Self-management approaches for osteoarthritis in the hand: a 2×2 factorial randomised trial.

ABSTRACT:

Background

Osteoarthritis is the leading cause of disability in older adults. Evidence of effectiveness for self-management of hand osteoarthritis is lacking.

Methods

In this randomised, factorial trial, we evaluated the effectiveness of joint protection versus no joint protection, and hand exercise versus no hand exercise in adults, 50 years of age or older, with hand osteoarthritis. Following a population survey (n=12 297), eligible individuals were randomly assigned (1:1:1:1) to: leaflet and advice; joint protection; hand exercise; joint protection plus hand exercise. Joint protection and hand exercises were delivered by nine occupational therapists, over four group sessions. The primary outcome was the OARSI/OMERACT responder criteria at 6 months. Outcomes were collected

SUBMITTER: Dziedzic K 

PROVIDER: S-EPMC4283664 | biostudies-literature | 2015 Jan

REPOSITORIES: biostudies-literature