Evidence map›Paper›PMID 30413191›Full record

Trial reportArthritis research & therapy2018

Functional consultation and exercises improve grip strength in osteoarthritis of the hand - a randomised controlled trial.

Michaela A Stoffer-Marx, Meike Klinger, Simone Luschin, Silvia Meriaux-Kratochvila, Monika Zettel-Tomenendal, Valerie Nell-Duxneuner, Jochen Zwerina, Ingvild Kjeken, Marion Hackl, Sylvia Öhlinger and 4 more

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Arthritis research & therapy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06901024 (Investigation of the Effects of Neuromobilization, Tendon Gliding, and Robotic Glove-Assisted Exercises on Pain, Grip Strength, and Hand Function in Patients With Hand Osteoarthritis), which is not on this map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
3.2field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06901024 nacompletednot on this mapstarted 2022, after this paper: background citation

Investigation of the Effects of Neuromobilization, Tendon Gliding, and Robotic Glove-Assisted Exercises on Pain, Grip Strength, and Hand Function in Patients With Hand Osteoarthritis

TypeinterventionalSponsorHasan Kalyoncu UniversityRan2022 to 2024Enrolled39ConditionsOsteoarthritisArmsTendon Gliding Exercise, Neuromobilization Exercise, Robotic Assitive Exercise, Conventional Exercises
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 53 citations in OpenAlex.

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  8. Occupational therapy services in primary care: a scoping review.Primary health care research & development · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 8 institutions in 5 countries.

Michaela A Stoffer-MarxSection for Outcomes Research, Center for Medical Statistics, Informatics, and Intelligent Systems, Medical University of Vienna, Spitalgasse 23, 1090, Vienna, Austria.
Meike KlingerDivision of Rheumatology, Department of Medicine 3, Medical University of Vienna, Vienna, Austria.
Simone LuschinDivision of Rheumatology, Department of Medicine 3, Medical University of Vienna, Vienna, Austria.
Silvia Meriaux-KratochvilaDepartment of Health Sciences, University of Applied Sciences FH Campus Wien, Favoritenstraße 226, 1100, Vienna, Austria.
Monika Zettel-TomenendalDepartment of Health Sciences, University of Applied Sciences FH Campus Wien, Favoritenstraße 226, 1100, Vienna, Austria.
Valerie Nell-DuxneunerKlinikum Peterhof of NOEGKK with Ludwig Boltzmann Department of Epidemiology of Rheumatic Diseases, Sauerhofstraße 9-15, Baden bei Wien, Austria.
Jochen ZwerinaLudwig Boltzmann Institute of Osteology, 1st Medical Department at Hanusch Hospital, Hanusch Hospital of the WGKK and AUVA Trauma Center, Heinrich Collin Str. 30, 1140, Vienna, Austria.
Ingvild KjekenNational advisory unit on rehabilitation in rheumatology, Department of rheumatology, Diakonhjemmet Hospital, Oslo, Norway.
Marion HacklErgotherapie Austria, Bundesverband der Ergotherapeutinnen und Ergotherapeuten Österreichs, Holzmeistergasse 7-9/2/1, Vienna, Austria.
Sylvia ÖhlingerUniversity of Applied Sciences for Health Professions Upper Austria, Semmelweisstraße 34, Linz, Austria.
Anthony WoolfBone and Joint Research Group, Royal Cornwall Hospital, Truro, UK.
Kurt RedlichDivision of Rheumatology, Department of Medicine 3, Medical University of Vienna, Vienna, Austria.
Josef S SmolenDivision of Rheumatology, Department of Medicine 3, Medical University of Vienna, Vienna, Austria.
Tanja A StammSection for Outcomes Research, Center for Medical Statistics, Informatics, and Intelligent Systems, Medical University of Vienna, Spitalgasse 23, 1090, Vienna, Austria. tanja.stamm@meduniwien.ac.at.ORCID 0000-0003-3073-7284
Hochschule Campus Wien · ATMedical University of Vienna · ATStatistics Austria · ATAustrian Academy of Sciences · ATDiakonhjemmet Hospital · NOHanusch Hospital · ATRoyal Cornwall Hospital · GBUniversity of Applied Sciences for Health Professions Upper Austria · AT

Funding

Austrian Science Fund FWF [P21912-B09]
6 · The paper itself

Abstract

backgroundEvidence for non-pharmacological interventions in hand osteoarthritis is promising but still scarce. Combined interventions are most likely to best cover the clinical needs of patients with hand osteoarthritis (OA). The aim of this study was to evaluate the effect of a combined, interdisciplinary intervention feasible in both primary and specialist care compared to routine care plus placebo in patients with hand OA.

methodsThis was a randomised, controlled 2-month trial with a blinded assessor. In the combined-intervention group, rheumatology-trained health professionals from different disciplines delivered a one-session individual intervention with detailed information on functioning, activities of daily living, physical activity, nutrition, assistive devices, instructions on pain management and exercises. Telephone follow up was performed after 4 weeks. The primary outcome was grip strength after 8 weeks. Secondary outcomes were self-reported pain, satisfaction with treatment, health status, two of the Jebsen-Taylor Hand Function subtests and the total score of the Australian/Canadian Hand Osteoarthritis Index (AUSCAN). Statistical significance was calculated by Student's t test or the Mann-Whitney U test depending on data distribution. Binominal logistic regression models were fitted, with the primary outcome being the dependent and the group allocation being the independent variable.

resultsThere were 151 participating patients (74 in the combined-intervention and 77 in the routine-care-plus-placebo group) with 2-month follow-up attendance of 84% (n = 128). Grip strength significantly increased in the combined-intervention group and decreased in the routine-care group (dominant hand, mean 0.03 bar (SD 0.11) versus - 0.03 (SD 0.13), p value = 0.001, baseline corrected values) after 8 weeks.

conclusionThe combined one-session individual intervention significantly improved grip strength and self-reported satisfaction with treatment in patients with hand OA. It can be delivered by different rheumatology-trained health professionals and is thus also feasible in primary care.

trial registrationISRCTN registry, ISRCTN62513257 . Registered on 17 May 2012.

Indexed as

Referral and ConsultationAgedExercise TherapyFemaleHandHand StrengthHumansMaleMiddle AgedOsteoarthritisPain MeasurementSelf ReportSingle-Blind MethodHandOccupational therapyOsteoarthritisPain managementPhysiotherapyQuality of healthcare

Identifiers

PMID30413191
PMCPMC6235228
OpenAlexW2900014629

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.