Thumb Osteoarthritis Clinical Trial
Official title:
Can Video Assisted Therapy Replace In-Person Occupational Therapy After Hand Surgery: A Noninferiority Study
This study will investigate a video assisted, home therapy program where participants complete hand therapy on their own following thumb arthroplasty. In this program, participants will receive prerecorded informational videos. Half of the participants in this study will do standard of care, in-person therapy. The other half will be enrolled in the home therapy program. Participants will fill out an assessment of their physical ability before surgery and again three months after surgery. These assessments will be compared between groups. The study team hypothesizes that the video-assisted, home therapy program will be noninferior to traditional in-person therapy.
Current postoperative hand therapy regimens can be burdensome to patients and non-compliance rates are high. Our service area has a lack of hand therapists in the rural areas and the most common barrier to receiving care is access and transportation. In-person therapy requires patients to have significant flexibility in transportation, work schedule and childcare. Travel time and distances put patients who are already disadvantaged at an increased risk of failed treatment. Furthermore, our hand therapy clinics have high utilization after first CMC arthroplasty (thumb joint replacement) procedures, for which therapy is protocol-driven and results are predictable-two aspects that lend this procedure to amenable results from a virtual, unsupervised program. This study's central hypothesis is that video assisted therapy can be used in postoperative hand therapy without a change in subject outcomes. In this study, the investigators choose to study therapy for one of the most common postoperative diagnoses seen in Carilion Clinic's hand therapy clinics: thumb arthroplasty (replacement of a thumb joint). Specific Aim 1 is to determine if a video-assisted, home therapy program (pre-recorded instructional videos) can effectively replace in-person occupational therapy for thumb arthroplasty. Hypothesis: Outcomes of a therapy program consisting of pre-recorded instructional videos will be noninferior to the standard of care regimen for thumb arthroplasty. The significance of this study is that it investigates a home therapy solution that the investigators expect to increase access to healthcare in rural populations. This study is novel because it will be the first prospective, randomized control trial to investigate the utility of video-assisted home therapy following hand surgery. ;
Status | Clinical Trial | Phase | |
---|---|---|---|
Completed |
NCT04913935 -
Investigation of Thenar Muscles Morphometric Parameters in Patients With TMC OA
|
||
Terminated |
NCT04613154 -
Magnesium as an Adjunct for Pain Treatment After Surgery for Thumb Base Arthrosis
|
N/A | |
Not yet recruiting |
NCT06401317 -
Corticosteroid Against Saline Injections for Thumb Osteoarthritis (CASITOA)
|
N/A | |
Completed |
NCT05772715 -
The THumb Osteoarthritis Exercise TriAl
|
N/A | |
Not yet recruiting |
NCT05095415 -
Occupational Therapy Pre-operative Education in the Orthopedic Hand Setting
|
N/A | |
Active, not recruiting |
NCT03611023 -
Study of the Touch® Trapezo-metacarpal Prosthesis
|
||
Completed |
NCT03858946 -
Ligament Reconstruction Weilby vs Simple Trapeziectomy
|
N/A | |
Recruiting |
NCT05626192 -
Anatomical Evaluation of the APL Tendons in Thumb CMC Joint and Osteoarthritis
|
||
Recruiting |
NCT04892589 -
The Role of the Proprioceptive Training in Functional Recovery of Patient With Thumb Base Osteoarthritis
|
||
Recruiting |
NCT04210687 -
Trapeziectomy vs. Trapeziometacarpal Limited Excision for Thumb Base Osteoarthritis
|
N/A | |
Recruiting |
NCT04826380 -
Thumb Basal Joint (CMC I) Arthritis - Preoperative Anxiety/Depression, Outcome Instruments, Carpal Cinematics and Cost-utility
|
N/A | |
Completed |
NCT04738201 -
Proprioceptive Thumb Exercises Program in Patients With Carpometacarpal Joint Osteoarthritis
|
N/A | |
Recruiting |
NCT01679717 -
Postoperative Therapy After Interposition Arthroplasty in CMC1
|
N/A | |
Active, not recruiting |
NCT05315297 -
Pulsed Electromagnetic Field (PEMF) Therapy in Thumb CMC Arthritis
|
N/A | |
Not yet recruiting |
NCT05896410 -
3D-Printed Hand Orthosis Versus Thermoplastic Orthosis
|
N/A | |
Not yet recruiting |
NCT04588961 -
Trapeziectomy Suspensionplasty Versus Carpometacarpal Joint Replacement in Treatment of Basal Thumb Osteoarthritis
|
N/A | |
Recruiting |
NCT05992883 -
NSAID Injection Versus Corticosteroid Injection for Basilar Thumb Arthritis
|
Phase 3 | |
Completed |
NCT02958137 -
Arthroscopic Resection Arthroplasty of Carpometacarpal and/or Pantrapezial Osteoarthritis
|
N/A | |
Recruiting |
NCT05127005 -
Efficacy of Trapeziectomy Versus Sham Surgery in the Treatment of Osteoarthritis at the Base of the Thumb
|
N/A | |
Completed |
NCT04669704 -
Effectiveness of a Tele-Rehabilitation Evidence-based Tablet App for Rehabilitation in Traumatic Bone and Soft Injuries of the Hand, Wrist and Fingers.
|
N/A |