Department of Occupational Therapy, Federal University of Pernambuco, Recife, Pernambuco, Brazil.
Department of Rheumatology, Clinics Hospital, Federal University of Pernambuco, Recife, Pernambuco, Brazil.
Rheumatol Int. 2018 Mar;38(3):343-351. doi: 10.1007/s00296-017-3892-1. Epub 2017 Nov 28.
This study aims to evaluate the use of assistive devices as a strategy in non-pharmacological treatment for hand osteoarthritis (HOA). This is a randomized, prospective, parallel, assessor-blinded clinical trial, in which patients with a diagnosis of HOA were randomly allocated to an intervention group (IG), where they received assistive devices for daily life activities, or to a control group (CG), where they received a guideline leaflet with information on joint protection and disease features. The primary outcomes considered were occupational performance, measured by the Canadian Occupational Performance Measure (COPM), and hand function was evaluated through the Score for the Assessment and Quantification of Chronic Rheumatoid Affections of the Hands (SACRAH). The secondary outcomes were pain, measured by the visual analog scale (VAS), and quality of life, measured by the World Health Organization Quality of Life Instrument, Short Form (WHOQOL-BREF). We compared both outcomes before and after interventions and outcomes between groups. Participants from the two groups were assessed at the time of inclusion in the study, 30, and 90 days after initial evaluation. Out of the 39 patients included, 19 were allocated to the IG and 20 to the CG. Only two patients from the CG did not complete the follow-up period. The patients' hand function and occupational performance improved after intervention (30 days-SACRAH-p < 0.05; COPM-p < 0.05; VAS-p < 0.05). When comparing results between the groups, there was a statistical difference in COPM (performance-p < 0.001; and satisfaction-p < 0.001), in the first reevaluation carried out. The use of assistive devices has proved to be an effective alternative in non-pharmacological treatment for HOA.
NCT02667145.
本研究旨在评估辅助器具在手部骨关节炎（HOA）非药物治疗中的应用。这是一项随机、前瞻性、平行、评估者盲法临床试验，将诊断为 HOA 的患者随机分为干预组（IG）和对照组（CG）。IG 患者接受日常生活辅助器具，CG 患者接受关节保护和疾病特征信息的指导手册。主要结局是职业表现，用加拿大职业表现测量表（COPM）评估，手部功能用慢性类风湿关节炎手部评估和量化评分（SACRAH）评估。次要结局是疼痛，用视觉模拟量表（VAS）评估，生活质量用世界卫生组织生活质量量表，简表（WHOQOL-BREF）评估。我们比较了干预前后的两个结局以及组间结局。两组参与者在研究纳入时、初次评估后 30 天和 90 天进行评估。39 名患者中，19 名分配到 IG，20 名分配到 CG。CG 组只有两名患者未完成随访期。干预后患者手部功能和职业表现改善（30 天-SACRAH-p<0.05；COPM-p<0.05；VAS-p<0.05）。比较组间结果，COPM 存在统计学差异（表现-p<0.001；满意度-p<0.001），在第一次重新评估时。辅助器具的使用在手部骨关节炎的非药物治疗中是一种有效的替代方法。
NCT02667145。
