Self management, joint protection and exercises in hand osteoarthritis: a randomised controlled trial with cost effectiveness analyses
2011

Self Management in Hand Osteoarthritis: A Randomised Controlled Trial

Sample size: 252 publication Evidence: moderate

Author Information

Author(s): Krysia S. Dziedzic, Susan Hill, Elaine Nicholls, Alison Hammond, Helen Myers, Tracy Whitehurst, Jo Bailey, Charlotte Clements, David G.T. Whitehurst, Sue Jowett, June Handy, Rhian W. Hughes, Elaine Thomas, Elaine M. Hay

Primary Institution: Arthritis Research UK Primary Care Centre, Keele University

Hypothesis

Is joint protection delivered by an OT more effective in reducing hand pain and disability than no joint protection in people with hand OA in primary care?

Conclusion

The study aims to improve the cost-effective evidence-based management of hand osteoarthritis.

Supporting Evidence

  • Joint protection and hand exercises are core components of occupational therapy.
  • Participants reported significant hand pain and disability affecting their everyday lives.
  • Only 3% of those with severe disability reported seeing an occupational therapist in the last year.

Takeaway

This study is trying to find out if helping people with hand arthritis by teaching them how to protect their joints and do exercises can make their hands feel better.

Methodology

This is a multicentre two-by-two factorial randomised controlled trial involving participants aged 50 and over, who will be randomised into four groups to receive different interventions.

Potential Biases

Potential bias may arise from the self-reported nature of participant data and the randomisation process.

Limitations

The study may have limitations related to participant dropout and the generalizability of findings to other populations.

Participant Demographics

Participants will be aged 50 years and over, registered at general practices in North Staffordshire and Cheshire.

Digital Object Identifier (DOI)

10.1186/1471-2474-12-156

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