A multidisciplinary and multidimensional intervention for patients with hand osteoarthritis

Stukstette, M.J.; Hoogeboom, Thomas J.; Ruiter, R. de; Koelmans, P.; Veerman, E.C.I.; Broeder, Alfons A den; Cats, H.; Bijlsma, J. W. J.; Dekker, Joost; Ende, C.H.M. van den

doi:10.1177/0269215511417739

Cited by 19 publications

(11 citation statements)

References 50 publications

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“…After we developed our programme, recommendations for HOA exercises (45), two studies of multi-professional and multi-dimensional HOA intervention programmes (46,47), and an exercise programme for CMC1 OA have been published (48). The selection of hand exercises in our programme is very much in line with the recommendations by Kjeken et al (45), while the exercises for CMC1 OA follow the suggestions made by Colditz in a debate on the programme for CMC1 OA (49).…”

Section: Discussionmentioning

confidence: 61%

Development of an evidence-based exercise programme for people with hand osteoarthritis

Kjeken

Grotle

Hagen

et al. 2014

Scandinavian Journal of Occupational Therapy

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Section: Discussionmentioning

confidence: 61%

Development of an evidence-based exercise programme for people with hand osteoarthritis

Kjeken

Grotle

Hagen

et al. 2014

Scandinavian Journal of Occupational Therapy

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“…This is in agreement with the findings from the present study, in which women with HOA were just as affected by the disease as the women with RA were, and required higher muscle activation in hand extensors and flexors compared to the reference group. Improvement of hand strength is just as important in subjects with HOA as in subjects with RA [25-27]. …”

Section: Discussionmentioning

confidence: 99%

Differences in muscle activity during hand-dexterity tasks between women with arthritis and a healthy reference group

Brorsson

Nilsdotter

Thorstensson

et al. 2014

BMC Musculoskelet Disord

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BackgroundImpaired hand function is common in patients with arthritis and it affects performance of daily activities; thus, hand exercises are recommended. There is little information on the extent to which the disease affects activation of the flexor and extensor muscles during these hand-dexterity tasks. The purpose of this study was to compare muscle activation during such tasks in subjects with arthritis and in a healthy reference group.MethodsMuscle activation was measured in m. extensor digitorium communis (EDC) and in m. flexor carpi radialis (FCR) with surface electromyography (EMG) in women with rheumatoid arthritis (RA, n = 20), hand osteoarthritis (HOA, n = 16) and in a healthy reference group (n = 20) during the performance of four daily activity tasks and four hand exercises. Maximal voluntary isometric contraction (MVIC) was measured to enable intermuscular comparisons, and muscle activation is presented as %MVIC.ResultsThe arthritis group used a higher %MVIC than the reference group in both FCR and EDC when cutting with a pair of scissors, pulling up a zipper and—for the EDC—also when writing with a pen and using a key (p < 0.02). The exercise “rolling dough with flat hands” required the lowest %MVIC and may be less effective in improving muscle strength.ConclusionsWomen with arthritis tend to use higher levels of muscle activation in daily tasks than healthy women, and wrist extensors and flexors appear to be equally affected. It is important that hand training programs reflect real-life situations and focus also on extensor strength.

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“…Therefore, we developed a non-pharmacological multidisciplinary and multidimensional treatment programme for patients with hand OA. Treatment components of the programme included self-management, daily home exercises to enhance joint mobility and grip strength and education about ergonomic principles 9 . The objective of the current study is to determine the effectiveness of a multidisciplinary treatment program in patients with hand OA on limitations in activities and pain.…”

Section: Introductionmentioning

confidence: 99%

No evidence for the effectiveness of a multidisciplinary group based treatment program in patients with osteoarthritis of hands on the short term; results of a randomized controlled trial

Stukstette

Dekker

Broeder

et al. 2013

Osteoarthritis and Cartilage

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There is insufficient evidence to confirm a clinically relevant treatment effect on the short term, between patients who followed a multidisciplinary treatment program and those who received only written information. Since hand OA causes a range of impairments and limitations in activities, programs with more guidance to formulate and implement individually tailored treatment plans could be probably more effective. Furthermore, more research is needed on the efficacy of single treatment elements. (Dutch Trial Register trial number NTR1191).

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A multidisciplinary and multidimensional intervention for patients with hand osteoarthritis

Cited by 19 publications

References 50 publications

Development of an evidence-based exercise programme for people with hand osteoarthritis

Development of an evidence-based exercise programme for people with hand osteoarthritis

Differences in muscle activity during hand-dexterity tasks between women with arthritis and a healthy reference group

No evidence for the effectiveness of a multidisciplinary group based treatment program in patients with osteoarthritis of hands on the short term; results of a randomized controlled trial

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