The Hand Osteoarthritis Exercise Trial

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT01245842
Recruitment Status : Completed
First Posted : November 23, 2010
Last Update Posted : October 29, 2013
Norwegian Fund for Postgraduate Training in Physiotherapy
Information provided by (Responsible Party):
Nina Osteras, Diakonhjemmet Hospital

Brief Summary:
The purpose of this study is to evaluate the effect of a hand exercise intervention on function and osteoarthritis symptoms in persons with hand osteoarthritis .

Condition or disease Intervention/treatment Phase
Hand Osteoarthritis Other: Hand exercise program Not Applicable

Detailed Description:

Hand osteoarthritis (OA) is one of the most prevalent musculoskeletal diseases in an adult population. The disease may have large influences on an individual's function, health related quality of life and participation in the society. In recently published clinical guidelines for management, non-pharmacological approaches are considered as core treatments.

Several studies have demonstrated that exercise may reduce pain and improve function in persons with knee OA, and a similar effect is suggested for hip OA. Regarding effect of exercises in hand OA, available research results are limited, and randomised controlled trials (RCT) of good quality are needed.

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 130 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double (Investigator, Outcomes Assessor)
Official Title: Osteoarthritis Care in Primary Health: Hand Exercises and Telephone Counselling for Hand OA - a Randomized Controlled Trial
Study Start Date : January 2011
Actual Primary Completion Date : June 2013
Actual Study Completion Date : August 2013

Resource links provided by the National Library of Medicine

Arm Intervention/treatment
No Intervention: Usual care
Experimental: Exercise group Other: Hand exercise program
Hand exercise program three times/week for 12 weeks. In total four group sessions, otherwise home based. Weekly telephone calls from experienced physiotherapist/occupational therapist addressing adjustments of the exercise program and encouragement of program adherence.

Primary Outcome Measures :
  1. The functional index for hand osteoarthritis (FIHOA) [ Time Frame: 6 months ]
  2. Patient specific function scale (PSFS) [ Time Frame: 6 months ]

Secondary Outcome Measures :
  1. Hand joint pain (Numeric rating scale, 0-10) [ Time Frame: 6 months ]
  2. Hand joint stiffness (Numeric rating scale, 0-10) [ Time Frame: 6 months ]
  3. Fatigue (numeric rating scale, 0-10) [ Time Frame: 6 months ]
  4. Patient global assessment of disease activity (Numeric rating scale, 0-10) [ Time Frame: 6 months ]
  5. Exercise self-efficacy [ Time Frame: 6 months ]
  6. Health related quality of life (15D) [ Time Frame: 6 months ]
  7. Self-reported work ability and sick leave [ Time Frame: 6 months ]
  8. Self-reported health care utilisation [ Time Frame: 6 months ]
  9. Grip strength (JAMAR) [ Time Frame: 6 months ]
  10. Grip size [ Time Frame: 6 months ]
  11. Hand functioning (The Moberg Pick Up Test) [ Time Frame: 6 months ]
  12. Global assessment of change of hand problem [ Time Frame: 6 months ]

Information from the National Library of Medicine

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Ages Eligible for Study:   40 Years to 85 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • The American College of Rheumatology (ACR) classification criteria for clinical hand osteoarthritis
  • FIHOA ≥ 5 at pre-baseline
  • The persons must have a telephone

Exclusion Criteria:

  • Persons with cognitive dysfunction
  • Persons who do not understand Norwegian language
  • Persons with inflammatory rheumatic diseases (e.g. rheumatoid arthritis, ankylosing spondylitis) or cancer
  • Persons that have recently experienced severe trauma
  • Persons that have recently gone through OA surgery or other major surgery

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT01245842

Physiotherapy and Occupational Therapy Service Centre
Ullensaker Municipality, Jessheim, Norway, 2050
Sponsors and Collaborators
Diakonhjemmet Hospital
Norwegian Fund for Postgraduate Training in Physiotherapy
Principal Investigator: Nina Østerås, PT, PhD Diakonhjemmet Hospital

Publications automatically indexed to this study by Identifier (NCT Number):
Responsible Party: Nina Osteras, Principal Investigator, Diakonhjemmet Hospital Identifier: NCT01245842     History of Changes
Other Study ID Numbers: 100286_1
First Posted: November 23, 2010    Key Record Dates
Last Update Posted: October 29, 2013
Last Verified: October 2013

Additional relevant MeSH terms:
Joint Diseases
Musculoskeletal Diseases
Rheumatic Diseases