Exercise-Based Rehabilitation for Hand Osteoarthritis: A Meta-Analysis .
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The Effectiveness of Exercise-Based Rehabilitation in People With Hand Osteoarthritis: A Systematic Review With Meta-analysis.
J Orthop Sports Phys Ther . 2024 Jul;54(7):457-467.Fourteen randomized controlled trials including 1,341 patients with hand osteoarthritis were included in this systematic review and meta-analysis comparing exercise-based rehabilitation versus nonexercise intervention or no intervention. Pooled outcomes of interest included pain, function, stiffness, grip strength, pinch strength, and quality of life. In the immediate term (<24 weeks), exercise-based rehabilitation demonstrated improvements in pain, function, stiffness, and grip strength, but no significant effect on pinch strength or quality of life. However, long-term benefits (≥24 weeks) were not observed. The findings suggest that exercise-based rehabilitation is beneficial for short-term symptom management in hand OA, but long-term adherence and maintenance strategies need further exploration.
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