Trapeziectomy and Suture Suspensionplasty for Thumb Carpometacarpal Arthritis - Is In-Clinic Therapy Needed?
Julie Nuelle
Summary
The study is a randomized, controlled trial to evaluate the efficacy of formal occupational therapy on outcomes following CMC arthroplasty
Description
While hand surgeons agree that strength and flexibility exercises are crucial after surgery, there is currently no consensus on whether the benefits of participating in formal hand therapy outweigh the investment required. The financial and time investments required to participate in formal hand therapy can be particularly large in patients living in rural locations, as access to certified hand therapists are often limited. Therefore, a prospective, randomized trial of hand therapy utilization is warranted to explore this phenomenon. The purpose of this clinical trial is to assess the outcomes…
Eligibility
- Age range
- 18+ years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: * Patients over the age of 18 years * Patients undergoing CMC Arthroplasty * Ability to read and write in English * Ability to provide informed consent Exclusion Criteria: * Patients undergoing revision CMC arthroplasty * Acute traumatic dislocation of the CMC joint as indication for surgery * Concomitant treatment of MCP hyperextension
Interventions
- BehavioralOccupational Therapy
Formal therapy with a certified hand therapist, weekly for 6 weeks
- BehavioralHome Exercise Program
A booklet on hand exercises to complete following surgery, including range of motion and strengthening exercises
Location
- University of Missouri - ColumbiaColumbia, Missouri