Rheumatoid Arthritis Clinical Trial
Official title:
The Clinical Effectiveness of Static Resting Splints in Early Rheumatoid Arthritis: a Randomized Controlled Trial
This study tested the hypothesis that there would be a difference in the 12 month progression of structural hand impairment and hand function between a group of patients with early RA who received static resting splints and those that did not.
This study is a multi centred RCT recruiting patients across 8 rheumatology occupational
therapy departments in the UK. Patients with early RA (<5 years) were recruited. The study
followed patients over a 12 month treatment period. Patients were randomised to receive
standardised occupational therapy or standardised occupational therapy plus static resting
splints over 12 months. The primary outcome measure was dominant hand grip strength and
secondary out measures included; dominant hand MCPJ ulnar deviation, the button board from
the Arthritis Hand Function Test and the Michigan Hand Outcomes Questionnaire.
Data were analysed using ANCOVA. Baseline outcome values, Ritchie Scores at baseline and the
number of intra articular wrist and hand steroid injections were controlled for as
covariates.
This study is a multi centred RCT recruiting patients across 8 rheuamtology occupational
therapy departments in the UK. Patients with early RA (<5 years) were recruited. The study
followed patients over a 12 month treamtent period. Patients were randomised to receive
standardised occupational therapy or standardised occupational therapy plus static resting
splints over 12 months. The primary outcome measure was dominant hand grip strength and
secondary out measures included; dominant hand MCPJ ulnar deviation, the button board from
the Arthritis Hand Function Test and the Michigan Hand Outcomes Questionnaire.
Data were analysed using ANCOVA. Baseline outcome values, Ritchie Scores at baseline and the
number of intra articular wirst and hand steroid injections were controlled for as
covariates.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind, Primary Purpose: Health Services Research
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