Effectiveness of Occupation-Based Intervention Compared With Therapeutic Exercise for Older Adults With Shoulder OA.

Bay Path University

Status: Completed

Conditions: Osteoarthritis Shoulder

Treatments: Procedure: Therapeutic Exercise; Procedure: Occupation-Based Intervention

Study type: Interventional

Funder types: Other

Identifiers

NCT04641546

BayPathU

Details and patient eligibility

About

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.

Full 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.

Enrollment: 10 patients

Sex: All

Ages: 65+ years old

Volunteers: Accepts Healthy Volunteers

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)

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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10 participants in 2 patient groups

Occupation-Based Intervention + Therapeutic Exercise Intervention Group

Experimental group

Description:

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.

Treatment:

Procedure: Occupation-Based Intervention

Procedure: Therapeutic Exercise

Therapeutic Exercise Control Group

Experimental group

Description:

Sixty-minute occupational therapy sessions were completed two times a week for six weeks consisting of therapeutic exercise only.

Treatment:

Procedure: Therapeutic Exercise