| Titre : | Exercise Therapy in Addition to an Orthosis Reduces Pain More Than an Orthosis Alone in Patients With Thumb Base Osteoarthritis: A Propensity Score Matching Study (2019) |
| Auteurs : | Robbert M. Wouters ; Jonathan Tsehaie ; Harm P. Slijper |
| Type de document : | Article |
| Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 100, n° 6, 2019) |
| Article en page(s) : | p. 1050-1060 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Arthrose ; Articulations carpométacarpiennes ; Pouce ; Rééducation et réadaptation ; Score de propension ; Traitement par les exercices physiques |
| Résumé : |
Objective
To compare the effect of exercises and orthotics with orthotics alone on pain and hand function in patients with first carpometacarpal joint (CMC-1) osteoarthritis (OA) and to predict outcomes on pain and hand function of exercises and orthotics. Design Prospective cohort study with propensity score matching. Setting Data collection took place in 13 outpatient clinics for hand surgery and hand therapy in The Netherlands. Participants A consecutive, population-based sample of patients with CMC-1 OA (N=173) was included in this study, of which 84 were matched on baseline demographics and baseline primary outcomes. Interventions Exercises and orthotics versus orthotics alone. Main Outcome Measures Primary outcomes included pain and hand function at 3 months, measured using visual analog scale (VAS, 0-100) and the Michigan Hand Outcomes Questionnaire (MHQ, 0-100). Results A larger decrease in VAS pain at rest (11.1 points difference; 95% confidence interval, 1.9-20.3; P=.002) and during physical load (22.7 points difference; 95% confidence interval, 13.6-31.0; P<.001 was found in the exercise orthotic group compared to group. addition larger improvement for mhq subscales pain work performance aesthetics and satisfaction no differences were on other outcomes. baseline scores of metacarpophalangeal flexion presence scaphotrapeziotrapezoid oa vas at rest heavy physical labor total predicted primary outcomes> Conclusions Non-surgical treatment of patients with CMC-1 OA should include exercises, since there is a relatively large treatment effect compared to using an orthosis alone. Future research should study exercises and predictors in a more standardized setting to confirm this finding. |
| Disponible en ligne : | Oui |
| En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999318315168 |
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