This trial is evaluating whether Hand orthosis will improve 2 primary outcomes and 6 secondary outcomes in patients with Arthrosis. Measurement will happen over the course of 24 week follow up.
This trial requires 40 total participants across 2 different treatment groups
This trial involves 2 different treatments. Hand Orthosis is the primary treatment being studied. Participants will all receive the same treatment. There is no placebo group. The treatments being tested are not being studied for commercial purposes.
The majority of arthrosis cases are not treatable by means of surgical techniques at present. So, an accurate and complete assessment of all arthrosis cases seems warranted.
The [results highlight] the importance of using all available data to ensure accurate and complete estimates of prevalence. The high incidence of AR as reported in this study is probably a direct result of [USP's] use of [National Health Survey] methodology and data collection.
A careful clinical history is not enough for differential diagnosis between arthritis related to osteoarthritis, rheumatoid arthritis and gout. The mainstay of diagnosis is supported by radiological findings of joint effusion and synovial thickening. The differential diagnosis also includes ankylosing spondylitis, psoriatic arthritis and enthesitis. Radiological criteria for this latter condition appear to be the most reliable method of differentiating from the other forms of arthritis.
Arthrosis is commonly accompanied by a variety of other diseases such as osteoarthritis or osteoporosis. Treatment options include non-steroidal anti-inflammatory drugs, paracetamol (acetaminophen), and exercise therapy.
Arthrosis often requires surgery, which involves removing diseased cartilage from the joint. Sometimes, arthrosis progresses to osteoarthritis, which can occur for most joints. In the later states of osteoarthritis, joint replacement is often indicated, but it takes some years for the patient's joints to regain function using artificial joints.
Hand orthosis is used to improve hand performance, in particular the ability of the hand to perform functional tasks. Hand orthosis is usually used to treat specific hand dysfunction, including stiffness, poor finger range of motion and grip strength problems. Overall use of hand orthosis in the day-to-day life of people with arthritis is low. summary: This article discusses non-surgical methods of reducing and preventing wrist instability in arthritis.
A Cochrane review showed tentative evidence to indicate a clinical advantage to the use of orthoses during activity, but high-level evidence is lacking. The existing research indicates that hand orthoses may be beneficial in relieving pain caused by inflammation associated with rheumatoid arthritis and may reduce stiffness in people with osteoarthritis. Orthoses are typically used in combination with medical treatments such as the use of painkillers. The evidence suggests that the use of the hand orthoses may improve the outcome of these treatments; further research will be needed.
There are no other trials assessing the use of hand orthosis for hand OA. Clinicians must therefore be vigilant in applying the findings of these trials.
The average age of the time of diagnosis for arthrosis is 76 years old. Arthrosis was less frequently diagnosed in males than females. Additionally, the time of diagnosis for arthrosis increased with the number of surgeries and was slightly lower for smokers.
Hand orthosis has a profound effect on static and dynamic hand function and pain. While a control was not used in this study, the results suggest that an orthosis may lead to over-correction. In a young population, this does not seem to be an issue.
The family history in this study is comparable to the 1.8% prevalence in population based studies and indicates that arthrosis has a genetic component. However, the mode of inheritance is unknown.