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Improved Hand Function, Self-Rated Health, and Decreased Activity Limitations: Results After a Two-Month Hand Osteoarthritis Group Intervention
Linköping University.
Karolinska Institutet, Huddinge, Sweden; Danderyd Hospital, Stockholm, Sweden.
Gothenburg University, Gothenburg, Sweden.
Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Heart and Medicine Center, Department of Rheumatology.ORCID iD: 0000-0002-1607-187X
2018 (English)In: Arthritis care & research, ISSN 2151-464X, E-ISSN 2151-4658, Vol. 70, no 7, p. 1039-1045Article in journal (Refereed) Published
Abstract [en]

Objective

To evaluate the effects on hand function, activity limitations, and self‐rated health of a primary care hand osteoarthritis (OA) group intervention. Hand OA causes pain, impaired mobility, and reduced grip force, which cause activity limitations. OA group interventions in primary care settings are sparsely reported.

Methods

Sixty‐four individuals with hand OA agreed to participate; 15 were excluded due to not fulfilling the inclusion criteria. The 49 remaining (90% female) participated in an OA group intervention at a primary care unit with education, paraffin wax bath, and hand exercise over a 6‐week period. Data were collected at baseline, end of intervention, and after 1 year. Instruments used were the Grip Ability Test (GAT), the Signals of Functional Impairment (SOFI), dynamometry (grip force), hand pain at rest using a visual analog scale (VAS), the Patient‐Specific Functional Scale (PSFS), the Quick Disabilities of the Arm, Shoulder, and Hand (Quick‐DASH), and the EuroQol VAS (EQ VAS). Data were analyzed using nonparametric statistics.

Results

Hand function, activity limitation, and self‐rated health significantly improved from baseline to end of intervention, grip force (right hand: P < 0.001; left hand: P = 0.008), SOFI (P = 0.011), GAT (P < 0.001), hand pain at rest (P < 0.001), PSFS (1: P = 0.008, 2: P < 0.001, and 3: P = 0.004), Quick‐DASH (P = 0.001), and EQ VAS (P = 0.039), and the effects were sustained after 1 year.

Conclusion

The hand OA group intervention in primary care improves hand function, activity limitation, and self‐rated health. The benefits are sustained 1 year after completion of the intervention.

Place, publisher, year, edition, pages
John Wiley & Sons, 2018. Vol. 70, no 7, p. 1039-1045
National Category
Physiotherapy
Identifiers
URN: urn:nbn:se:liu:diva-149696DOI: 10.1002/acr.23431ISI: 000436403100010PubMedID: 28973832Scopus ID: 2-s2.0-85049034615OAI: oai:DiVA.org:liu-149696DiVA, id: diva2:1234416
Available from: 2018-07-24 Created: 2018-07-24 Last updated: 2018-08-14Bibliographically approved

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Bjurehed, LindaBjörk, Mathilda
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Linköping UniversityDivision of Occupational TherapyFaculty of Medicine and Health SciencesDepartment of Rheumatology
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