Effectiveness of Proprioceptive Exercises Program in Patients With Carpometacarpal Joint Osteoarthritis

NCT04777526 | Completed

• 1 other identifier: 19-20
• Study Type: interventional
• Target: 52
• Locations: 1 country
• Sites: 1

Brief Summary

Objective: To establish the effectiveness of a proprioceptive training program as a complementary therapy for a traditional protocol in position control, pain intensity, upper limb function and occupation performance for patients with thumb CMC joint OA. Methods: Standard conservative thumb CMC joint OA treatments were received for both the control (n=26) and experimental groups (n=26) for a period of 12 weeks. The experimental group received a proprioceptive training program during the same intervention period, which was conducted twice weekly (24 sessions). The severity of pain with activity was measured according to the visual analog scale (VAS). QuickDASH questionnaire was used to measure upper extremity function. Patient's occupational performance was measured with the Canadian Occupational Performance Measure (COPM) and proprioception was assessed using Joint position sense (JPS) testing.

Conditions

Thumb Osteoarthritis

Keywords

Thumb pain; Thumb proprioception; Thumb Osteoarthritis

Outcome Measures

Primary Outcomes (1)

• Joint position Sense (JPS)

  Proprioception using active joint position sense (JPS) has been utilized in studies to establish a correlation between therapy intervention and proprioception. The target position of 30o CMC abduction will be selected. Joint angle will be measured using a standard clear plastic goniometer.

  12 weeks

Secondary Outcomes (3)

• Visual Analogue Scale (VAS)

  baseline- 3- 12 weeks

• Canadian Occupational Performance Measure

  baseline- 3- 12 weeks

• Quick-dash

  baseline- 3- 12 weeks

Study Arms (2)

Control group

ACTIVE COMPARATOR

Thumb orthosis at night. Daily exercises program during 4 weeks grouped in 3 sets of 10 repetitions in absence of pain. Exercises will consisted of active \- resistive exercises for the first dorsal interosseous (FDI) muscle, manual distraction of the CMC joint and relaxation of the adductor thumb muscle.

Other: Joint protection program; Other: Thumb orthosis; Other: Manual distraction

Experimental group

EXPERIMENTAL

The experimental group will also carried out a proprioceptive exercise program divided in three phases of 2 weeks per phase.

Other: Proprioception exercises; Other: Joint protection program; Other: Thumb orthosis; Other: Manual distraction

Interventions

Proprioception exercises OTHER

Exercises for recognition of thumb position and thumb force sense.

Experimental group

Joint protection program OTHER

Reeducation in the activities daily life

Control group; Experimental group

Thumb orthosis OTHER

Thumb night orthosis

Control group; Experimental group

Manual distraction OTHER

Manual distraction of CMC joint

Control group; Experimental group

Eligibility Criteria

• Age: 18 Years - 90 Years
• Sex: female
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may not qualify if:

• Patients were excluded from participation if they had a neurological disorder affecting the upper limb, had received specific treatment for hand or thumb pain in the same limb in the last 6 months including an intra-articular joint injection to wrist, fingers, or thumb, had fractures or a significant hand injury or previous surgery to the wrist or hand, or had hand or finger tenosynovitis and/or Dupuytren disease. We also excluded patients with cognitive impairments who were not able to understand the informed consent and/or exercise program.

Sponsors & Collaborators

• University of Malaga: lead

Study Sites (1)

Raquel Cantero-Téllez

Málaga, 29014, Spain

Location

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: TRIPLE
• Who Masked: PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Clinical Professor

Study Record Dates

• First Submitted: February 21, 2021
• First Posted: March 2, 2021
• Study Start: December 2, 2019
• Primary Completion: January 30, 2020
• Study Completion: July 18, 2020
• Last Updated: March 2, 2021

Record last verified: 2021-02

Data Sharing

• IPD Sharing: Will not share

Locations

ES (1)