Exercise-Based Interventions Are Effective in the Management of Patients with Thumb Carpometacarpal Osteoarthritis: A Systematic Review and Meta-Analysis of Randomised Controlled Trials.
OrthoEvidence Journal (OE Journal) - ACE Report
OE Journal. 2024;12(13):16 Healthcare (Basel) . 2024 Apr 12;12(8):823.What this means for my practice?
Overall, exercise-based interventions provide significant short-term benefits in reducing pain and improving function in patients with thumb carpometacarpal osteoarthritis. The key takeaway is that incorporating specific exercises, particularly proprioceptive exercises, can enhance clinical outcomes in the short term. However, the study is limited by the heterogeneity of the interventions and the low to moderate certainty of evidence, indicating a need for further high-quality research.
Study Summary
Fourteen randomized controlled trials including 1280 patients with thumb carpometacarpal osteoarthritis were included in this systematic review and meta-analysis comparing exercise-based interventions versus other conservative treatments. Pooled outcomes of interest included pain intensity, wrist disability, grip and pinch strength, range of motion, and pressure pain thresholds. The pooled results indicated that exercise-based interventions were significantly more effective in reducing pain intensity and wrist disability at short-term follow-up compared with no treatment. Overall, the findings suggest that exercise-based interventions can provide better clinical outcomes in the short term compared to no treatment in patients with thumb CMCJ OA.
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