Clinical Trials Logo

Clinical Trial Details — Status: Recruiting

Administrative data

NCT number NCT01679717
Other study ID # H4/2012
Secondary ID
Status Recruiting
Phase N/A
First received August 23, 2012
Last updated May 4, 2015
Start date June 2012
Est. completion date December 2016

Study information

Verified date May 2015
Source Diakonhjemmet Hospital
Contact Tove Nilsen, MSc
Phone +47 22451500
Email tove.nilsen@diakonsyk.no
Is FDA regulated No
Health authority Norway: Norwegian Social Science Data Services
Study type Interventional

Clinical Trial Summary

In this randomized controlled trial the investigators want to investigate whether early versus late mobilisation after surgery in the first carpometacarpal joint (CMC1) leads to a faster recovery of hand function. The investigators also want to explore patients' satisfaction with the two different treatment regimes. The participants in the control group will receive the standard treatment at Diakonhjemmet hospital: immobilisation of the thumb in a splint for six weeks. The participants in the intervention group will use a soft splint for six weeks, but will be instructed to remove the splint daily to perform exercises for the thumb. A total of 70 patients will be included in the study.


Recruitment information / eligibility

Status Recruiting
Enrollment 70
Est. completion date December 2016
Est. primary completion date December 2015
Accepts healthy volunteers No
Gender Both
Age group 20 Years and older
Eligibility Inclusion Criteria:

- Osteoarthritis in CMC1 diagnosed by radiography and a surgeon.

- Planned surgery(interposition arthroplasty) in CMC1

- Ability to communicate in Norwegian

Exclusion Criteria:

- Surgery involving other joints of the hand in addition to CMC1.

- Previous surgery of the same thumb.

- Other diseases og injuries that could influence hand function.

- Mental or cognitive deficit.

Study Design

Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment


Related Conditions & MeSH terms


Intervention

Other:
Early mobilisation after CMC1-surgery
Comparison of early (two weeks) and conservative (six weeks) mobilisation after operation. Comparison of rigid and soft thumb splint.

Locations

Country Name City State
Norway Diakonhjemmet hospital Oslo

Sponsors (2)

Lead Sponsor Collaborator
Diakonhjemmet Hospital The Norwegian Women´s Public Health Association

Country where clinical trial is conducted

Norway, 

Outcome

Type Measure Description Time frame Safety issue
Other Training diary The patients will be asked to report which date they performed exercises, which exercises they performed and how much pain they experienced after performing the exercises. They will also be encouraged to write down their own comments /reflections regarding the training. Intervention group: 2-6 weeks and 3-4 months. Control group: 6-10 weeks and 3-4 months. No
Primary Change from baseline in The Canadian Occupational Performance Measure (COPM) at 3, 6 and 12 months. The COPM-assessment starts with an interview, addressing patient specific Hand Osteoarthritis (HOA)-related activity limitations within the areas self-care, productivity and leisure. The patient will thereafter rate the five most important activities for performance and satisfaction with performance, on 1 to 10-point scales (higher scores reflect better performance or higher satisfaction). The Norwegian version of the COPM has been tested for validity, reliability and responsiveness and has demonstrated good ability to detect functional changes in HOA. Baseline, 3, 6 and 12 months No
Primary Change from baseline in Patient satisfaction with the rehabilitation regimen at 3, 6 and 12 months. Each patient will be asked to complete a Numeric Rating Scale in order to give an opinion about their postoperative treatment regimen (splint-use, hand function, pain in the thumb, thumb movement and satisfaction with the operation). Baseline, 3, 6 and 12 months No
Secondary Measure for activity performance (MAP-hand). MAP-hand is a questionnaire consisting of questions about 18 standardised activities. The patients will be instructed to score their ability to perform the activities on a scale from 1(No difficulty)to 4 (Not able to do). The Norwegian version of the MAP-hand has been tested for validity, reliability and responsiveness. Baseline, 3, 6 and 12 months No
Secondary Grip force and pinch grip The electronical instrument Grippit will be used to measure grip force and pinch grip. In Grippit, force recordings in Newtons (N) are displayed on the electronic unit every 0.5 seconds over a period of 10 seconds. The peak and average of the 20 registrations, as well as the final value (last recording) will be recorded. Baseline, 3, 6 and 12 months No
Secondary Joint mobility The flexion deficit of fingers 2 - 5 will be assessed by measuring the distance between the distal nail and the proximal crease inside the hand in millimeters.
Range of motion in the thumbs metacarpophalangeal and interphalangeal joints will be measured with a goniometer.
The palmar abduction of the CMC1 and of the entire thumb will be measured with the Pollexograph.
Baseline, 3, 6 and 12 months No
Secondary Pain Pain will be measured on a numeric rating scale (NRS), (0-10, 0=no pain), by asking the patients to mark the level of pain experienced both while they are resting and during resisted motion when measuring grip force and pinch grip. Baseline, 3, 6, and 12 months No
See also
  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 NCT04625244 - Can Video Assisted Therapy Replace In-Person Occupational Therapy After Hand Surgery: A Noninferiority Study 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