Highlights
- •This study used a novel joint kinematic analysis technique to quantify differences in the finger range of motion in individuals with and without hand arthritis during activities of daily living.
- •This study was able to quantify the decrease in the finger range of motion that is associated with hand arthritis while individuals are performing activities of daily living.
- •Joint protection strategies aimed at reducing joint deformity do not always reduce joint finger motion as previously thought.
Abstract
Study Design
This is a cross-sectional, clinical observational study.
Background
Finger range of motion (ROM) and functional performance are critical in many daily
activities. Hand osteoarthritis (H-OA) is a prevalent disease that impairs both variables.
Little quantitative research has been performed on finger kinematics during activities
of daily living (ADLs) across health status and method of performance (with or without
joint protection programs).
Purpose
The purpose of this research is to examine the effects of H-OA and method of performance
on ROM in the thumb, index, and middle digits (flexion/extension and abduction/adduction)
during ADLs.
Methods
This study was conducted using 10 healthy participants (mean age: 28 years) and nine
participants with H-OA (mean age: 72 years). All participants performed baseline ROM
movements followed by 9 activities of daily living. These activities involved prehension
type grasps and were performed with and without the recommended joint protection procedures
specific to each task. Thumb IP and MCP, index distal interphalengeal (DIP) and proximal
interphalengeal (PIP), and middle DIP and PIP joints were continuously recorded using
an electromagnetic tracking system for ROM analysis.
Results
Participants with H-OA had a statistically significant decrease in ROM when comparing
values measured in the healthy cohort during active ROM (25° decrease) and ADL ROM
(25° decrease) in the flex/ext direction. Similarly, following joint protection instruction,
a statistically significant decrease in ROM was found during tasks in the flex/ext
direction (healthy participant decrease in ROM: 17°, H-OA decrease in ROM:10°)
Conclusions
This study demonstrated that people with hand arthritis move through a smaller arc
of motion when performing some functional tasks as compared with the controls, and
that with instruction on joint protection techniques, participants made significant
changes in the amount of movement used to perform tasks, which supports a proof of
principle of joint protection.
Keywords
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JHT Read for Credit
Quiz: # 871
Record your answers on the Return Answer Form found on the tear-out coupon at the back of this issue or to complete online and use a credit card, go to JHTReadforCredit.com. There is only one best answer for each question.
- # 1.One of the objectives of the joint protection instruction was to
- a.increase the arc of motion during ADL
- b.decrease the arc of motion during ADL
- c.stabilize the arc of motion during ADL
- d.none of the above
- a.
- # 2.Instructions were given by
- a.CHTs
- b.OTRs and PTs
- c.family members
- d.grad students
- a.
- # 3.ROM data were captured by
- a.student therapists
- b.videography
- c.an electromagnetic tracking system
- d.X-ray tracking
- a.
- # 4.The OA group demonstrated approximately _________ degrees change following joint protection instruction
- a.5
- b.10
- c.15
- d.20
- a.
- # 5.The authors established that the joint protection program had a significant effect
- a.true
- b.false
- a.
When submitting to the HTCC for re-certification, please batch your JHT RFC certificates in groups of 3 or more to get full credit.
Article info
Publication history
Published online: November 13, 2020
Accepted:
October 11,
2020
Received in revised form:
October 10,
2020
Received:
February 14,
2020
Identification
Copyright
© 2020 Hanley & Belfus, an imprint of Elsevier Inc. All rights reserved.
