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

Krysia S Dziedzic; Susan Hill; Elaine Nicholls; Alison Hammond; Helen Myers; Tracy Whitehurst; Jo Bailey; Charlotte Clements; David G T Whitehurst; Sue Jowett; June Handy; Rhian W Hughes; Elaine Thomas; Elaine M Hay

doi:10.1186/1471-2474-12-156

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

Krysia S Dziedzic, Susan Hill, Elaine Nicholls, Alison Hammond, Helen Myers, Tracy Whitehurst, Jo Bailey, Charlotte Clements, David G T Whitehurst, Sue Jowett, June Handy, Rhian W Hughes, Elaine Thomas, Elaine M Hay

Research output: Contribution to journal › Article › peer-review

17 Citations (Scopus)

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

Original language	English
Pages (from-to)	156
Journal	BMC Musculoskeletal Disorders
Volume	12
DOIs	https://doi.org/10.1186/1471-2474-12-156
Publication status	Published - 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

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Dziedzic, K. S., Hill, S., Nicholls, E., Hammond, A., Myers, H., Whitehurst, T., Bailey, J., Clements, C., Whitehurst, D. G. T., Jowett, S., Handy, J., Hughes, R. W., Thomas, E., & Hay, E. M. (2011). Self management, joint protection and exercises in hand osteoarthritis: a randomised controlled trial with cost effectiveness analyses. BMC Musculoskeletal Disorders, 12, 156. https://doi.org/10.1186/1471-2474-12-156

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

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",

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",

author = "Dziedzic, {Krysia S} and Susan Hill and Elaine Nicholls and Alison Hammond and Helen Myers and Tracy Whitehurst and Jo Bailey and Charlotte Clements and Whitehurst, {David G T} and Sue Jowett and June Handy and Hughes, {Rhian W} and Elaine Thomas and Hay, {Elaine M}",

year = "2011",

doi = "10.1186/1471-2474-12-156",

language = "English",

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Dziedzic, KS, Hill, S, Nicholls, E, Hammond, A, Myers, H, Whitehurst, T, Bailey, J, Clements, C, Whitehurst, DGT, Jowett, S, Handy, J, Hughes, RW, Thomas, E & Hay, EM 2011, 'Self management, joint protection and exercises in hand osteoarthritis: a randomised controlled trial with cost effectiveness analyses', BMC Musculoskeletal Disorders, vol. 12, pp. 156. https://doi.org/10.1186/1471-2474-12-156

TY - JOUR

T1 - Self management, joint protection and exercises in hand osteoarthritis

T2 - a randomised controlled trial with cost effectiveness analyses

AU - Dziedzic, Krysia S

AU - Hill, Susan

AU - Nicholls, Elaine

AU - Hammond, Alison

AU - Myers, Helen

AU - Whitehurst, Tracy

AU - Bailey, Jo

AU - Clements, Charlotte

AU - Whitehurst, David G T

AU - Jowett, Sue

AU - Handy, June

AU - Hughes, Rhian W

AU - Thomas, Elaine

AU - Hay, Elaine M

PY - 2011

Y1 - 2011

N2 - 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

AB - 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

KW - Activities of Daily Living

KW - Cost-Benefit Analysis

KW - Exercise Therapy

KW - Female

KW - Great Britain

KW - Hand Joints

KW - Humans

KW - Male

KW - Middle Aged

KW - Occupational Therapy

KW - Osteoarthritis

KW - Pilot Projects

KW - Practice Guidelines as Topic

U2 - 10.1186/1471-2474-12-156

DO - 10.1186/1471-2474-12-156

M3 - Article

C2 - 21745357

SN - 1471-2474

VL - 12

SP - 156

JO - BMC Musculoskeletal Disorders

JF - BMC Musculoskeletal Disorders

ER -

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

Abstract

Keywords

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