Effect of home-based hand exercises in women with hand osteoarthritis: a randomised controlled trial

Hennig, Toril; Hæhre, Liv; Hornburg, Vivian Tryving; Mowinckel, Petter; Norli, Ellen Sauar; Kjeken, Ingvild

doi:10.1136/annrheumdis-2013-204808

Cited by 59 publications

(119 citation statements)

References 56 publications

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“…There is good evidence, however, demonstrating that exercise reduces pain and improves hip and knee function OA [63, 64], and there is growing evidence that the same is true for HOA [13, 32, 38, 43]. Therefore, the claim has been made that new models are needed for the care of people with osteoarthritis, with an emphasis on positive approaches to self-management [65].…”

Section: Discussionmentioning

confidence: 99%

“…The selection and monitoring of exercises in the study was in accordance with recent research and recommendations for exercises for HOA in general [1, 13, 39], as well as for CMC1-OA [21, 40–42]. As the intervention was well tolerated and delivered at a low cost with respect to time expended and exercise materials used, the authors conclude that the programme should be considered for inclusion in the standard care for people with HOA [38]. In another Norwegian study investigating the effect of the same exercise programme, but with three additional exercises for the shoulder girdle and upper arm, these findings were supported, although the effects were more limited [43].…”

Section: Introductionmentioning

confidence: 85%

“…The hand exercise programme will be based on the programme used in one of the previously described Norwegian studies [38], and contains seven exercises to prevent or delay development of fixed deformities, and to maintain or increase the range of motion, grip strength and joint stability in the wrist and finger joints (see Table 2). The programme will follow the American College of Sports Medicine’s recommendations regarding exercise intensity, session frequency and length of exercise period [55].…”

Section: Methodsmentioning

confidence: 99%

“…In a recent Norwegian RCT, hand exercises led to significant and clinically important functional improvements in terms of decreased pain and fatigue, increased thumb web space, approximately 25% improvement in grip strength, and improved activity performance [38]. The selection and monitoring of exercises in the study was in accordance with recent research and recommendations for exercises for HOA in general [1, 13, 39], as well as for CMC1-OA [21, 40–42].…”

Section: Introductionmentioning

confidence: 99%

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Does occupational therapy reduce the need for surgery in carpometacarpal osteoarthritis? Protocol for a randomized controlled trial

Kjeken

Eide

Klokkeide

et al. 2016

BMC Musculoskelet Disord

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BackgroundIn the absence of disease-modifying interventions for hand osteoarthritis (OA), occupational therapy (OT) comprising patient education, hand exercises, assistive devices and orthoses are considered as core treatments, whereas surgery are recommended for those with severe carpometacarpal (CMC1) OA. However, even though CMC1 surgery may reduce pain and improve function, the risk of adverse effects is high, and randomized controlled trials comparing surgery with non-surgical interventions are warranted.This multicentre randomized controlled trial aims to address the following questions:Does OT in the period before surgical consultation reduce the need for surgery in CMC1-OA?What are patients’ motivation and reasons for wanting CMC1-surgery?Are there differences between departments of rheumatology concerning the degree of CMC1-OA, pain and functional limitations in patients who are referred for surgical consultation for CMC1 surgery?Is the Measure of Activity Performance of the Hand a reliable measure in patients with CMC1-OA?Do patients with CMC1-OA with and without affection of the distal and proximal interphalangeal finger joints differ with regard to symptoms and function?Do the degree of CMC1-OA, symptoms and functional limitations significantly predict improvement after 2 years following OT or CMC1-surgery?Is OT more cost-effective than surgery in the management of CMC1-OA?Methods/DesignAll persons referred for surgical consultation due to their CMC1-OA at one of three Norwegian departments of rheumatology are invited to participate. Those who agree attend a clinical assessment and report their symptoms, function and motivation for surgery in validated outcome measures, before they are randomly selected to receive OT in the period before surgical consultation (estimated n = 180). The primary outcome will be the number of participants in each group who have received surgical treatment after 2 years. Secondary and tertiary outcomes are pain, function and satisfaction with care over the 2-year trial period. Outcomes will be collected at baseline, 4, 18 and 24 months. The main analysis will be on an intention-to-treat basis, using logistic regression, comparing the number of participants in each group who have received surgical treatment after 2 years.DiscussionThe findings will improve the evidence-based management of HOA.Trial registration identifier NCT01794754. First registrated February 15th 2013.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 85%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Does occupational therapy reduce the need for surgery in carpometacarpal osteoarthritis? Protocol for a randomized controlled trial

