Hand exercise leads to modest improvement in grip and pinch strength, but no difference in hand function, pain, stiffness or dexterity in older people with hand osteoarthritis

Objective.To evaluate the effectiveness and tolerance of intraarticular injection (IAI) of triamcinolone hexacetonide (TH) for the treatment of osteoarthritis (OA) of hand interphalangeal (IP) joints.Methods.Sixty patients who underwent IAI at the most symptomatic IP joint were randomly assigned to receive TH/lidocaine (LD; n = 30) with TH 20 mg/ml and LD 2%, or just LD (n = 30). The injected joint was immobilized with a splint for 48 h in both groups. Patients were assessed at baseline and at 1, 4, 8, and 12 weeks by a blinded observer. The following variables were assessed: pain at rest [visual analog scale (VAS)r], pain at movement (VASm), swelling (physician VASs), goniometry, grip and pinch strength, hand function, treatment improvement, daily requirement of paracetamol, and local adverse effects. The proposed treatment (IAI with TH/LD) was successful if statistical improvement (p < 0.05) was achieved in at least 2 of 3 VAS. Repeated-measures ANOVA test was used to analyze intervention response.Results.Fifty-eight patients (96.67%) were women, and the mean age was 60.7 years (± 8.2). The TH/LD group showed greater improvement than the LD group for VASm (p = 0.014) and physician VASs (p = 0.022) from the first week until the end of the study. In other variables, there was no statistical difference between groups. No significant adverse effects were observed.Conclusion.The IAI with TH/LD has been shown to be more effective than the IAI with LD for pain on movement and joint swelling in patients with OA of the IP joints. Regarding pain at rest, there was no difference between groups. Trial registration number: ClinicalTrials.gov (NCT02102620).

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Associations between hand function and electrophysiological measurements in hand osteoarthritis patients of different ages with or without carpal tunnel syndrome

Scientific Reports ◽

10.1038/s41598-020-74795-2 ◽

2020 ◽

Vol 10 (1) ◽

Author(s):

Young Hoon Kim ◽

Eun Young Han ◽

Jinseok Kim ◽

Kyu-Bum Seo ◽

Young Tae Jeon ◽

...

Keyword(s):

Carpal Tunnel Syndrome ◽

Carpal Tunnel ◽

Nerve Conduction ◽

Hand Function ◽

Sensory Nerve ◽

Male Gender ◽

Pinch Strength ◽

Hand Osteoarthritis ◽

Hand Grip ◽

Tunnel Syndrome

Abstract Osteoarthritis is a common degenerative disease that most frequently involves the hand. The objective was to compare clinical functional outcome measures including hand grip, pinch strength, and dexterity with various electrophysiological measures in patients of different ages with hand osteoarthritis with or without the presence of carpal tunnel syndrome (CTS). Patients with hand osteoarthritis (208 patients, 404 hands) who underwent hand-function tests and motor and sensory nerve conduction studies (NCS) between June 2015 and June 2016 were enrolled. The patients’ hands were assigned to carpal tunnel syndrome (CTS) (206 hands; mean age, 56.37 ± 10.52; male:female, 46:160) or control groups (198 hands; mean age, 57.88 ± 9.68; male:female, 55:143). The strength of hand grip and lateral pinch, the time required to complete the nine-hole pegboard test (9HPT), and motor and sensory nerve conduction parameters were measured and compared across age groups and between hands with or without CTS. The CTS group showed significantly lower hand grip and lateral pinch strength, and a longer time to complete the 9HPT in comparison with the control group. Female patients showed significantly lower hand grip and lateral pinch strength than male patients. However, there was no difference in the 9HPT completion time between genders. Multivariate regression analysis identified the amplitude of the median compound muscle action potential (CMAP), age, and male gender as independent predictors of grip strength (adjusted R2 = 0.679), and amplitude of median CMAP and male gender as independent predictors of KP strength (adjusted R2 = 0.603). Velocity of median CMAP, amplitude of median sensory nerve action potential, and age were identified as independent predictors of 9HPT time (adjusted R2 = 0.329). Nerve conduction measurements were significantly related to hand-function test results, and CTS induced significant deficits in strength and performance of the affected hand.

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The effect of hand osteoarthritis on grip and pinch strength and hand function in postmenopausal women

Clinical Rheumatology ◽

10.1007/s10067-003-0792-4 ◽

2003 ◽

Vol 22 (6) ◽

pp. 420-424 ◽

Cited By ~ 66

Author(s):

Selda Bagis ◽

Gunsah Sahin ◽

Yasemin Yapici ◽

Ozlem Bolgen Cimen ◽

Canan Erdogan

Keyword(s):

Postmenopausal Women ◽

Hand Function ◽

Pinch Strength ◽

Hand Osteoarthritis

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Author Correction: Associations between hand function and electrophysiological measurements in hand osteoarthritis patients of different ages with or without carpal tunnel syndrome

Scientific Reports ◽

10.1038/s41598-021-82090-x ◽

2021 ◽

Vol 11 (1) ◽

Author(s):

Young Hoon Kim ◽

Eun Young Han ◽

Jinseok Kim ◽

Kyu‑Bum Seo ◽

Young Tae Jeon ◽

...

