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Related Experiment Video

Updated: Jul 15, 2025

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A self-managed exercise therapy program for wrist osteoarthritis: study protocol for a randomized controlled trial.

Sara L Larsson1,2, Elisabeth Ekstrand3,4, Lars B Dahlin3,5,6

  • 1Department of Hand Surgery, Skåne University Hospital, Malmö, Sweden. sara.larsson.5408@med.lu.se.

Trials
|October 2, 2023
PubMed
Summary

This study investigates a new exercise program for wrist osteoarthritis (OA). Early results suggest it may improve pain and function, potentially changing treatment for this common condition.

Keywords:
Exercise therapyNeuromuscular controlRandomized controlled trialSLACSNACSelf-managementWrist osteoarthritis

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Area of Science:

  • Orthopedics
  • Rheumatology
  • Physical Therapy

Background:

  • Post-traumatic wrist osteoarthritis (OA) causes pain, weakness, and stiffness, impacting upper limb function and quality of life.
  • Current guidelines recommend education and exercise for OA, but effective self-management programs for wrist OA are lacking.
  • This trial addresses the need for structured self-management through exercise and education for wrist OA patients.

Purpose of the Study:

  • To evaluate the effectiveness of a novel exercise therapy program incorporating joint protection and neuromuscular control strategies for wrist OA.
  • To compare this intervention group against a control group receiving range of motion exercises.
  • To assess the impact on pain, function, and overall quality of life in individuals with wrist OA.

Main Methods:

  • A single-blinded randomized controlled trial (RCT) involving patients with symptomatic, radiographically confirmed wrist OA.
  • Participants were randomized into either a neuromuscular exercise therapy program or a range of motion exercise program.
  • Both groups received a wrist orthosis and education on joint protection; home exercises were performed twice daily for 12 weeks.

Main Results:

  • The primary outcome measure is the Patient-Rated Wrist Evaluation (PRWE) for pain and function.
  • Secondary outcome measures include wrist range of motion (ROM), grip strength, Numeric Pain Rating Scale (NPRS), Disabilities of the Arm, Shoulder, and Hand (DASH), General Self-Efficacy Scale (GSES), Global Rating of Change (GROC), and surgical conversion.
  • Assessments were conducted at baseline and at 3, 6, and 12 months post-intervention.

Conclusions:

  • The trial's results are anticipated to provide new insights into the efficacy of self-managed exercise therapy for wrist OA.
  • If proven effective, this program could significantly alter current treatment paradigms for wrist OA.
  • Successful implementation could lead to the integration of this self-management program into standard clinical protocols for wrist OA.