Thumb Osteoarthritis Clinical Trial
Official title:
Strengthening of the First Dorsal Interosseous for Thumb Carpometacarpal Osteoarthritis
To determine the effect of first dorsal interosseus (FDI) strengthening in patients with thumb carpometacarpal (CMC) osteoarthritis.
Thumb CMC osteoarthritis is a normal part of aging. Most patients are able to adapt to symptoms of pain and disability, other patients might benefit from non-operative interventions; e.g. splinting, corticosteroid injections, pain medication, and multiple hand exercises. The dorsal ligament complex is one of the components for stability of the thumb CMC joint. These ligaments specifically create stability for pinch and grip during the final phase of opposition. Both, the opponens pollicis (OP) and the first dorsal interosseous (FDI) play a key role in centralizing the metacarpal on the trapezium. A retrospective study showed that a dynamic stability modeled approach, including targeting the FDI, reduced pain and improved function in patients with thumb CMC osteoarthritis. Recently, another study demonstrated that reduction of radial subluxation - the thumb metacarpal versus the trapezium CMC joint - was achieved by contraction of the dynamic stabilizers of the healthy hand, specifically with the focus on the FDI. More clinical research is needed to determine if there are efficacious (effective and low-cost) evidence-based exercise programs for pain reduction and functional improvement in patients with thumb CMC osteoarthritis. The investigators are interested in the effect of FDI strengthening in patients with thumb CMC osteoarthritis. Therefore, the investigators hypothesized that there is no difference in the change of lateral pinch strength at 12 weeks between patients treated with a splint versus patients treated with a splint and FDI strengthening for thumb CMC osteoarthritis. We also tested the same hypothesis for 3-point chuck strength, VAS for pain, and PROMIS Upper Extremity CAT. ;
| 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 | |
| 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 | |
| Recruiting |
NCT01679717 -
Postoperative Therapy After Interposition Arthroplasty in CMC1
|
N/A | |
| 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 |