Keyword(s):

Carpal Tunnel Syndrome ◽

Carpal Tunnel ◽

Hand Function ◽

Hand Osteoarthritis ◽

Different Ages ◽

Electrophysiological Measurements ◽

Tunnel Syndrome

An amendment to this paper has been published and can be accessed via a link at the top of the paper.

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A custom-made neoprene thumb carpometacarpal orthosis with thermoplastic stabilization: An orthosis that promotes function and improvement in patients with the first carpometacarpal joint osteoarthritis

Prosthetics and Orthotics International ◽

10.1177/0309364613488621 ◽

2013 ◽

Vol 38 (1) ◽

pp. 79-82 ◽

Cited By ~ 10

Author(s):

Monireh Ahmadi Bani ◽

Mokhtar Arazpour ◽

Stephen William Hutchins ◽

Fereydoun Layeghi ◽

Mahmood Bahramizadeh ◽

...

Keyword(s):

Grip Strength ◽

Clinical Relevance ◽

Hand Function ◽

Pinch Strength ◽

Conservative Approach ◽

Carpometacarpal Joint ◽

Custom Made ◽

First Carpometacarpal Joint ◽

Thumb Carpometacarpal ◽

Improved Function

Background and aim: Patients with mild to moderate first carpometacarpal joint osteoarthritis report pain, a reduction in pinch and grip strength and hand function. The purpose of this study was to analyze the effect of a custom-made neoprene thumb carpometacarpal orthosis with thermoplastic stabilization on pain, function, grip strength, and key pinch in these patients. Technique: A total of 11 volunteer patients participated in this study. All the above-mentioned parameters were evaluated at baseline and also 30, 60, and 90 days after using the splint. Discussion: A decrease in pain was observed after 30 days, and this continued to improve during treatment with the splint. After 90 days of using the splint, grip strength was improved. Function and pinch strength also increased significantly and was maintained during the study period compared to baseline. Clinical relevance A custom-made neoprene thumb carpometacarpal orthosis with thermoplastic stabilization may be a suitable conservative approach for the treatment of first carpometacarpal joint osteoarthritis.

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THU0431 FREQUENCY OF TENDON INVOLVEMENT AND ITS EFFECT ON HAND FUNCTION IN HAND OSTEOARTHRITIS

10.1136/annrheumdis-2019-eular.7736 ◽

2019 ◽

Author(s):

Irina Gessl ◽

Anna Vinatzer ◽

Gabriela Supp ◽

Michael Zauner ◽

Michaela Loiskandl ◽

...

Keyword(s):

Hand Function ◽

Hand Osteoarthritis

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Joint protection and home hand exercises improve hand function in patients with hand osteoarthritis: A randomized controlled trial

Arthritis & Rheumatism ◽

10.1002/art1.10246 ◽

2002 ◽

Vol 47 (1) ◽

pp. 44-49 ◽

Cited By ~ 102

Author(s):

Tanja Alexandra Stamm ◽

Klaus Peter Machold ◽

Josef Sebastian Smolen ◽

Sabine Fischer ◽

Kurt Redlich ◽

...

Keyword(s):

Randomized Controlled Trial ◽

Controlled Trial ◽

Hand Function ◽

Hand Osteoarthritis ◽

Randomized Controlled ◽

Joint Protection ◽

Hand Exercises

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The Impact of Sensory, Motor and Pain Impairments on Patient- Reported and Performance Based Function in Carpal Tunnel Syndrome

The Open Orthopaedics Journal ◽

10.2174/1874325001711011258 ◽

2017 ◽

Vol 11 (1) ◽

pp. 1258-1267 ◽

Cited By ~ 6

Author(s):

Goris Nazari ◽

Niyati Shah ◽

Joy C MacDermid ◽

Linda Woodhouse

Keyword(s):