Kjeken

Eide

Klokkeide

et al. 2016

BMC Musculoskelet Disord

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“…% MVC), 0.5–0.75 kg wrist e/fdosage = 3 reps/day, every dayprogression = up to 10 reps/day CG ( n = 49): leaflet and advice (extensive information)Grip strength (24 wks): NS AUSCAN pain (12 wks): NS AUSCAN function (12 wks): NSStrength ( p = ?) Pain ( p = 0.6) Function ( p = 0.5)Hennig et al (2015) [31] RGb = 40 CGb = 40 N = 71100% F60.8 (7) years old RG ( n = 37): supervision = 1 individual session with 8 follow-up callsexercise = elastic bands e/a thumb, rubber ball for grip strength (100% MVC)dosage = 10 reps (weeks 1 and 2), 3 days/weekprogression = 12 reps (weeks 3 and 4), 15 reps (weeks 5–12), 3 days/week CG ( n = 34): leaflet and advice (limited information)Grip strength (12 wks): S NRS pain (12 wks): S FIHOA (12 wks): SStrength ( p = 0.4) Pain ( p = ?) Function ( p = ?…”

Section: Resultsmentioning

confidence: 99%

The effects of resistance training on muscle strength, joint pain, and hand function in individuals with hand osteoarthritis: a systematic review and meta-analysis

2017

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BackgroundHand osteoarthritis is a common condition characterised by joint pain and muscle weakness. These factors are thought to contribute to ongoing disability. Some evidence exists that resistance training decreases pain, improves muscle strength, and enhances function in people with knee and hip osteoarthritis. However, there is currently a lack of consensus regarding its effectiveness in people with hand osteoarthritis. Therefore, the aim of this systematic review and meta-analysis was to establish whether resistance training in people with hand osteoarthritis increases grip strength, decreases joint pain, and improves hand function.MethodsSeven databases were searched from 1975 until July 1, 2016. Randomised controlled trials were included. The Cochrane Risk of Bias Tool was used to assess studies’ methodological quality. The Grade of Recommendations Assessment, Development, and Evaluation system was adopted to rate overall quality of evidence. Suitable studies were pooled using a random-effects meta-analysis.ResultsFive studies were included with a total of 350 participants. The majority of the training programs did not meet recommended intensity, frequency, or progression criteria for muscle strengthening. There was moderate-quality evidence that resistance training does not improve grip strength (mean difference = 1.35; 95% confidence interval (CI) = –0.84, 3.54; I 2 = 50%; p = 0.23 ). Low-quality evidence showed significant improvements in joint pain (standardised mean difference (SMD) = –0.23; 95% CI = –0.42, –0.04; I 2 = 0%; p = 0.02) which were not clinically relevant. Low-quality evidence demonstrated no improvements in hand function following resistance training (SMD = –0.1; 95% CI = –0.33, 0.13; I 2 = 28%; p = 0.39).ConclusionThere is no evidence that resistance training has a significant effect on grip strength or hand function in people with hand osteoarthritis. Low-quality evidence suggests it has a small, clinically unimportant pain-relieving effect. Future studies should investigate resistance training regimes with adequate intensity, frequency, and progressions to achieve gains in muscle strength.Electronic supplementary materialThe online version of this article (doi:10.1186/s13075-017-1348-3) contains supplementary material, which is available to authorized users.

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Exercise for hand osteoarthritis

Østerås

Kjeken

Smedslund

et al. 2017

Cochrane Database of Systematic Reviews

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Background-What is hand osteoarthritis and what is exercise? Osteoarthritis (OA) is a disease of the joints that causes joint pain, stiffness and swelling. It may hinder people from doing what they want and need to do. Usually, symptoms come on slowly but get worse over time. OA may occur in any joint but is most commonly seen in the hip, knee and small joints of the hand. No cure for OA is known, but available treatment alternatives may reduce pain and stiffness, increase function and improve self-management of the disease. Exercise is an activity done to improve or maintain your fitness, ability or performance. A period of planned exercise often aims to improve or maintain muscle strength, physical fitness, joint mobility and overall health. Study characteristics This Cochrane review presents what we know about the effect of exercise in people with OA in the joints of the hand. After searching for relevant studies up to September 2015, we included seven studies (534 participants). These studies included more women than men. In six studies, half of the people underwent a hand exercise programme and were compared with those who did not exercise. One study compared two groups of people who underwent two different exercise programmes. Evidence from five studies shows the effect of exercise immediately after the exercise programme, and two studies provided results on medium-and long-term sustainability of exercise. We report below only the results reported immediately after the exercise programme was completed.

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Effect of home-based hand exercises in women with hand osteoarthritis: a randomised controlled trial

Abstract: ISRTCN79019063.

Cited by 59 publications

References 56 publications

Does occupational therapy reduce the need for surgery in carpometacarpal osteoarthritis? Protocol for a randomized controlled trial

Does occupational therapy reduce the need for surgery in carpometacarpal osteoarthritis? Protocol for a randomized controlled trial

The effects of resistance training on muscle strength, joint pain, and hand function in individuals with hand osteoarthritis: a systematic review and meta-analysis

Exercise for hand osteoarthritis

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