The Effects of Hand Exercise on Function and Physical Impairments in Patient with Hand Osteoarthritis

Document Type : Original Article (s)

Authors

1 Exercise Physiology Research Center, Life Style Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran

2 MSc Student, Department of Occupational Therapy, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran

3 Assistant Professor, Exercise Physiology Research Center, Life Style Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran

4 Assistant Professor, Department of Orthopedic Surgery, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

5 Instructor, Department of Occupational Therapy, School of Rehabilitation, Isfahan University of Medical Sciences, Isfahan, Iran

Abstract

Background: Hand osteoarthritis is one of the most prevalent joint diseases and one of factors that cause disability in older adults. The present study aimed to investigate the effects of hand exercise on function and physical impairments in patient with hand osteoarthritis.Methods: 15 patients with hand osteoarthritis were selected via simple sampling in this quasi-experimental study. Hand function, pain, range of motion, and grip strength were assessed using a questionnaire of disabilities of the arm, shoulder, and hand, visual analogue scale, goniometer, and dynamometer at baseline and after 8 weeks of intervention. Data were analyzed using paired t test.Findings: Pain was significantly decreased after intervention. In addition, the range of motion for the wrist and the thumb was improved. The strength and function of the hand increased after intervention.Conclusion: This study shows that therapeutic exercises have a positive effect on pain, range of motion, grip strength, and hand function in patients with hand osteoarthritis. This method can be used in rehabilitation of this condition.

