Occupational Therapy for Thumb Arthritis
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial examines the effectiveness of occupational therapy in aiding recovery after CMC arthroplasty, a surgery for thumb arthritis. Participants will either attend weekly occupational therapy sessions or follow a home exercise program provided by their doctor. It is ideal for individuals planning to undergo this thumb surgery who can read and write in English. As an unphased trial, this study provides a unique opportunity to contribute to understanding the benefits of occupational therapy post-surgery.
Do I need to stop my current medications for this trial?
The trial information does not specify whether you need to stop taking your current medications.
Is there any evidence suggesting that this trial's treatments are likely to be safe?
Research has shown that occupational therapy is a safe and effective treatment for thumb arthritis. Studies have found that this therapy can improve hand function and reduce pain in the short term. Specifically, one study discovered that a combination of exercises and hands-on techniques significantly eased pain.
Another study found that exercise therapy for thumbs improved thumb movement and daily use for up to a year. These findings suggest that occupational therapy is generally well-tolerated and safe for treating thumb arthritis symptoms.
No major side effects were reported in the studies, supporting the conclusion that occupational therapy is a safe option for managing thumb arthritis.12345Why are researchers excited about this trial?
Researchers are excited about the occupational therapy approach for thumb arthritis because it offers a hands-on, personalized way to manage symptoms without relying solely on medications like NSAIDs or corticosteroid injections. Unlike standard drug treatments, occupational therapy focuses on improving hand function and reducing pain through customized exercises and activities tailored to each individual's needs. This method empowers patients to actively participate in their own care, potentially leading to better long-term outcomes and quality of life.
What evidence suggests that occupational therapy is effective for thumb arthritis?
Research has shown that occupational therapy, which participants in this trial may receive, can significantly improve thumb function in people with arthritis. Studies have found that this therapy can reduce pain and facilitate thumb use in daily activities. One study noted short-term improvements in hand function after a specific type of occupational therapy. Meanwhile, participants in another arm of this trial will complete a home exercise program. Exercises and hands-on therapy, often included in occupational therapy, have been found to reduce pain more effectively than other methods. These findings suggest that occupational therapy could be a promising way to manage symptoms of thumb arthritis.12456
Who Is on the Research Team?
Julia A.V. Nuelle, MD
Principal Investigator
University of Missouri-Columbia
Are You a Good Fit for This Trial?
This trial is for individuals with thumb carpometacarpal (CMC) arthritis who have undergone a trapeziectomy and suture suspensionplasty. The study aims to determine if in-clinic occupational therapy is necessary after the surgery.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Treatment
Participants are randomized to either in-clinic occupational therapy or at-home exercise therapy following trapeziectomy and suture suspensionplasty
Follow-up
Participants are monitored for safety and effectiveness after treatment, with assessments of key pinch strength, grip strength, Kapandji score, radial abduction, and PROMIS measures
What Are the Treatments Tested in This Trial?
Interventions
- Home Exercise Program
- Occupational Therapy
Find a Clinic Near You
Who Is Running the Clinical Trial?
Julie Nuelle
Lead Sponsor
Arthrex, Inc.
Industry Sponsor