Study of Effectiveness of Hand Exercises to Treat Symptoms of Hand Osteoarthritis - Full Text View

Purpose

Participants in this study will do hand exercises once per day for 16 weeks. The purpose of the study is to determine if hand exercises designed to improve range of movement and strength are an effective way to decrease functional limitations for people with hand osteoarthritis. The study will also attempt to determine if pain and stiffness are improved, and if hand strength and dexterity are improved.

Condition	Intervention
Osteoarthritis	Other: Hand Exercise Other: sham hand cream

MedlinePlus related topics:

Exercise and Physical Fitness Osteoarthritis

U.S. FDA Resources

Study Type:	Interventional
Study Design:	Treatment, Randomized, Single Blind, Placebo Control, Crossover Assignment, Efficacy Study

Official Title:	Efficacy of a Home-Based Hand Range-of-Motion and Strength Training Exercise Program for Improvement of Hand Function in Older Adults With Hand Osteoarthritis: a Randomized Controlled Trial

Further study details as provided by The Arthritis Research Institute of America:

Primary Outcome Measures:

Australian-Canadian Osteoarthritis Index (AUSCAN)hand disability score at 16 weeks of exercise

Secondary Outcome Measures:

AUSCAN hand pain score at 16 weeks of exercise
AUSCAN hand stiffness score at 16 weeks of exercise
Maximal and average grip strength at 16 weeks of exercise
Maximal and average key pinch strength at 16 weeks of exercise
Maximal and average 3-point pinch strength at 16 weeks of exercise
Purdue Peg Board dexterity scores at 16 weeks of exercise

Estimated Enrollment:	65
Study Start Date:	November 2005
Study Completion Date:	April 2007

Arms	Assigned Interventions
1: Experimental Home-based hand exercise program	Other: Hand Exercise
2: Placebo Comparator Sham hand cream	Other: sham hand cream placebo intervention

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Eligibility

Ages Eligible for Study:	50 Years and older
Genders Eligible for Study:	Both
Accepts Healthy Volunteers:	Yes

Criteria

Inclusion Criteria:

Men and women
Ages 50 years and older
Reside within Tampa Bay Region, Florida
Presence of symptomatic OA as determined by the AUSCAN Index. Specifically, a hand function score of > 225 mm for the AUSCAN VA-subscale
Presence of radiographic hand OA, as defined by grades 2, or higher, per the Kellgren and Lawrence scale in one or more joints.

Exclusion Criteria:

Concomitant rheumatic disease (e.g., rheumatoid arthritis, gout, lupus, fibromyalgia)
Current hand or wrist injury (e.g., carpal tunnel syndrome, palmer tenosynovitis, fracture, sprain)
Use of an assistive device such as a cane or crutch
Has hand surgery scheduled within the 48 weeks following the start of the study
Prior hand surgery requiring joint replacement or other instrumentation in the hands
Received any intra-articular injection (hyaluronic acid, corticosteroid, or joint lavage) during the 3 months preceding the study
Currently participating in another conflicting research study
Currently using a therapeutic hand cream or practicing a hand exercise routine
Unwilling to sign an informed consent

Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00375947

Locations


United States, Florida
	The Arthritis Research Institute of America
	Clearwater, Florida, United States, 33755

Sponsors and Collaborators

The Arthritis Research Institute of America

Investigators


Principal Investigator:	Matthew W Rogers, MS	The Arthritis Research Institute of America

Study Director:	Frances V Wilder, PhD	The Arthritis Research Institute of America

More Information

ARIA web site This link exits the ClinicalTrials.gov site

Study ID Numbers:	ARIA-0001
First Received:	September 11, 2006
Last Updated:	August 22, 2007
ClinicalTrials.gov Identifier:	NCT00375947
Health Authority:	United States: Institutional Review Board

Keywords provided by The Arthritis Research Institute of America:

exercise

hand disability

arthritis

AUSCAN

Study placed in the following topic categories:

Musculoskeletal Diseases

Osteoarthritis

Joint Diseases

Arthritis

Rheumatic Diseases

ClinicalTrials.gov processed this record on August 21, 2008

Sponsored by:	The Arthritis Research Institute of America
Information provided by:	The Arthritis Research Institute of America
ClinicalTrials.gov Identifier:	NCT00375947