Dynamic stabilization home exercise program for treatment of thumb carpometacarpal osteoarthritis: A prospective randomized control trial
| Autor: | Carolyn S. Barnes, Hillary W. Garner, Stephanie Kannas, Michael G. Heckman, Kimberly H. McVeigh, Cynthia C. Ivy, Danielle Brushaber, Peter M. Murray |
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| Rok vydání: | 2022 |
| Předmět: |
musculoskeletal diseases
medicine.medical_specialty Pain Physical Therapy Sports Therapy and Rehabilitation Osteoarthritis Thumb law.invention Grip strength Randomized controlled trial law Rating scale hemic and lymphatic diseases Carpometacarpal joint medicine Humans Prospective Studies business.industry Rehabilitation Carpometacarpal Joints medicine.disease Muscles of the thumb Exercise Therapy body regions Treatment Outcome surgical procedures operative medicine.anatomical_structure Physical therapy business Range of motion human activities |
| Zdroj: | Journal of Hand Therapy. 35:435-446 |
| ISSN: | 0894-1130 |
| Popis: | Study Design Randomized control trial. Introduction Thumb carpometacarpal (CMC) osteoarthritis (OA) is a common cause of hand pain and disability. Standard conservative therapy (SCT) for thumb CMC OA includes an orthosis and instruction in joint protection, adaptive equipment, and pain relieving modalities. The dynamic stability home exercise (HE) program is complementary conservative therapy designed to strengthen the stabilizing muscles of the thumb CMC. Purpose of the Study To investigate whether the addition of HE to SCT (SCT+HE) was more effective at reducing pain and disability in thumb CMC OA compared to SCT alone. Methods The study compared 2 groups: SCT and SCT+HE. The SCT group received SCT with in-home pain management instructions, joint protection strategies with adaptive equipment, and a hand-based thumb-spica orthosis. The SCT+HE group received HE program instructions for adductor stretching and opponens and first dorsal interosseous strengthening in addition to SCT. Our primary outcome measure was the numerical rating scale (NRS) with secondary outcome measures of QuickDASH (shortened Disabilities of the Arm, Shoulder and Hand questionnaire), range of motion, grip strength, and pinch strength. Outcome measurements were assessed at first visit, 6 weeks, and 6 months. Results There was no statistical difference between the 2 groups for NRS and QuickDASH at 6 weeks (P = .28 and P = .36, respectively) or 6 months (P = .52 and P = .97, respectively). However, there was a statistically significant decrease in NRS and QuickDASH scores at 6 weeks and 6 months within both groups. Conclusions Both SCT and SCT+HE are effective at reducing pain and disability in OA of the thumb CMC joint. Neither therapy program was superior to the other at improving NRS or QuickDASH scores at 6-week or 6-month follow-up. |
| Databáze: | OpenAIRE |
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