Limited effects of exercises in people with hand osteoarthritis: results from a randomized controlled trial

Østerås, Nina; Hagen, Kåre Birger; Grotle, Margreth; Sand-Svartrud, A-L; Mowinckel, Petter; Kjeken, Ingvild

doi:10.1016/j.joca.2014.06.036

Cited by 46 publications

(100 citation statements)

References 43 publications

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“…This study addresses the first two phases in this framework, (i) searching and appraising the evidence, identifying appropriate theory and literature, and (ii) designing and pilot testing a new exercise programme for people with HOA ( Figure 1). The efficacy of the programme has recently been examined in a randomized controlled trial (ClinicalTrials.gov registration number: NCT01245842) (16).…”

Section: Methodsmentioning

confidence: 99%

“…The final exercise programme is outlined in Figure 3, and the content of the exercise diary is outlined in Table III. In the randomized controlled trial examining the effect of the programme, four weekly group sessions (weeks 1, 2, 3, and 8) led by an occupational therapist, and weekly telephone follow-up in the eight weeks with no group session were included to further enhance programme adherence (16).…”

Section: Phasementioning

confidence: 99%

“…Four pages (one for each week) which each contain three sections with an 11-point Numeric Rating Scale in which the participants reported their pain immediately after exercising (0 = no pain and 10 = maximum pain), date, and length of exercise session, and gave comments (see Figure 2) 10 A text stating that "you have now finished 1/3 of the programme", together with a cartoon and an exercise plan which the participant may use if she/he needs to revise her/his original plan [11][12][13][14] Four more pages (one for each week) for recording of pain immediately after exercising, date and length of exercise session, and comments (see Figure 2) 15 A text stating that "you have now finished 2/3 of the programme", together with a cartoon and an exercise plan which the participant may use if she/he needs to revise her/his original plan [16][17][18][19] Four more pages (one for each week) for recording of pain immediately after exercising, date and length of exercise session, and comments (see Figure 2) …”

Section: -9mentioning

confidence: 99%

“…Peer support groups are also a suggested strategy to increase adherence to hand therapy (54) as well as to exercising for hip and knee OA (44). Hence, participation in exercise groups and follow-up calls or consultations may be important means for improving adherence to the exercise programme, and this is included in the randomized controlled trial that evaluated the effect of the programme (16).…”

mentioning

confidence: 99%

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Development of an evidence-based exercise programme for people with hand osteoarthritis

Kjeken

Grotle

Hagen

et al. 2014

Scandinavian Journal of Occupational Therapy

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Section: Methodsmentioning

confidence: 99%

Section: Phasementioning

confidence: 99%

Section: -9mentioning

confidence: 99%

mentioning

confidence: 99%

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Development of an evidence-based exercise programme for people with hand osteoarthritis

Kjeken

Grotle

Hagen

et al. 2014

Scandinavian Journal of Occupational Therapy

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“…Arthritis is a chronic disease characterized by joint stiffness and inflammation, which can often result in joint deformities from swelling and osteophyte formation as well as decreased functionality [19][20][21][22]. In the United States, arthritis is the most common cause of disability and between 2013 and 2015, approximately 54.4 million adults were diagnosed with arthritis [23].…”

Section: Introductionmentioning

confidence: 99%

Relationship Between Arthritis And Muscular Strength In Older Women With Symptoms Of Sarcopenia

Renna

Slezak

Mahoney

et al. 2016

Medicine & Science in Sports & Exercise

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Grip strength has been identified as a valid predictor of frailty and disability and has been shown to be a cost-effective method to assess muscular strength in older populations. Grip strength is also used in working definitions for sarcopenia classification. However, various forms of arthritis have been shown to negatively impact grip strength scores, which could potentially lead to misclassification. Therefore, the aim of this study was to investigate if hand arthritis is related to sarcopenia classification in a group of older women with or without symptoms of sarcopenia and if arthritis is related to upper and lower body muscular strength.Sarcopenia status was based on established working definitions that use grip strength or chair stands, physical function, body composition measures in a sample of 61 (71.9±4.6) and a sub-sample of 25 (72.3±4.6 years) older women. Arthritis status was based on self-report and grip strength was measured using a hand dynamometer.Upper body muscular strength was assessed with a one repetition maximum (1RM) test on a chest press machine, while lower body muscular strength was assessed with a 1RM test on a leg press machine. Characteristics of both samples were expressed as mean±SD and frequencies. A Fisher's exact test assessed the relationship between non-specific arthritis and hand arthritis to sarcopenia status. Pearson's correlation coefficients were used to assess the strength of the relationship between grip strength, chest press 1RM (CP1RM), and leg press 1RM (LP1RM) in those with hand arthritis and non-specific arthritis. Non-specific arthritis and hand arthritis were not related to sarcopenia status (p=0.36, p=0.44). There was no relationship between grip strength and CP1RM, grip strength and LP1RM, and CP1RM and LP1RM for those with nonspecific arthritis or hand arthritis. Although non-specific arthritis and hand arthritis were not related to sarcopenia status via grip strength or failure to complete a single chair stand in this sample, studies with larger sample sizes should be done to assess how arthritis is related to sarcopenia status in older women and what forms are related to sarcopenia status.iv ACKNOWLEDGMENTS

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Exercise for hand osteoarthritis

Østerås

Kjeken

Smedslund

et al. 2017

Cochrane Database of Systematic Reviews

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Background-What is hand osteoarthritis and what is exercise? Osteoarthritis (OA) is a disease of the joints that causes joint pain, stiffness and swelling. It may hinder people from doing what they want and need to do. Usually, symptoms come on slowly but get worse over time. OA may occur in any joint but is most commonly seen in the hip, knee and small joints of the hand. No cure for OA is known, but available treatment alternatives may reduce pain and stiffness, increase function and improve self-management of the disease. Exercise is an activity done to improve or maintain your fitness, ability or performance. A period of planned exercise often aims to improve or maintain muscle strength, physical fitness, joint mobility and overall health. Study characteristics This Cochrane review presents what we know about the effect of exercise in people with OA in the joints of the hand. After searching for relevant studies up to September 2015, we included seven studies (534 participants). These studies included more women than men. In six studies, half of the people underwent a hand exercise programme and were compared with those who did not exercise. One study compared two groups of people who underwent two different exercise programmes. Evidence from five studies shows the effect of exercise immediately after the exercise programme, and two studies provided results on medium-and long-term sustainability of exercise. We report below only the results reported immediately after the exercise programme was completed.

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Limited effects of exercises in people with hand osteoarthritis: results from a randomized controlled trial

Abstract: ClinicalTrials.gov registration number: NCT01245842.

Cited by 46 publications

References 43 publications

Development of an evidence-based exercise programme for people with hand osteoarthritis

Development of an evidence-based exercise programme for people with hand osteoarthritis

Relationship Between Arthritis And Muscular Strength In Older Women With Symptoms Of Sarcopenia

Exercise for hand osteoarthritis

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