Effectiveness of Occupation-Based Intervention Compared With Therapeutic Exercise for Older Adults With Shoulder OA.

NCT04641546 | Completed

• 1 other identifier: BayPathU
• Study Type: interventional
• Target: 10
• Locations: 1 country
• Sites: 1

Brief Summary

As a registered and licensed occupational therapist, I completed a six-week evidence based research study to determine the effects of occupation-based intervention and therapeutic exercises versus therapeutic exercises alone.

Conditions

Osteoarthritis Shoulder

Outcome Measures

Primary Outcomes (4)

• Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH) Baseline scores

  To assess the impact of the intervention on physical function and symptoms of shoulder osteoarthritis. * Minimum Value: 0 (no disability) * Maximum Value: 100 (most severe disability) * Higher scores = Worse outcome (greater upper extremity dysfunction)

  Pre-Intervention

• Change between Pre-Intervention and 1-week Post-Intervention Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH) scores

  To assess the impact of the intervention on physical function and symptoms of shoulder osteoarthritis. * Minimum Value: 0 (no disability) * Maximum Value: 100 (most severe disability) * Higher scores = Worse outcome (greater upper extremity dysfunction)

  1-week Post-Intervention

• Change between Pre-Intervention and 4-weeks Post-Intervention Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH) scores

  To assess the impact of the intervention on physical function and symptoms of shoulder osteoarthritis. * Minimum Value: 0 (no disability) * Maximum Value: 100 (most severe disability) * Higher scores = Worse outcome (greater upper extremity dysfunction)

  4-weeks Post-Intervention

• Change between 1-week and 4-weeks Post-Intervention Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH) scores

  To assess the impact of the intervention on physical function and symptoms of shoulder osteoarthritis. * Minimum Value: 0 (no disability) * Maximum Value: 100 (most severe disability) * Higher scores = Worse outcome (greater upper extremity dysfunction)

  4-weeks Post-Intervention

Secondary Outcomes (16)

• Canadian Occupational Performance Measure (COPM) Baseline Scores

  Pre-Intervention

• Change between Pre-Intervention and 1-week Post-Intervention Canadian Occupational Performance Measure (COPM) scores

  1-week Post-Intervention

• Change between Pre-Intervention and 4-weeks Post-Intervention Canadian Occupational Performance Measure (COPM) scores

  4-weeks Post-Intervention

• Change between 1-week and 4-weeks Post-Intervention Canadian Occupational Performance Measure (COPM) scores

  4-weeks Post-Intervention

• Shoulder Range of Motion (ROM) Baseline Scores

  Pre-Intervention

Study Arms (2)

Occupation-Based Intervention + Therapeutic Exercise Intervention Group

EXPERIMENTAL

Sixty-minute occupational therapy sessions were completed two times a week for six weeks consisting of 30 minutes therapeutic exercise followed by 30 minutes of occupation-based intervention.

Procedure: Therapeutic Exercise; Procedure: Occupation-Based Intervention

Therapeutic Exercise Control Group

EXPERIMENTAL

Sixty-minute occupational therapy sessions were completed two times a week for six weeks consisting of therapeutic exercise only.

Procedure: Therapeutic Exercise

Interventions

Therapeutic Exercise PROCEDURE

Passive range of motion (PROM), active-assistive range of motion (AAROM), active range of motion (AROM), and strengthening activities.

Occupation-Based Intervention + Therapeutic Exercise Intervention Group; Therapeutic Exercise Control Group

Occupation-Based Intervention PROCEDURE

Collecting and placing items in cabinets, washing windows and tables, and hanging clothes on a clothesline.

Occupation-Based Intervention + Therapeutic Exercise Intervention Group

Eligibility Criteria

• Age: 65 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Older Adult (65+)

You may qualify if:

• Diagnosis of shoulder osteoarthritis (confirmed by physician examination or radiographic imaging)
• Aged 65 years or older

You may not qualify if:

• Previous shoulder injuries
• Acute pathology
• Previous shoulder surgery
• Current use of pain medication
• Inflammatory arthritis
• Upper extremity neuropathy or myopathy
• Current participation in a home exercise program
• Score of \<18 on the Mini-Mental State Examination (MMSE)

Sponsors & Collaborators

• Bay Path University: lead

Study Sites (1)

Bay Path University

Jacksonville, Florida, 32223, United States

Location

Related Publications (12)

• Beaton DE, Wright JG, Katz JN; Upper Extremity Collaborative Group. Development of the QuickDASH: comparison of three item-reduction approaches. J Bone Joint Surg Am. 2005 May;87(5):1038-46. doi: 10.2106/JBJS.D.02060.

