The effectiveness of the Push Brace™ orthosis and corticosteroid injection for managing first carpometacarpal joint osteoarthritis: A factorial randomised controlled trial protocol

Peters, Susan E., Jha, Bhavana, Couzens, Gregory B., Walsh, Wilma, Lisle, David and Ross, Mark (2015) The effectiveness of the Push Brace™ orthosis and corticosteroid injection for managing first carpometacarpal joint osteoarthritis: A factorial randomised controlled trial protocol. Hand Therapy, 20 2: 39-48. doi:10.1177/1758998315584835


Author Peters, Susan E.
Jha, Bhavana
Couzens, Gregory B.
Walsh, Wilma
Lisle, David
Ross, Mark
Title The effectiveness of the Push Brace™ orthosis and corticosteroid injection for managing first carpometacarpal joint osteoarthritis: A factorial randomised controlled trial protocol
Journal name Hand Therapy   Check publisher's open access policy
ISSN 1758-9983
1758-9991
Publication date 2015
Year available 2015
Sub-type Article (original research)
DOI 10.1177/1758998315584835
Volume 20
Issue 2
Start page 39
End page 48
Total pages 10
Place of publication London, United Kingdom
Publisher Sage Publications
Collection year 2016
Language eng
Formatted abstract
Introduction Various conservative treatments for first carpometacarpal joint osteoarthritis have been reported. We aim to investigate the short-term effectiveness of conservative management interventions used to improve pain and function for adults with first carpometacarpal joint arthritis in a randomised controlled trial.

Methods A pragmatic 2 × 2 factorial randomised controlled trial will be conducted. This randomised controlled trial will have one control group (hand therapy) and three intervention groups. Interventions will include Push Brace™ orthosis and hand therapy, ultrasound-guided intra-articular corticosteroid injection and hand therapy and a combination of all three interventions. A total of 276 participants will be recruited for the trial. The primary outcomes will be pain (reported using a Visual Analogue Scale) and function (using the Patient Rated Wrist/Hand Evaluation). Secondary outcomes will include osteoarthritis specific function, pinch strength, global change and quality of life. Adverse events and complications will be reported. Outcomes assessments will be completed prior to the intervention and at 3, 6, 12 and 24 months post-intervention. The trial will be conducted at a private hand surgery clinic in Queensland, Australia.

Conclusions Results from this trial will contribute to the evidence on conservative management of first carpometacarpal osteoarthritis.
Keyword Conservative management
Carpometacarpal joint
Orthosis
Corticosteroid Injections
Joint protection
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2016 Collection
School of Health and Rehabilitation Sciences Publications
School of Medicine Publications
 
Versions
Version Filter Type
Citation counts: Scopus Citation Count Cited 0 times in Scopus Article
Google Scholar Search Google Scholar
Created: Mon, 13 Jul 2015, 15:57:02 EST by Susan Peters on behalf of School of Health & Rehabilitation Sciences