The Hand Osteoarthritis Exercise Trial

Diakonhjemmet Hospital130 enrolled

Overview

The purpose of this study is to evaluate the effect of a hand exercise intervention on function and osteoarthritis symptoms in persons with hand osteoarthritis .

Hand osteoarthritis (OA) is one of the most prevalent musculoskeletal diseases in an adult population. The disease may have large influences on an individual's function, health related quality of life and participation in the society. In recently published clinical guidelines for management, non-pharmacological approaches are considered as core treatments. Several studies have demonstrated that exercise may reduce pain and improve function in persons with knee OA, and a similar effect is suggested for hip OA. Regarding effect of exercises in hand OA, available research results are limited, and randomised controlled trials (RCT) of good quality are needed.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Masking

DOUBLE

Enrollment

130

Conditions

Hand Osteoarthritis

Interventions

Hand exercise programOTHER

Hand exercise program three times/week for 12 weeks. In total four group sessions, otherwise home based. Weekly telephone calls from experienced physiotherapist/occupational therapist addressing adjustments of the exercise program and encouragement of program adherence.

Eligibility

Sex: ALLMin age: 40 YearsMax age: 85 Years

Medical Language ↔ Plain English

Inclusion Criteria: * The American College of Rheumatology (ACR) classification criteria for clinical hand osteoarthritis * FIHOA ≥ 5 at pre-baseline * The persons must have a telephone Exclusion Criteria: * Persons with cognitive dysfunction * Persons who do not understand Norwegian language * Persons with inflammatory rheumatic diseases (e.g. rheumatoid arthritis, ankylosing spondylitis) or cancer * Persons that have recently experienced severe trauma * Persons that have recently gone through OA surgery or other major surgery

Locations (1)

Physiotherapy and Occupational Therapy Service Centre

Ullensaker Municipality, Jessheim, Norway

Outcomes

Primary Outcomes

The functional index for hand osteoarthritis (FIHOA)

Time frame: 6 months

Patient specific function scale (PSFS)

Time frame: 6 months

Secondary Outcomes

Hand joint pain (Numeric rating scale, 0-10)

Time frame: 6 months

Hand joint stiffness (Numeric rating scale, 0-10)

Time frame: 6 months

Fatigue (numeric rating scale, 0-10)

Time frame: 6 months

Patient global assessment of disease activity (Numeric rating scale, 0-10)

Time frame: 6 months

Exercise self-efficacy

Time frame: 6 months

Health related quality of life (15D)

Time frame: 6 months

Self-reported work ability and sick leave

Time frame: 6 months

Self-reported health care utilisation

Time frame: 6 months

Grip strength (JAMAR)

Time frame: 6 months

Grip size

Time frame: 6 months

Hand functioning (The Moberg Pick Up Test)

Data from ClinicalTrials.gov

This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.