Effectiveness of Proprioceptive Exercises Program in Patients With Carpometacarpal Joint Osteoarthritis

NCT ID: NCT04777526

Last Updated: 2021-03-02

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

52 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-12-02

Study Completion Date

2020-07-18

Brief Summary

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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.

Detailed Description

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Conditions

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Thumb Osteoarthritis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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Control group

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.

Group Type ACTIVE_COMPARATOR

Joint protection program

Intervention Type OTHER

Reeducation in the activities daily life

Thumb orthosis

Intervention Type OTHER

Thumb night orthosis

Manual distraction

Intervention Type OTHER

Manual distraction of CMC joint

Experimental group

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

Group Type EXPERIMENTAL

Proprioception exercises

Intervention Type OTHER

Exercises for recognition of thumb position and thumb force sense.

Joint protection program

Intervention Type OTHER

Reeducation in the activities daily life

Thumb orthosis

Intervention Type OTHER

Thumb night orthosis

Manual distraction

Intervention Type OTHER

Manual distraction of CMC joint

Interventions

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Proprioception exercises

Exercises for recognition of thumb position and thumb force sense.

Intervention Type OTHER

Joint protection program

Reeducation in the activities daily life

Intervention Type OTHER

Thumb orthosis

Thumb night orthosis

Intervention Type OTHER

Manual distraction

Manual distraction of CMC joint

Intervention Type OTHER

Eligibility Criteria

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Exclusion Criteria

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.
Minimum Eligible Age

18 Years

Maximum Eligible Age

90 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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University of Malaga

OTHER

Sponsor Role lead

Responsible Party

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Raquel Cantero-Téllez

Clinical Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Raquel Cantero-Téllez

Málaga, , Spain

Site Status

Countries

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Spain

Other Identifiers

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19-20

Identifier Type: -

Identifier Source: org_study_id

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