Occupational Therapy and Surgery in Carpometacarpal Osteoarthritis

N

National Resource Center for Rehabilitation in Rheumatology

Status

Completed

Conditions

Osteoarthritis in the Carpometacarpal (CMC) Joint

Treatments

Other: Care as usual
Other: Occupational therapy

Study type

Interventional

Funder types

Other

Identifiers

NCT01794754
2012/2265-3

Details and patient eligibility

About

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.

Full description

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.

Enrollment

180 patients

Sex

All

Ages

18 to 100 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Patients with CMC-OA who are referred for review for the need for surgery in the CMC joint.

Exclusion criteria

  • Persons with cognitive dysfunction
  • Persons who do not understand the Norwegian language
  • Persons with other diseases or injuries that may negatively impact hand function

Trial design

Primary purpose

Prevention

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Single Blind

180 participants in 2 patient groups

Control
Other group
Description:
Care as usual
Treatment:
Other: Care as usual
Occupational therapy
Experimental group
Description:
Occupational therapy
Treatment:
Other: Occupational therapy

Trial contacts and locations

4

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Data sourced from clinicaltrials.gov

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