Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
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.
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.
Not provided
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Occupation-Based Intervention + Therapeutic Exercise Intervention Group | Experimental | Sixty-minute occupational therapy sessions were completed two times a week for six weeks consisting of 30 minutes therapeutic exercise followed by 30 minutes of occupation-based intervention. |
|
| Therapeutic Exercise Control Group | Experimental | Sixty-minute occupational therapy sessions were completed two times a week for six weeks consisting of therapeutic exercise only. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Therapeutic Exercise | Procedure | Passive range of motion (PROM), active-assistive range of motion (AAROM), active range of motion (AROM), and strengthening activities. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH) Baseline scores | To assess the impact of the intervention on physical function and symptoms of shoulder osteoarthritis.
| Pre-Intervention |
| Change between Pre-Intervention and 1-week Post-Intervention Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH) scores | To assess the impact of the intervention on physical function and symptoms of shoulder osteoarthritis.
| 1-week Post-Intervention |
| Change between Pre-Intervention and 4-weeks Post-Intervention Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH) scores | To assess the impact of the intervention on physical function and symptoms of shoulder osteoarthritis.
| 4-weeks Post-Intervention |
| Change between 1-week and 4-weeks Post-Intervention Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH) scores | To assess the impact of the intervention on physical function and symptoms of shoulder osteoarthritis.
| 4-weeks Post-Intervention |
| Measure | Description | Time Frame |
|---|---|---|
| Canadian Occupational Performance Measure (COPM) Baseline Scores | To determine the effect of the intervention on participants' self-perception of occupational performance and satisfaction over time.
| Pre-Intervention |
Not provided
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Affiliation | Role |
|---|---|---|
| Kelli A Cabrera | Bay Path University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Bay Path University | Jacksonville | Florida | 32223 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 15866967 | Background | Beaton DE, Wright JG, Katz JN; Upper Extremity Collaborative Group. Development of the QuickDASH: comparison of three item-reduction approaches. J Bone Joint Surg Am. 2005 May;87(5):1038-46. doi: 10.2106/JBJS.D.02060. | |
| 27583004 | Background | Bull D, Tai Kie A, Hanusch B, Kulkarni R, Rees J, Rangan A. Is there sufficient evidence to support intervention to manage shoulder arthritis? Shoulder Elbow. 2016 Apr;8(2):77-89. doi: 10.1177/1758573215622385. Epub 2016 Jan 8. |
Not provided
Not provided
Plan to publish research findings to the American Journal of Occupational Therapy (AJOT).
Within the next year
Not provided
Not provided
Not provided
| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP_ICF | Yes | Yes | Yes | Study Protocol, Statistical Analysis Plan, and Informed Consent Form | Oct 4, 2019 | Nov 11, 2020 | Prot_SAP_ICF_000.pdf |
Not provided
| ID | Term |
|---|---|
| D005081 | Exercise Therapy |
| ID | Term |
|---|---|
| D012046 | Rehabilitation |
| D000359 | Aftercare |
| D003266 | Continuity of Patient Care |
| D005791 | Patient Care |
Not provided
Not provided
Randomized Controlled Trial
Not provided
Not provided
Not provided
| Occupation-Based Intervention | Procedure | Collecting and placing items in cabinets, washing windows and tables, and hanging clothes on a clothesline. |
|
| Change between Pre-Intervention and 1-week Post-Intervention Canadian Occupational Performance Measure (COPM) scores | To determine the effect of the intervention on participants' self-perception of occupational performance and satisfaction over time.
| 1-week Post-Intervention |
| Change between Pre-Intervention and 4-weeks Post-Intervention Canadian Occupational Performance Measure (COPM) scores | To determine the effect of the intervention on participants' self-perception of occupational performance and satisfaction over time.
| 4-weeks Post-Intervention |
| Change between 1-week and 4-weeks Post-Intervention Canadian Occupational Performance Measure (COPM) scores | To determine the effect of the intervention on participants' self-perception of occupational performance and satisfaction over time.
| 4-weeks Post-Intervention |
| Shoulder Range of Motion (ROM) Baseline Scores | Observing and grading ROM on a 3-point Likert scale to determine shoulder mobility and pain with movement.
| Pre-Intervention |
| Change between Pre-Intervention and 1-week Shoulder Range of Motion (ROM) scores | Observing and grading ROM on a 3-point Likert scale to determine shoulder mobility and pain with movement.
| 1-week Post-Intervention |
| Change between Pre-Intervention and 4-weeks Post-Intervention Shoulder Range of Motion (ROM) scores | Observing and grading ROM on a 3-point Likert scale to determine shoulder mobility and pain with movement.
| 4-weeks Post-Intervention |
| Change between 1-week and 4-weeks Post-Intervention Shoulder Range of Motion (ROM) scores | Observing and grading ROM on a 3-point Likert scale to determine shoulder mobility and pain with movement.