Keywords


  1. Haugen IK, Englund M, Aliabadi P, Niu J, Clancy M, Kvien TK, et al. Prevalence, incidence and progression of hand osteoarthritis in the general population: the Framingham Osteoarthritis Study. Ann Rheum Dis 2011; 70(9): 1581-6.
  2. Hart DJ, Spector TD. Definition and epidemiology of osteoarthritis of the hand: A review. Osteoarthritis Cartilage 2000; 8(Suppl A): S2-S7.
  3. Botha-Scheepers S, Riyazi N, Watt I, Rosendaal FR, Slagboom E, Bellamy N, et al. Progression of hand osteoarthritis over 2 years: A clinical and radiological follow-up study. Ann Rheum Dis 2009; 68(8): 1260-4.
  4. Laulan J, Marteau E, Bacle G. Wrist osteoarthritis. Orthopaedics and traumatology: Surgery and Research 2015; 101(1 Suppl): S1-S9.
  5. Valdes K, Marik T. A systematic review of conservative interventions for osteoarthritis of the hand. J Hand Ther 2010; 23(4): 334-50.
  6. Spacek E, Poiraudeau S, Fayad F, Lefevre-Colau MM, Beaudreuil J, Rannou F, et al. Disability induced by hand osteoarthritis: are patients with more symptoms at digits 2-5 interphalangeal joints different from those with more symptoms at the base of the thumb? Osteoarthritis Cartilage 2004; 12(5): 366-73.
  7. Stamm T, van der Giesen F, Thorstensson C, Steen E, Birrell F, Bauernfeind B, et al. Patient perspective of hand osteoarthritis in relation to concepts covered by instruments measuring functioning: a qualitative European multicentre study. Ann Rheum Dis 2009; 68(9): 1453-60.
  8. Hill S, Dziedzic KS, Ong BN. The functional and psychological impact of hand osteoarthritis. Chronic Illn 2010; 6(2): 101-10.
  9. Zhang W, Doherty M, Leeb BF, Alekseeva L, Arden NK, Bijlsma JW, et al. EULAR evidence based recommendations for the management of hand osteoarthritis: report of a Task Force of the EULAR Standing Committee for International Clinical Studies Including Therapeutics (ESCISIT). Ann Rheum Dis 2007; 66(3): 377-88.
  10. Kjeken I, Smedslund G, Moe RH, Slatkowsky-Christensen B, Uhlig T, Hagen KB. Systematic review of design and effects of splints and exercise programs in hand osteoarthritis. Arthritis Care Res (Hoboken) 2011; 63(6): 834-48.
  11. Motififard M, Vakili M, Moezi M. Short-time influence of totah hip arthroplasty on patients with sever hip ostheoarthritis. J Isfahan Med Sch 2013; 31(237): 684-9. [In Persian].
  12. Rogers MW, Wilder FV. The effects of strength training among persons with hand osteoarthritis: a two-year follow-up study. J Hand Ther 2007; 20(3): 244-9.
  13. Rogers MW, Wilder FV. Exercise and hand osteoarthritis symptomatology: A controlled crossover trial. J Hand Ther 2009; 22(1): 10-7.
  14. Osteras N, Hagen KB, Grotle M, Sand-Svartrud AL, Mowinckel P, Kjeken I. Limited effects of exercises in people with hand osteoarthritis: results from a randomized controlled trial. Osteoarthritis Cartilage 2014; 22(9): 1224-33.
  15. Ferreira-Valente MA, Pais-Ribeiro JL, Jensen MP. Validity of four pain intensity rating scales. Pain 2011; 152(10): 2399-404.
  16. Hawker GA, Mian S, Kendzerska T, French M. Measures of adult pain: Visual Analog Scale for Pain (VAS Pain), Numeric Rating Scale for Pain (NRS Pain), McGill Pain Questionnaire (MPQ), Short-Form McGill Pain Questionnaire (SF-MPQ), Chronic Pain Grade Scale (CPGS), Short Form-36 Bodily Pain Scale (SF-36 BPS), and Measure of Intermittent and Constant Osteoarthritis Pain (ICOAP). Arthritis Care Res (Hoboken) 2011; 63(Suppl 11): S240-S252.
  17. Innes E. Handgrip strength testing: A review of the literature. Aust Occup Ther J 1999; 46(3): 120-40.
  18. Schreuders TA, Roebroeck ME, Goumans J, van Nieuwenhuijzen JF, Stijnen TH, Stam HJ. Measurement error in grip and pinch force measurements in patients with hand injuries. Phys Ther 2003; 83(9): 806-15.
  19. Ellis B, Bruton A. A study to compare the reliability of composite finger flexion with goniometry for measurement of range of motion in the hand. Clin Rehabil 2002; 16(5): 562-70.
  20. Turchin DC, Beaton DE, Richards RR. Validity of observer-based aggregate scoring systems as descriptors of elbow pain, function, and disability. J Bone Joint Surg Am 1998; 80(2): 154-62.
  21. Angst F, Schwyzer HK, Aeschlimann A, Simmen BR, Goldhahn J. Measures of adult shoulder function: Disabilities of the Arm, Shoulder, and Hand Questionnaire (DASH) and its short version (QuickDASH), Shoulder Pain and Disability Index (SPADI), American Shoulder and Elbow Surgeons (ASES) Society standardized shoulder assessment form, Constant (Murley) Score (CS), Simple Shoulder Test (SST), Oxford Shoulder Score (OSS), Shoulder Disability Questionnaire (SDQ), and Western Ontario Shoulder Instability Index (WOSI). Arthritis Care Res (Hoboken) 2011; 63(Suppl 11): S174-S188.
  22. Lefler C, Armstrong JW. Exercise in the treatment of osteoarthritis in the hands of the elderly. Clinical Kinesiology 2004; 58(2): 1-6.
  23. Boustedt C, Nordenskiold U, Lundgren NA. Effects of a hand-joint protection programme with an addition of splinting and exercise: One year follow-up. Clin Rheumatol 2009; 28(7): 793-9.
  24. Dziedzic K, Nicholls E, Hill S, Hammond A, Handy J, Thomas E, et al. Self-management approaches for osteoarthritis in the hand: A 2x2 factorial randomised trial. Ann Rheum Dis 2015; 74(1): 108-18.