Carpal Tunnel Syndrome ◽

Carpal Tunnel ◽

Hand Function ◽

Pinch Strength ◽

Sensory Motor ◽

Tunnel Syndrome ◽

And Performance ◽

Quick Dash ◽

The Impact ◽

Vibration Threshold

Background: Research has suggested that persistent sensory and motor impairments predominate the symptoms experienced by patients with carpal tunnel syndrome (CTS); with intermittent pain symptoms, being less predominant. Objective: The study aims to determine the relative contribution of sensory, motor and pain impairments as contributors to patient-report or performance-based hand function. Methods: Fifty participants with a diagnosis of CTS confirmed by a hand surgeon and electrodiagnosis were evaluated on a single occasion. Impairments were measured for sensibility, pain and motor performance. A staged regression analysis was performed. In the first step, variables with each of the 3 impairment categories were regressed on the Symptom Severity Scale (SSS) to identify the key variables from this domain. Models were created for both self report (Quick Disabilities of arm, shoulder and hand- Quick DASH) and performance based (Dexterity) functional outcomes. Backward regression modelling was performed for SSS and then, to allow comparability of the importance of different impairments across models, the 7 significant variables from the SSS model were forced into the models. Results: Variables: age, touch threshold and vibration threshold of the little finger of unaffected hand, median-ulnar vibration threshold ratio of affected hand, mean pain tolerance of unaffected hand, grip strength and pinch strength of affected hand, explained 31%, 36% and 63% of the variance in SSS, Quick DASH and dexterity scores, respectively. Conclusion: Hand function in patients with CTS is described by variables that reflect sensory status of the median and ulnar nerves, the persons pain threshold, grip and pinch strength impairments and age.

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Type IIIB and IV hypoplastic thumb reconstruction with non-vascularized fourth metatarsal

Journal of Hand Surgery (European Volume) ◽

10.1177/1753193420937547 ◽

2020 ◽

Vol 45 (7) ◽

pp. 722-728 ◽

Cited By ~ 1

Author(s):

Bo Liu ◽

Shanlin Chen ◽

Esther Ching San Chow ◽

Pengcheng Li ◽

Kun Liu ◽

...

Keyword(s):

Hand Function ◽

Donor Site ◽

Donor Site Morbidity ◽

Pinch Strength ◽

Reconstruction Method ◽

Level Of Evidence ◽

Type Iv ◽

Type Iiib ◽

Rotational Flap ◽

Staged Reconstruction

We treated 16 patients with 17 hypoplastic thumbs (eight Type IIIB and nine Type IV) using a non-vascularized fourth metatarsal transfer with a rotational flap and multi-staged reconstruction. The average age at the first operation was 24 months. The average follow-up time was 46 months. All patients achieved reasonable hand function and were able to use the reconstructed thumb to grip small and large objects. The operated thumb achieved an average Kapandji score of 6.7 and average pinch strength of 0.9 kg. There were two cases of graft nonunion. All parents are satisfied with the function and appearance of the reconstructed thumb and donor foot. We conclude that non-vascularized fourth metatarsal transfer is a feasible reconstruction method for patients with Types IIIB and IV hypoplastic thumbs. The reconstruction allows for the preservation of a 5-digit hand with reasonable function and appearance and minimal donor site morbidity, although long-term growth of the metatarsals still need to be monitored. Level of evidence: IV

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Can upper limb taping or exercises improve hand function, writing speed and self-perception of performance in adolescent school children?

International Journal of Adolescent Medicine and Health ◽

10.1515/ijamh-2018-0065 ◽

2018 ◽

Vol 0 (0) ◽

Author(s):

Hiba Memon ◽

Apurv Shimpi ◽

Ashok Shyam ◽

Parag Sancheti

Keyword(s):

Grip Strength ◽

School Children ◽

Hand Function ◽

Group Analysis ◽

Performance Measure ◽

Pinch Strength ◽

Self Perception ◽

Urban City ◽

Significant Difference ◽

Non Parametric

Abstract Background The majority of students spend time in writing, which is a prime performance measure in examinations. Enhancement in handwriting should benefit students to attain better academic performance. Objective To assess the effectiveness of taping and exercises on hand function, writing speed, self-perception of writing and to compare these techniques. Methods A randomized control trial was conducted using cluster sampling in adolescent children across four schools in an urban city. A 4-week intervention study was conducted on 123 students divided into taping, exercise and control groups. Outcome measures were grip strength, pinch strength, 12-min writing speed test and the Writer Self-Perception Scale (WSPS). For intra-group analysis, a paired t-test was used for parametric values and the Wilcoxon signed rank test was used for non-parametric values. For inter-group analysis, one-way analysis of variance (ANOVA) for parametric values and the Kruskal-Wallis test for non-parametric values was used. Results The taping group showed a significant improvement in grip strength (1.79 kg; p = 0.00), pinch strength [1.67 lb (757.4 g); p = 0.00] and writing speed (39.77 words/12 min; p = 0.00). The exercise group showed significant improvement in grip strength (2.09 kg; p = 0.00), pinch strength (1.28 lb; p = 0.00), writing speed (28.38 words/12 min; p = 0.00). In the control group, there was a significant increase in pinch strength (1.023 lb; p = 0.01) and writing speed (12.94 words/12 min; p = 0.02). Inter-group analysis showed significant difference in writing speed (p = 0.002) and grip strength (p = 0.00). There was no significant difference in perception (p = 0.071). Conclusion Taping and exercise are equally effective for enhancement of hand function, writing speed and self-perception in adolescent school children.

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