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| Name | Class |
|---|---|
| St. Olavs Hospital | OTHER |
| Haukeland University Hospital | OTHER |
| Haugesund Rheumatism Hospital | OTHER |
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The purpose of the study is to investigate if occupational therapy may delay or prevent the need for surgery in patients with carpometacarpal(CMC) osteoarthritis (OA) who are scheduled for surgery in the CMC-joint.
Our study hypothesis is that compared to participants in the intervention group, significantly more participants in the control group have received CMC-surgery after two years.
Hand osteoarthritis (OA) is one of the most prevalent musculoskeletal diseases in an adult population, and approximately 68% of people between the ages of 71 and 80 years have radiographic OA in the carpometacarpal (CMC) joint.
Currently, there is no cure for hand OA. However, several studies have demonstrated that hand exercises and CMC-orthoses may reduce pain and improve grip strength, and in a recent study, assistive devices improved activity performance and satisfaction with performance in people with hand-OA. Still, most people do not receive any such treatment, but those with severe CMC-OA are often referred for surgery in this joint. The effect of occupational therapy to prevent or delay need for surgery CMC-OA has been investigated in a small study with 33 participants, but randomised controlled trails (RCT) of good quality are needed.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Control | Other | Care as usual |
|
| Occupational therapy | Experimental | Occupational therapy |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Care as usual | Other |
| ||
| Occupational therapy |
| Measure | Description | Time Frame |
|---|---|---|
| Number of participants in each group who have received surgery. | Two years |
| Measure | Description | Time Frame |
|---|---|---|
| Hand Pain at rest and in activity | Measured on Numeric Rating Scales, 0 - 10. | Two years |
| Number of painful hand joints. | Examination. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Tore K Kvien, PhD | Research director, Diakonhjemmet Hospital | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Haukeland University Hospital | Bergen | 5021 | Norway | |||
| Haugesund Rheumatism Hospital |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 27842579 | Background | Kjeken I, Eide RE, Klokkeide A, Matre KH, Olsen M, Mowinckel P, Andreassen O, Darre S, Nossum R. Does occupational therapy reduce the need for surgery in carpometacarpal osteoarthritis? Protocol for a randomized controlled trial. BMC Musculoskelet Disord. 2016 Nov 15;17(1):473. doi: 10.1186/s12891-016-1321-3. | |
| 28166750 | Background |
| Label | URL |
|---|---|
| Link to free full text of protocol in BMC musculoskeletal disorders | View source |
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| ID | Term |
|---|---|
| C562760 | Capillary Malformations, Congenital, 1 |
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| ID | Term |
|---|---|
| D009788 | Occupational Therapy |
| ID | Term |
|---|---|
| D012046 | Rehabilitation |
| D000359 | Aftercare |
| D003266 | Continuity of Patient Care |
| D005791 | Patient Care |
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Occupational therapy in the waiting period before surgery. Occupational therapy comprises orthoses for the CMC-joint, hand exercises, and use of alternative working methods and assistive devices. The participants are encouraged to perform hand exercises three times a week for the first 12 weeks, and to use orthosis as much as possible, both during daytime (day orthosis) and night time (night orthosis). |
|
| Two years |
| Joint mobility in 2-5 finger. | Flexion deficit in millimetre. | Two years |
| Thumb flexion. | Goniometer | Two years |
| Thumb abduction. | Pollexograph. | Two years |
| Grip strength. | Grip-It, measured in Newton) | Two years |
| Pinch strength | Grip-It, measured in Newton | Two years |
| Activity performance. | MAP-Hand - a patient reported outcome/questionnaire. | Two years |
| Hand and shoulder function | Quick-Dash, a patient reported outcome/questionnaire | Two Years |
| Satisfaction with care. | On Numeric Rating Scales, 0 - 10. | Two years |
| Health related quality of life. | EQ5D, a patient reported outcome/questionnaire. | Two years |
| Haugesund |
| 5504 |
| Norway |
| National resource center for rehabilitation in rheumatology | Oslo | 0319 | Norway |
| St Olavs Hospital | Trondheim | 7006 | Norway |
| Kjeken I, Eide RE, Klokkeide A, Matre KH, Olsen M, Mowinckel P, Andreassen O, Darre S, Nossum R. Erratum to: Does occupational therapy reduce the need for surgery in carpometacarpal osteoarthritis? Protocol for a randomized controlled trial. BMC Musculoskelet Disord. 2017 Feb 6;18(1):68. doi: 10.1186/s12891-017-1433-4. No abstract available. |
| 37355263 | Derived | Tveter AT, Kleven L, Osteras N, Nossum R, Eide REM, Klokkeide A, Matre KH, Olsen M, Kjeken I. Is multimodal occupational therapy in addition to usual care cost-effective in people with thumb carpometacarpal osteoarthritis? A cost-utility analysis of a randomised controlled trial. BMJ Open. 2023 Jun 23;13(6):e063103. doi: 10.1136/bmjopen-2022-063103. |
| 33338325 | Derived | Tveter AT, Osteras N, Nossum R, Eide REM, Klokkeide A, Matre KH, Olsen M, Kjeken I. Short-Term Effects of Occupational Therapy on Hand Function and Pain in Patients With Carpometacarpal Osteoarthritis: Secondary Analyses From a Randomized Controlled Trial. Arthritis Care Res (Hoboken). 2022 Jun;74(6):955-964. doi: 10.1002/acr.24543. Epub 2022 Apr 5. |
| Link to free full text of erratum protocol in BMC musculoskeletal disorders | View source |
| D013812 |
| Therapeutics |