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Skelly AC, Chou R, Dettori JR, et al. Noninvasive Nonpharmacological Treatment for Chronic Pain: A Systematic Review Update [Internet]. Rockville (MD): Agency for Healthcare Research and Quality (US); 2020 Apr. (Comparative Effectiveness Review, No. 227.)
Noninvasive Nonpharmacological Treatment for Chronic Pain: A Systematic Review Update [Internet].
Show detailsTable 33Osteoarthritis hand pain: exercise
| Author, Year, Followup,a Pain Duration, Study Quality | Intervention | Population | Function and Pain Outcomes | Other Outcomes |
|---|---|---|---|---|
Osteras, 201475 3 months Duration of pain: NR Poor | A. Exercise (n=46): ROM/strength exercises, 4 group sessions supplemented by instructions for home exercise 3 times per week for 12 weeks B. Usual care (n=64): Subjects received no particular attention, referral, or treatment from the study. | A vs. B Age: 67 vs. 65 years Females: 89% vs. 91% Fulfillment of ACR criteria for hand OA 91% vs. 91% Self-reported hip OA: 39% vs. 46% Self-reported knee OA: 40% vs. 51% Other rheumatic disease: 13% vs. 15% Severe mental distress: 17% vs. 39% Baseline FIHOA (0-30): 10.8 vs. 9.8 PSFS (0-10): 3.5 vs. 3.9 Baseline hand pain NRS (0-10): 4.2 vs. 3.9 | A vs. B 3 months FIHOA: 10.9 vs. 10.5; adjusted difference −0.5 (95% CI −1.9 to 0.8) Hand pain NRS: 4.3 vs. 4.3; adjusted difference −0.2 (95% CI −0.8 to 0.3) OARSI OMERACT no. of responders: 30% vs. 28% (NS) | A vs. B 3 months PSFS (0-10): 4.3 vs. 4.4; adjusted difference 0.1 (95% CI −0.7 to 1.0) Patient global assessment of disease activity (0-10): 4.2 vs. 4.1; adjusted difference 0.1 (95% CI −0.5 to 0.7) Patient global assessment of disease activity affecting ADL: 3.8 vs. 3.8; adjusted difference −0.2 (95% CI −0.8 to 0.4) |
ACR = American College of Radiology; ADL = activity of daily living; CI = confidence interval; FIHOA = Functional Index for Hand OsteoArthritis; NR = not reported; NRS = numeric rating scale; NS = not statistically significant; OA = osteoarthritis; OARSI OMERACT = Osteoarthritis Research Society International Outcome Measures in Rheumatology; PSFS = patient-specific function scale; ROM = range of motion
- a
Unless otherwise noted, followup time is calculated from the end of the treatment period
- Table 33, Osteoarthritis hand pain: exercise - Noninvasive Nonpharmacological Tr...Table 33, Osteoarthritis hand pain: exercise - Noninvasive Nonpharmacological Treatment for Chronic Pain: A Systematic Review Update
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