{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T11:50:56Z","timestamp":1774525856334,"version":"3.50.1"},"reference-count":43,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2022,4,5]],"date-time":"2022-04-05T00:00:00Z","timestamp":1649116800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100006095","name":"South-Eastern Norway Regional Health Authority","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100006095","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["acrjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Arthritis Care &amp; Research"],"published-print":{"date-parts":[[2022,6]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To assess the short\u2010term effects of multimodal occupational therapy on pain and hand function in patients referred for surgical consultation due to first carpometacarpal (CMC1) joint osteoarthritis (OA).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In this randomized controlled trial, patients with CMC1 joint OA referred for surgical consultation at 3 rheumatology departments were randomized to 3 months multimodal occupational therapy (including patient education, hand exercises, orthoses, and assistive devices) or usual treatment (OA information). Pain was measured on a numeric rating scale from 0 to 10 (0\u2009=\u2009no pain). Function included grip and pinch strength (Newtons), range\u2010of\u2010motion (palmar and CMC1 joint abduction [\u00b0]; flexion deficit in digits 2\u20135 [mm]), and self\u2010reported Measure of Activity Performance of the Hand (MAP\u2010Hand; range 1\u20134, 1\u2009=\u2009no activity limitation) and short version of the Disability of the Arm, Shoulder, and Hand (QuickDASH; range 0\u2013100, 0\u2009=\u2009no disability). Between\u2010group difference was assessed with follow\u2010up values as dependent variables and group as an independent variable, adjusted for baseline values and time to follow\u2010up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among 180 patients (mean\u2009\u00b1\u2009SD age 63\u2009\u00b1\u20098\u2009years; 81% women), 170 completed the short\u2010term follow\u2010up assessment (3\u20134 months after baseline). Compared to usual treatment, occupational therapy yielded significantly improved pain at rest (\u22121.4 [95% confidence interval (95% CI) \u22120.7, \u22122.0]; <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001), pain following grip strength (\u22121.1 [\u22120.5, \u22121.7]; <jats:italic>P<\/jats:italic>\u2009=\u20090.001), grip strength (23.4 [95% CI 7.5, 39.3]; <jats:italic>P<\/jats:italic>\u2009=\u20090.004), MAP\u2010Hand score (\u22120.18 [95% CI \u22120.09, \u22120.28]; <jats:italic>P<\/jats:italic>\u2009=\u20090.001), and QuickDASH score (\u22128.1 [95% CI \u22124.6, \u221211.5]; <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The multimodal occupational therapy intervention had significant short\u2010term effects on pain, grip strength, and hand function in patients with CMC1 joint OA.<\/jats:p><\/jats:sec>","DOI":"10.1002\/acr.24543","type":"journal-article","created":{"date-parts":[[2020,12,18]],"date-time":"2020-12-18T17:01:44Z","timestamp":1608310904000},"page":"955-964","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":26,"title":["<scp>Short\u2010Term<\/scp> Effects of Occupational Therapy on Hand Function and Pain in Patients With Carpometacarpal Osteoarthritis: Secondary Analyses From a Randomized Controlled Trial"],"prefix":"10.1002","volume":"74","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1701-9835","authenticated-orcid":false,"given":"Anne Therese","family":"Tveter","sequence":"first","affiliation":[{"name":"Diakonhjemmet Hospital  Oslo Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nina","family":"\u00d8ster\u00e5s","sequence":"additional","affiliation":[{"name":"Diakonhjemmet Hospital  Oslo 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