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

Bay Path University10 enrolled

Overview

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.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Osteoarthritis Shoulder

Interventions

Therapeutic ExercisePROCEDURE

Passive range of motion (PROM), active-assistive range of motion (AAROM), active range of motion (AROM), and strengthening activities.

Occupation-Based InterventionPROCEDURE

Collecting and placing items in cabinets, washing windows and tables, and hanging clothes on a clothesline.

Eligibility

Sex: ALLMin age: 65 YearsHealthy volunteers:

Medical Language ↔ Plain English

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)

Locations (1)

Bay Path University

Jacksonville, Florida, United States

Outcomes

Primary Outcomes

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. * Minimum Value: 0 (no disability) * Maximum Value: 100 (most severe disability) * Higher scores = Worse outcome (greater upper extremity dysfunction)

Time frame: Pre-Intervention

Change between Pre-Intervention and 1-week Post-Intervention Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH) scores

Time frame: 1-week Post-Intervention

Change between Pre-Intervention and 4-weeks Post-Intervention Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH) scores

Time frame: 4-weeks Post-Intervention

Change between 1-week and 4-weeks Post-Intervention Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH) scores

Time frame: 4-weeks Post-Intervention

Secondary Outcomes

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. * Minimum Value: 0 * Maximum Value: 10 * Higher scores = Better outcome (greater client-perceived changes in satisfaction and performance of daily occupations)

Data from ClinicalTrials.gov

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Time frame: Pre-Intervention

Change between Pre-Intervention and 1-week Post-Intervention Canadian Occupational Performance Measure (COPM) scores

Time frame: 1-week Post-Intervention

Change between Pre-Intervention and 4-weeks Post-Intervention Canadian Occupational Performance Measure (COPM) scores

Time frame: 4-weeks Post-Intervention

Change between 1-week and 4-weeks Post-Intervention Canadian Occupational Performance Measure (COPM) scores

Time frame: 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. * Minimum Value: 0 (unable/no pain) * Maximum Value: 3 (full able/lots of pain) * Higher scores = Better outcome (fully ROM/no pain with ROM)

Time frame: 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. * Minimum Value: 0 (unable/no pain) * Maximum Value: 3 (fully able/lots of pain) * Higher scores = Better outcome (full ROM/no pain with ROM)

Time frame: 1-week Post-Intervention

Change between Pre-Intervention and 4-weeks Post-Intervention Shoulder Range of Motion (ROM) scores

Time frame: 4-weeks Post-Intervention

Change between 1-week and 4-weeks Post-Intervention Shoulder Range of Motion (ROM) scores

Time frame: 4-weeks Post-Intervention

Jamar Hand Dynamometer Baseline Scores

To measure grip strength. * Minimum Value: 0 pounds * Maximum Value: 200 pounds * Higher scores = Better outcome (increased grip strength)

Time frame: Pre-Intervention

Change between Pre-Intervention and 1-week Jamar Hand Dynamometer scores

To measure grip strength. * Minimum Value: 0 pounds * Maximum Value: 200 pounds * Higher scores = Better outcome (increased grip strength)

Time frame: 1-week Post-Intervention

Change between Pre-Intervention and 4-weeks Post-Intervention Jamar Hand Dynamometer scores

To measure grip strength. * Minimum Value: 0 pounds * Maximum Value: 200 pounds * Higher scores = Better outcome (increased grip strength)

Time frame: 4-weeks Post-Intervention

Change between 1-week and 4-weeks Post-Intervention Jamar Hand Dynamometer Scores

To measure grip strength. * Minimum Value: 0 pounds * Maximum Value: 200 pounds * Higher scores = Better outcome (increased grip strength)

Time frame: 4-weeks Post-Intervention

Numeric Pain Rating Scale (NPRS) Baseline Scores

To measure pain. * Minimum Value: 0 (no pain) * Maximum Value: 10 (worst possible pain) * Higher scores = Worse outcome (increased pain)

Time frame: Pre-Intervention

Change between Pre-Intervention and 1-week Numeric Pain Rating Scale (NPRS) Scores

To measure pain. * Minimum Value: 0 (no pain) * Maximum Value: 10 (worst possible pain) * Higher scores = Worse outcome (increased pain)

Time frame: 1-week Post-Intervention

Change between Pre-Intervention and 4-weeks Post-Intervention Numeric Pain Rating Scale (NPRS) Scores

To measure pain. * Minimum Value: 0 (no pain) * Maximum Value: 10 (worst possible pain) * Higher scores = Worse outcome (increased pain)

Time frame: 4-weeks Post-Intervention

Change between 1-week and 4-weeks Post-Intervention Numeric Pain Rating Scale (NPRS) scores

To measure pain. * Minimum Value: 0 (no pain) * Maximum Value: 10 (worst possible pain) * Higher scores = Worse outcome (increased pain)

Time frame: 4-weeks Post-Intervention