Self management, joint protection and exercises in hand osteoarthritis: a randomised controlled trial with cost effectiveness analyses

Research output: Contribution to journalArticlepeer-review

Authors

  • Krysia S Dziedzic
  • Susan Hill
  • Elaine Nicholls
  • Alison Hammond
  • Helen Myers
  • Tracy Whitehurst
  • Jo Bailey
  • Charlotte Clements
  • June Handy
  • Rhian W Hughes
  • Elaine Thomas
  • Elaine M Hay

Colleges, School and Institutes

Abstract

There is limited evidence for the clinical and cost effectiveness of occupational therapy (OT) approaches in the management of hand osteoarthritis (OA). Joint protection and hand exercises have been proposed by European guidelines, however the clinical and cost effectiveness of each intervention is unknown.This multicentre two-by-two factorial randomised controlled trial aims to address the following questions:• Is joint protection delivered by an OT more effective in reducing hand pain and disability than no joint protection in people with hand OA in primary care?• Are hand exercises delivered by an OT more effective in reducing hand pain and disability than no hand exercises in people with hand OA in primary care?• Which of the four management approaches explored within the study (leaflet and advice, joint protection, hand exercise, or joint protection and hand exercise combined) provides the most cost-effective use of health care resources

Details

Original languageEnglish
Pages (from-to)156
JournalBMC Musculoskeletal Disorders
Volume12
Publication statusPublished - 2011

Keywords

  • Activities of Daily Living, Cost-Benefit Analysis, Exercise Therapy, Female, Great Britain, Hand Joints, Humans, Male, Middle Aged, Occupational Therapy, Osteoarthritis, Pilot Projects, Practice Guidelines as Topic