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A multidisciplinary and multidimensional intervention for patients with hand osteoarthritis.
MedLine Citation:
PMID:  22278603     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Background: Although several guidelines recommend that treatment programmes in patients with hand osteoarthritis should be both multidisciplinary and multidimensional, currently no such treatment programme for hand osteoarthritis has been described. Therefore the aim of this study was to systematically develop a multidisciplinary and multidimensional non-pharmacological treatment programme and to give a detailed description on the content of this treatment programme. Development of the treatment programme: The programme was developed in phases. In a preclinical theoretical phase, disease-specific problems, current evidence and the influence of patient characteristics on the benefit of interventions were explored. In a modelling phase, the treatment programme was designed. Treatment programme: The programme contains an individual intake, four weekly nurse and occupational therapist-led group sessions and a booster session after six months. Treatment components of the programme are self-management, daily home exercises to enhance joint mobility and grip strength and education about ergonomic principles. The treatment programme is tailored to the needs of individual patients with hand osteoarthritis. Conclusions: A non-pharmacological multidisciplinary and multidimensional treatment programme for patients with hand osteoarthritis was developed. Further research is necessary to investigate the effectiveness of this treatment programme. Currently, the programme is being evaluated in an ongoing randomized clinical trial.
Authors:
Mjpm Stukstette; Tj Hoogeboom; R de Ruiter; P Koelmans; E Veerman; Aa den Broeder; H Cats; Jw Bijlsma; J Dekker; Chm van den Ende
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Clinical rehabilitation     Volume:  26     ISSN:  1477-0873     ISO Abbreviation:  Clin Rehabil     Publication Date:  2012 Feb 
Date Detail:
Created Date:  2012-01-26     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8802181     Medline TA:  Clin Rehabil     Country:  England    
Other Details:
Languages:  eng     Pagination:  99-110     Citation Subset:  IM    
Affiliation:
1Department of Rheumatology, Sint Maartenskliniek, Nijmegen, The Netherlands.
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