A cross-sectional study of the association between Heberden's nodes, radiographic osteoarthritis of the hands, grip strength, disability and pain

Jones, Graeme; Cooley, Helen M; Bellamy, Nicholas

doi:10.1053/joca.2001.0460

Cited by 147 publications

(130 citation statements)

References 14 publications

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“…We also confirmed the cumulative effect of joint involvement and the sum of Kellgren and Lawrence grades on hand functions. Few reports have studied the relationship between the location of hand OA and hand function [5,12]. Jones et al [12] noted that hand OA at the DIP and thumb CMC joints had substantial effects on hand function, but they did not specify which fingers were affected by DIP OA.…”

Section: Discussionmentioning

confidence: 99%

“…Few reports have studied the relationship between the location of hand OA and hand function [5,12]. Jones et al [12] noted that hand OA at the DIP and thumb CMC joints had substantial effects on hand function, but they did not specify which fingers were affected by DIP OA. Dominick et al [5] reported that, among individuals with radiographic hand OA, increasing radiographic severity was associated with reduced grip and pinch strength, and that radiographic OA in specific locations, such as CMC and MCP joints, might have been at particular risk for reduced hand strength and function.…”

Section: Discussionmentioning

confidence: 99%

“…Haara et al [7] found that thumb carpometacarpal (CMC) OA rarely caused disability, whereas Zhang et al [27] reported that patients with symptomatic hand OA had a 10% reduction in grip strength and functional limitations that affected several daily activities. Jones et al [12] noted that hand OA at the distal interphalangeal (DIP) and thumb CMC joints had a substantial effect on hand function, strength, and pain, but did not specify which fingers were affected by DIP OA.…”

Section: Introductionmentioning

confidence: 99%

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The Impact of Digit-related Radiographic Osteoarthritis of the Hand on Grip-strength and Upper Extremity Disability

Lee

Paik

Lim

et al. 2012

Clinical Orthopaedics &Amp; Related Research

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Background Interpreting the impact of hand osteoarthritis (OA) on hand function is complicated owing to the multiple digits and joints in the hand. Questions/purpose We determined the impact of digitrelated radiographic OA on hand function in patients 65 years or older.Methods We evaluated hand radiographs in 196 men and 182 women older than 65 years without shoulder or elbow pain who participated in the Korean Longitudinal Study on Health and Aging. Using the Kellgren and Lawrence criteria, we graded the 15 joints in each hand from 0 to 4 for OA, and evaluated hand function by measuring DASH scores and grip and pinch strength of dominant hands. We performed multiple linear regression analyses to evaluate associations between hand functions and the sum of Kellgren and Lawrence grade of each digit. Results The sums of Kellgren and Lawrence grades for thumbs and middle fingers were independently associated with grip strength, and the sums of the Kellgren and Lawrence grades for thumbs and index fingers were independently associated with pinch strength after controlling for age and sex. DASH scores were independently associated with OA of the thumb, or index or middle finger, but not with OA of the ring or small finger. Conclusions This study revealed cumulative effects of joint involvement and Kellgren and Lawrence grades of thumb and middle finger OA on grip strength, and thumb and index finger OA on pinch strength. Furthermore, OA of either of three radial digits was associated with more severe upper extremity disabilities.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The Impact of Digit-related Radiographic Osteoarthritis of the Hand on Grip-strength and Upper Extremity Disability

Lee

Paik

Lim

et al. 2012

Clinical Orthopaedics &Amp; Related Research

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“…Although some items are similar between the pain and function subscales (e.g., turning [ (8). This is particularly important because the investigators who developed the scale have endorsed the use of the subscales individually as well as the total AUSCAN score (4,23).…”

Section: Discussionmentioning

confidence: 99%

“…The Australian/Canadian (AUSCAN) Osteoarthritis Hand Index is a self-report assessment of these outcomes and was designed specifically for use among patients with hand OA (1,2). Studies have shown that this measure has acceptable reliability, construct validity, and responsiveness (1)(2)(3)(4). However, this is a relatively new scale, and published data on the measurement properties of the AUSCAN index still involve relatively few patients (1)(2)(3).…”

mentioning

confidence: 99%

Validity, factor structure, and clinical relevance of the AUSCAN osteoarthritis hand index

Allen¹,

Jordan²,

Renner³

et al. 2006

Arthritis & Rheumatism

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Objective. The Australian/Canadian (AUSCAN) Osteoarthritis Hand Index is a self-report assessment of pain, stiffness, and function in patients with hand osteoarthritis (OA). Small studies have confirmed the reliability, construct validity, and responsiveness of this measure, but the factor structure has not been examined. In this study, we examined the clinimetric properties and clinical relevance of the AUSCAN index in a large sample of patients with familial hand OA.Methods. The study group comprised 700 patients (80% female, mean age 69 years) who were part of a study on the genetics of generalized OA. All patients had radiographic hand OA bilaterally. The analyses examined internal consistency, factor structure, and relationships of the subscales to grip and pinch strength and a single-item pain measure.Results. Internal consistency was high for the total AUSCAN index and the subscales (Cronbach's ␣ ‫؍‬ 0.93-0.96). The AUSCAN function subscale had the strongest correlation with grip and pinch strength, and the pain subscale had the strongest correlation with the single-item pain measure, thus supporting the construct validity of these subscales. Factor analysis showed that all pain and function items clearly loaded on the subscale they were intended to measure. Each 1-unit increase in the AUSCAN function subscale was associated with a clinically relevant decrease in hand strength.Conclusion. The results of this study strongly confirm the clinimetric properties of the AUSCAN index, including the validity of specific subscales. Results indicate that the AUSCAN index can measure meaningful changes in pain, stiffness, and function.

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Systematic review of design and effects of splints and exercise programs in hand osteoarthritis

Kjeken

Smedslund

Moe

et al. 2011

Arthritis Care & Research

120

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Objective. To describe and evaluate the design and effects of splints and exercise programs in hand osteoarthritis. Methods. Controlled trials identified through systematic literature reviews were included. Design of splints and exercise programs were evaluated according to existing recommendations and classification systems. The risk of bias was assessed by 2 independent reviewers and effects were summarized descriptively or by meta-analyses.

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A cross-sectional study of the association between Heberden's nodes, radiographic osteoarthritis of the hands, grip strength, disability and pain

Cited by 147 publications

References 14 publications

The Impact of Digit-related Radiographic Osteoarthritis of the Hand on Grip-strength and Upper Extremity Disability

The Impact of Digit-related Radiographic Osteoarthritis of the Hand on Grip-strength and Upper Extremity Disability

Validity, factor structure, and clinical relevance of the AUSCAN osteoarthritis hand index

Systematic review of design and effects of splints and exercise programs in hand osteoarthritis

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