  PMID: 15866967 BACKGROUND

• Bull D, Tai Kie A, Hanusch B, Kulkarni R, Rees J, Rangan A. Is there sufficient evidence to support intervention to manage shoulder arthritis? Shoulder Elbow. 2016 Apr;8(2):77-89. doi: 10.1177/1758573215622385. Epub 2016 Jan 8.

  PMID: 27583004 BACKGROUND

• Burner T, Abbott D, Huber K, Stout M, Fleming R, Wessel B, Massey E, Rosenthal A, Burns E. Shoulder symptoms and function in geriatric patients. J Geriatr Phys Ther. 2014 Oct-Dec;37(4):154-8. doi: 10.1519/JPT.0b013e3182abe7d6.

  PMID: 24534849 BACKGROUND

• Che Daud AZ, Yau MK, Barnett F, Judd J, Jones RE, Muhammad Nawawi RF. Integration of occupation based intervention in hand injury rehabilitation: A Randomized Controlled Trial. J Hand Ther. 2016 Jan-Mar;29(1):30-40. doi: 10.1016/j.jht.2015.09.004. Epub 2015 Nov 6.

  PMID: 26847318 BACKGROUND

• Hawker GA, Mian S, Kendzerska T, French M. Measures of adult pain: Visual Analog Scale for Pain (VAS Pain), Numeric Rating Scale for Pain (NRS Pain), McGill Pain Questionnaire (MPQ), Short-Form McGill Pain Questionnaire (SF-MPQ), Chronic Pain Grade Scale (CPGS), Short Form-36 Bodily Pain Scale (SF-36 BPS), and Measure of Intermittent and Constant Osteoarthritis Pain (ICOAP). Arthritis Care Res (Hoboken). 2011 Nov;63 Suppl 11:S240-52. doi: 10.1002/acr.20543. No abstract available.

  PMID: 22588748 BACKGROUND

• Law M, Baptiste S, McColl M, Opzoomer A, Polatajko H, Pollock N. The Canadian occupational performance measure: an outcome measure for occupational therapy. Can J Occup Ther. 1990 Apr;57(2):82-7. doi: 10.1177/000841749005700207.

  PMID: 10104738 BACKGROUND

• Lawrence RC, Felson DT, Helmick CG, Arnold LM, Choi H, Deyo RA, Gabriel S, Hirsch R, Hochberg MC, Hunder GG, Jordan JM, Katz JN, Kremers HM, Wolfe F; National Arthritis Data Workgroup. Estimates of the prevalence of arthritis and other rheumatic conditions in the United States. Part II. Arthritis Rheum. 2008 Jan;58(1):26-35. doi: 10.1002/art.23176.

  PMID: 18163497 BACKGROUND

• Marinko LN, Chacko JM, Dalton D, Chacko CC. The effectiveness of therapeutic exercise for painful shoulder conditions: a meta-analysis. J Shoulder Elbow Surg. 2011 Dec;20(8):1351-9. doi: 10.1016/j.jse.2011.05.013. Epub 2011 Sep 1.

  PMID: 21889366 BACKGROUND

• McDonough CM, Jette AM. The contribution of osteoarthritis to functional limitations and disability. Clin Geriatr Med. 2010 Aug;26(3):387-99. doi: 10.1016/j.cger.2010.04.001.

  PMID: 20699161 BACKGROUND

• Millett PJ, Gobezie R, Boykin RE. Shoulder osteoarthritis: diagnosis and management. Am Fam Physician. 2008 Sep 1;78(5):605-11.

  PMID: 18788237 BACKGROUND

• Mushtaq S, Choudhary R, Scanzello CR. Non-surgical treatment of osteoarthritis-related pain in the elderly. Curr Rev Musculoskelet Med. 2011 Sep;4(3):113-22. doi: 10.1007/s12178-011-9084-9.

  PMID: 21701816 BACKGROUND

• Weinstock-Zlotnick G, Mehta SP. A systematic review of the benefits of occupation-based intervention for patients with upper extremity musculoskeletal disorders. J Hand Ther. 2019 Apr-Jun;32(2):141-152. doi: 10.1016/j.jht.2018.04.001. Epub 2018 Jul 14.

  PMID: 30017413 BACKGROUND

MeSH Terms

Interventions

Exercise Therapy

Intervention Hierarchy (Ancestors)

Rehabilitation; Aftercare; Continuity of Patient Care; Patient Care; Therapeutics; Physical Therapy Modalities

Study Officials

• Kelli A Cabrera

  Bay Path University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Model Details: Randomized Controlled Trial

Study Record Dates

• First Submitted: November 11, 2020
• First Posted: November 24, 2020
• Study Start: October 28, 2019
• Primary Completion: December 6, 2019
• Study Completion: January 10, 2020
• Last Updated: November 24, 2020

Record last verified: 2020-11

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, CSR
• Time Frame: Within the next year

Locations

US (1)