Table 35Osteoarthritis hand pain: multidisciplinary rehabilitation

Author, Year, Followup, Pain Duration, Study QualityInterventionPopulationFunction and Pain OutcomesOther Outcomes

Stukstette, 2013

3 months

Duration of pain: Mean 4 years

Fair

A. Multidisciplinary treatment program (n=75): 4 group based therapy sessions of 2.5-3 hours duration (time period ), supervised by a specialized nurse and occupational therapist

B. Waiting list (n=72)

All patients: 30 minute explanation of written information about

A vs. B

Age: 60 vs. 58

Female: 18% vs. 16%

Mean duration of diagnosis: 4 vs. 4 years

Proportion taking opioids: 3% vs. 4%

Baseline function (0-36): 21.0 vs. 21.8

Baseline pain (0-20):10.4 vs. 10.2

A vs. B

3 months

function: 18.6 vs. 18.8, adjusted difference 0.5 (95% −0.09 to 0.4)

pain: 9.4 vs. 9.0, adjusted difference 0.4 (95% −0.5 to 1.3)

OARSI OMERACT responders: 33% vs. 37%, OR 0.8 (95% 0.4 to 1.6)

A vs. B

3 months

Patient global assessment (0-100): 60.4 vs. 66.0, adjusted difference −5.2 (95% −11.4, 1.0)

SF-36 PCS (0-100): 39.8 vs. 39.9, adjusted difference −0.14 (95% −1.62 to 1.35)

SF-36 MCS (0-100): 50.3 vs. 51.6, adjusted difference 0.27 (95% −2.13 to 2.67)

= Australian Canadian Osteoarthritis Hand Index; = osteoarthritis; = Osteoarthritis Research Society International Outcome Measures in Rheumatology; OR = Odds ratio; SF-36 MCS = Short-Form 36 Questionnaire Mental Component ScoreSF-36 PCS = Short-Form 36 Physical Component Score

a

Unless otherwise noted, followup time is calculated from the end of the treatment period.

From: Results

Cover of Noninvasive Nonpharmacological Treatment for Chronic Pain: A Systematic Review Update
Noninvasive Nonpharmacological Treatment for Chronic Pain: A Systematic Review Update [Internet].
Comparative Effectiveness Review, No. 227.
Skelly AC, Chou R, Dettori JR, et al.

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