Effectiveness of a fine motor skills rehabilitation program on upper limb disability, manual dexterity, pinch strength, range of fingers motion, performance in activities of daily living, functional independency, and general self-efficacy in hand osteoarthritis
| Autor: | Mª Carmen García-Ríos, María Encarnación Aguilar-Ferrándiz, José Manuel Pérez-Mármol, María Azucena Ortega-Valdivieso, Kelly Ickmans, Enrique Elías Cano-Deltell, María Isabel Peralta-Ramírez |
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| Přispěvatelé: | Pain in Motion, Physiotherapy, Human Physiology and Anatomy, Faculty of Physical Education and Physical Therapy |
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Occupational therapy
030506 rehabilitation medicine.medical_specialty Activities of daily living medicine.medical_treatment Physical Therapy Sports Therapy and Rehabilitation Pinch Strength Thumb law.invention rehabilitation 03 medical and health sciences 0302 clinical medicine Physical medicine and rehabilitation Randomized controlled trial law occupational therapy Activities of Daily Living Hand osteoarthritis medicine Journal Article Rehabilitation business.industry body regions medicine.anatomical_structure Physical therapy Upper limb 0305 other medical science business Range of motion 030217 neurology & neurosurgery |
| Popis: | Study Design A randomized clinical trial. Introduction Rehabilitation treatments for improving fine motor skills (FMS) in hand osteoarthritis (HOA) have not been well explored yet. Purpose of the Study To assess the effectiveness of a rehabilitation program on upper limb disability, independence of activities of daily living (ADLs), fine motor abilities, functional independency, and general self-efficacy in older adults with HOA. Methods About 45 adults (74-86 years) with HOA were assigned to an experimental group for completing an FMS intervention or a control group receiving conventional occupational therapy. Both interventions were performed 3 times/wk, 45 minutes each session, during 8 weeks. Upper limb disability, performance in ADLs, pinch strength, manual dexterity, range of fingers motion, functional independency, and general self-efficacy were assessed at baseline, immediately after treatment, and after 2 months of follow-up. Results FMS group showed significant improvements with a small effect size on manual dexterity ( P ≤ .034; d ≥ 0.48) and a moderate-high effect on range of index ( P ≤ .018; d ≥ 0.58) and thumb ( P ≤ .027; d ≥ 0.39) motion. The control group showed a significant worse range of motion over time in some joints at the index ( P ≤ .037; d ≥ 0.36) finger and thumb ( P ≤ .017; d ≥ 0.55). Conclusions A rehabilitation intervention for FMS may improve manual dexterity and range of fingers motion in HOA, but its effects on upper limb disability, performance in ADLs, pinch strength, functionality, and self-efficacy remain uncertain. Specific interventions of the hand are needed to prevent a worsening in range of finger motion. Level of Evidence 1b. |
| Databáze: | OpenAIRE |
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