Pre-Intervention and 1-week Numeric Pain Rating Scale (NPRS) Scores | 1-week Post-Intervention | To measure pain. * Minimum Value: 0 (no pain) * Maximum Value: 10 (worst possible pain) * Higher scores = Worse outcome (increased pain) |
| Change between Pre-Intervention and 4-weeks Post-Intervention Numeric Pain Rating Scale (NPRS) Scores | 4-weeks Post-Intervention | To measure pain. * Minimum Value: 0 (no pain) * Maximum Value: 10 (worst possible pain) * Higher scores = Worse outcome (increased pain) |
| Change between 1-week and 4-weeks Post-Intervention Numeric Pain Rating Scale (NPRS) scores | 4-weeks Post-Intervention | To measure pain. * Minimum Value: 0 (no pain) * Maximum Value: 10 (worst possible pain) * Higher scores = Worse outcome (increased pain) |
| Change between Pre-Intervention and 4-weeks Post-Intervention Jamar Hand Dynamometer scores | 4-weeks Post-Intervention | To measure grip strength. * Minimum Value: 0 pounds * Maximum Value: 200 pounds * Higher scores = Better outcome (increased grip strength) |
| Change between Pre-Intervention and 1-week Post-Intervention Canadian Occupational Performance Measure (COPM) scores | 1-week Post-Intervention | To determine the effect of the intervention on participants' self-perception of occupational performance and satisfaction over time. * Minimum Value: 0 * Maximum Value: 10 * Higher scores = Better outcome (greater client-perceived changes in satisfaction and performance of daily occupations) |
| Change between Pre-Intervention and 4-weeks Post-Intervention Canadian Occupational Performance Measure (COPM) scores | 4-weeks Post-Intervention | To determine the effect of the intervention on participants' self-perception of occupational performance and satisfaction over time. * Minimum Value: 0 * Maximum Value: 10 * Higher scores = Better outcome (greater client-perceived changes in satisfaction and performance of daily occupations) |
| Change between 1-week and 4-weeks Post-Intervention Canadian Occupational Performance Measure (COPM) scores | 4-weeks Post-Intervention | To determine the effect of the intervention on participants' self-perception of occupational performance and satisfaction over time. * Minimum Value: 0 * Maximum Value: 10 * Higher scores = Better outcome (greater client-perceived changes in satisfaction and performance of daily occupations) |
Countries
United States
Outcome results
None listed