Self-management strategies to support performance of daily activities in hand osteoarthritis

Kjeken, Ingvild; Darre, Siri; Slatkowsky-Cristensen, Barabara; Hermann, Merete; Nilsen, Tove; Eriksen, Camilla S; Nossum, Randi

doi:10.3109/11038128.2012.661457

Cited by 28 publications

(36 citation statements)

References 37 publications

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“…Challenges of managing everyday life were met by employing various strategies, which confirms findings from previous research [42][43][44]. The individual, subjective reasons for actions are developed by the participants and related to the meanings of their social possibilities and their personal concerns, as claimed by critical psychology [28].…”

Section: Discussionsupporting

confidence: 68%

Activity problems in everyday life – patients’ perspectives of hand osteoarthritis: “try imagining what it would be like having no hands”

Bukhave

Huniche

2013

Disability and Rehabilitation

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Section: Discussionsupporting

confidence: 68%

Activity problems in everyday life – patients’ perspectives of hand osteoarthritis: “try imagining what it would be like having no hands”

Bukhave

Huniche

2013

Disability and Rehabilitation

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“…In addition, the use of assistive devices was the most frequently reported self-management strategy in a study exploring self-management strategies in persons with HOA [34]. Furthermore, participants with HOA have reported in qualitative interviews that assistive devices help them remain independent in daily activities [18, 19].…”

Section: Introductionmentioning

confidence: 99%

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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“…Esses resultados estão em conformidade com a literatura, ao identificar que pessoas diagnosticadas com OA de mãos, com déficit de função manual importante, reconhecem os dispositivos de assistência como uma das estratégias mais eficientes para a melhoria do desempenho em suas atividades diárias (KJEKEN et al, 2013).…”

Section: Discussionunclassified

Uso De Dispositivos De Assistência Por Indivíduo Com Osteoartrite De Mãos

Santos

Martins

Leite

et al. 2018

Cad. Bras. Ter. Ocup.

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Resumo: Introdução: A osteoartrite de mãos é uma doença articular que acarreta dor, rigidez, deformidade e perda da mobilidade, gerando grande impacto funcional na vida das pessoas, por tornar as atividades comuns do dia a dia difíceis e dolorosas, repercutindo negativamente na sua qualidade de vida. Dispositivos de assistência são estratégias utilizadas por terapeutas ocupacionais para o tratamento sintomático da osteoartrite de mãos. Objetivo: Identificar e descrever dispositivos de assistência indicados para indivíduos com osteoartrite de mãos a partir de uma intervenção do terapeuta ocupacional. Método: Estudo observacional, descritivo de corte transversal. Realizado em população diagnosticada com Osteaoartrite de mãos, no ambulatório de terapia ocupacional de um hospital referência, no período de agosto a setembro de 2015. Dezesseis participantes responderam a um questionário semiestruturado elaborado com enfoque na descrição e frequência de uso dos dispositivos de assistência indicados e ofertados em uma pesquisa mestre. A análise de dados ocorreu por estatística descritiva através de medida de tendência central e distribuição de probabilidade. Resultados: Os dispositivos de assistência utilizados no dia a dia dos 16 indivíduos entrevistados foram adaptadores para o vestir, adaptadores para o banho, descascadores, engrossadores, abridores e cortadores. Foram incluídos na rotina dos participantes 84% destes dispositivos de assistência com frequência diária, semanal e mensal. Conclusão: Os dispositivos de assistência utilizados pela população estudada foram adaptadores para o vestir, adaptadores para o banho, descascadores, engrossadores, abridores e cortadores. Palavras-chave: Use of assistive devices by individuals with hands osteoarthritisAbstract: Introduction: Hands osteoarthritis is a joint disease that causes pain, stiffness, deformity and loss of mobility. It has huge functional and negative impact on people's quality of life by making the common daily activities difficult and painful. Assistive devices are strategies used by occupational therapists for the symptomatic treatment hands osteoarthritis. Objective: To identify and describe assistive devices indicated for individuals with hands osteoarthritis through an Occupational Therapy intervention. Method: Cross-sectional study, conducted on subjects diagnosed with hands osteoarthritis in an Occupational Therapy clinic at a reference hospital in the state, from August to September 2015. Sixteen participants answered a researcher-developed semi-structured questionnaire, focusing on the description and frequency of use of specified assistive devices. Data were analyzed using descriptive statistics through measure of central tendency and probability distribution. Results: The assistive devices used in the daily lives of the 16 individuals interviewed were: adapters for dressing, adapters for bathing, peelers, thickeners, jar/bottle openers and cutters. were in the routine of individuals 84% of these assistive devices with a daily, weekly and monthly f...

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Self-management strategies to support performance of daily activities in hand osteoarthritis

Cited by 28 publications

References 37 publications

Activity problems in everyday life – patients’ perspectives of hand osteoarthritis: “try imagining what it would be like having no hands”

Activity problems in everyday life – patients’ perspectives of hand osteoarthritis: “try imagining what it would be like having no hands”

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

Uso De Dispositivos De Assistência Por Indivíduo Com Osteoartrite De Mãos

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