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Digitally delivered education and exercises for patients with hand osteoarthritis—An observational study

Walter, Matthias Michael ; Sirard, Paulina ; Nero, Håkan LU ; Hörder, Helena LU ; Dahlberg, Leif E. LU ; Tveter, Anne Therese ; Kjeken, Ingvild and Kiadaliri, Ali LU orcid (2023) In Musculoskeletal Care 21(4). p.1154-1160
Abstract
Hand osteoarthritis (OA) is a common form of OA, for which education and exercise are considered the first-line treatment. The aim of the present study was to examine pain and perceived hand function in participants following 3 months of digitally delivered first-line treatment for hand OA. Three-hundred-and-seventy-nine of 846 participants with clinical signs and symptoms of hand OA completed the study. The digital hand OA treatment program consists of video instructed daily exercises and patient education through text lessons. Pain (NRS, 0 no pain, 10 worst) was the primary outcome, and stiffness (NRS) and the Functional Index for Hand OsteoArthritis (FIHOA, 0 best, 30 worst) were among secondary outcomes. The McNemar test and linear... (More)
Hand osteoarthritis (OA) is a common form of OA, for which education and exercise are considered the first-line treatment. The aim of the present study was to examine pain and perceived hand function in participants following 3 months of digitally delivered first-line treatment for hand OA. Three-hundred-and-seventy-nine of 846 participants with clinical signs and symptoms of hand OA completed the study. The digital hand OA treatment program consists of video instructed daily exercises and patient education through text lessons. Pain (NRS, 0 no pain, 10 worst) was the primary outcome, and stiffness (NRS) and the Functional Index for Hand OsteoArthritis (FIHOA, 0 best, 30 worst) were among secondary outcomes. The McNemar test and linear mixed effect regression model were used to assess the changes in outcomes from baseline to 3-month. After three months, the digitally delivered program was associated with a significant decrease in pain intensity (mean change −1.30 (95% CI −1.49, −1.12)) and hand stiffness (mean change -0.81 (95% CI −1.02, −0.60)) but no conclusive changes in the FIHOA scores (mean change 0.3 (95% CI −0.2, 0.7)). The results agree with reports on face-to-face delivered first-line treatment for hand OA suggesting that digital treatment is a viable treatment option in patients with hand OA. (Less)
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author
; ; ; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Musculoskeletal Care
volume
21
issue
4
pages
1154 - 1160
publisher
Wiley
external identifiers
  • pmid:37421256
  • scopus:85164600414
ISSN
1478-2189
DOI
10.1002/msc.1796
project
Digital education and physical therapy for people with musculoskeletal pain
language
English
LU publication?
yes
id
2026b9c9-c35d-45a8-99f3-0e7d9be4cef2
date added to LUP
2023-07-08 18:10:03
date last changed
2024-02-14 13:19:38
@article{2026b9c9-c35d-45a8-99f3-0e7d9be4cef2,
  abstract     = {{Hand osteoarthritis (OA) is a common form of OA, for which education and exercise are considered the first-line treatment. The aim of the present study was to examine pain and perceived hand function in participants following 3 months of digitally delivered first-line treatment for hand OA. Three-hundred-and-seventy-nine of 846 participants with clinical signs and symptoms of hand OA completed the study. The digital hand OA treatment program consists of video instructed daily exercises and patient education through text lessons. Pain (NRS, 0 no pain, 10 worst) was the primary outcome, and stiffness (NRS) and the Functional Index for Hand OsteoArthritis (FIHOA, 0 best, 30 worst) were among secondary outcomes. The McNemar test and linear mixed effect regression model were used to assess the changes in outcomes from baseline to 3-month. After three months, the digitally delivered program was associated with a significant decrease in pain intensity (mean change −1.30 (95% CI −1.49, −1.12)) and hand stiffness (mean change -0.81 (95% CI −1.02, −0.60)) but no conclusive changes in the FIHOA scores (mean change 0.3 (95% CI −0.2, 0.7)). The results agree with reports on face-to-face delivered first-line treatment for hand OA suggesting that digital treatment is a viable treatment option in patients with hand OA.}},
  author       = {{Walter, Matthias Michael and Sirard, Paulina and Nero, Håkan and Hörder, Helena and Dahlberg, Leif E. and Tveter, Anne Therese and Kjeken, Ingvild and Kiadaliri, Ali}},
  issn         = {{1478-2189}},
  language     = {{eng}},
  number       = {{4}},
  pages        = {{1154--1160}},
  publisher    = {{Wiley}},
  series       = {{Musculoskeletal Care}},
  title        = {{Digitally delivered education and exercises for patients with hand osteoarthritis—An observational study}},
  url          = {{http://dx.doi.org/10.1002/msc.1796}},
  doi          = {{10.1002/msc.1796}},
  volume       = {{21}},
  year         = {{2023}},
}