| 4-weeks Post-Intervention |
| Jamar Hand Dynamometer Baseline Scores | To measure grip strength.
| Pre-Intervention |
| Change between Pre-Intervention and 1-week Jamar Hand Dynamometer scores | To measure grip strength.
| 1-week Post-Intervention |
| Change between Pre-Intervention and 4-weeks Post-Intervention Jamar Hand Dynamometer scores | To measure grip strength.
| 4-weeks Post-Intervention |
| Change between 1-week and 4-weeks Post-Intervention Jamar Hand Dynamometer Scores | To measure grip strength.
| 4-weeks Post-Intervention |
| Numeric Pain Rating Scale (NPRS) Baseline Scores | To measure pain.
| Pre-Intervention |
| Change between Pre-Intervention and 1-week Numeric Pain Rating Scale (NPRS) Scores | To measure pain.
| 1-week Post-Intervention |
| Change between Pre-Intervention and 4-weeks Post-Intervention Numeric Pain Rating Scale (NPRS) Scores | To measure pain.
| 4-weeks Post-Intervention |
| Change between 1-week and 4-weeks Post-Intervention Numeric Pain Rating Scale (NPRS) scores | To measure pain.
| 4-weeks Post-Intervention |
| 24534849 | Background | Burner T, Abbott D, Huber K, Stout M, Fleming R, Wessel B, Massey E, Rosenthal A, Burns E. Shoulder symptoms and function in geriatric patients. J Geriatr Phys Ther. 2014 Oct-Dec;37(4):154-8. doi: 10.1519/JPT.0b013e3182abe7d6. |
| 26847318 | Background | Che Daud AZ, Yau MK, Barnett F, Judd J, Jones RE, Muhammad Nawawi RF. Integration of occupation based intervention in hand injury rehabilitation: A Randomized Controlled Trial. J Hand Ther. 2016 Jan-Mar;29(1):30-40. doi: 10.1016/j.jht.2015.09.004. Epub 2015 Nov 6. |
| 22588748 | Background | Hawker GA, Mian S, Kendzerska T, French M. Measures of adult pain: Visual Analog Scale for Pain (VAS Pain), Numeric Rating Scale for Pain (NRS Pain), McGill Pain Questionnaire (MPQ), Short-Form McGill Pain Questionnaire (SF-MPQ), Chronic Pain Grade Scale (CPGS), Short Form-36 Bodily Pain Scale (SF-36 BPS), and Measure of Intermittent and Constant Osteoarthritis Pain (ICOAP). Arthritis Care Res (Hoboken). 2011 Nov;63 Suppl 11:S240-52. doi: 10.1002/acr.20543. No abstract available. |
| 10104738 | Background | Law M, Baptiste S, McColl M, Opzoomer A, Polatajko H, Pollock N. The Canadian occupational performance measure: an outcome measure for occupational therapy. Can J Occup Ther. 1990 Apr;57(2):82-7. doi: 10.1177/000841749005700207. |
| 18163497 | Background | Lawrence RC, Felson DT, Helmick CG, Arnold LM, Choi H, Deyo RA, Gabriel S, Hirsch R, Hochberg MC, Hunder GG, Jordan JM, Katz JN, Kremers HM, Wolfe F; National Arthritis Data Workgroup. Estimates of the prevalence of arthritis and other rheumatic conditions in the United States. Part II. Arthritis Rheum. 2008 Jan;58(1):26-35. doi: 10.1002/art.23176. |
| 21889366 | Background | Marinko LN, Chacko JM, Dalton D, Chacko CC. The effectiveness of therapeutic exercise for painful shoulder conditions: a meta-analysis. J Shoulder Elbow Surg. 2011 Dec;20(8):1351-9. doi: 10.1016/j.jse.2011.05.013. Epub 2011 Sep 1. |
| 20699161 | Background | McDonough CM, Jette AM. The contribution of osteoarthritis to functional limitations and disability. Clin Geriatr Med. 2010 Aug;26(3):387-99. doi: 10.1016/j.cger.2010.04.001. |
| 18788237 | Background | Millett PJ, Gobezie R, Boykin RE. Shoulder osteoarthritis: diagnosis and management. Am Fam Physician. 2008 Sep 1;78(5):605-11. |
| 21701816 | Background | Mushtaq S, Choudhary R, Scanzello CR. Non-surgical treatment of osteoarthritis-related pain in the elderly. Curr Rev Musculoskelet Med. 2011 Sep;4(3):113-22. doi: 10.1007/s12178-011-9084-9. |
| 30017413 | Background | Weinstock-Zlotnick G, Mehta SP. A systematic review of the benefits of occupation-based intervention for patients with upper extremity musculoskeletal disorders. J Hand Ther. 2019 Apr-Jun;32(2):141-152. doi: 10.1016/j.jht.2018.04.001. Epub 2018 Jul 14. |
| D013812 |
| Therapeutics |
| D026741 | Physical Therapy Modalities |