Effectiveness of an Exercise Program and Education Through a Mobile Application for the Management of Patients With Hand Osteoarthritis and Rheumatoid Arthritis
Rheumatoid Arthritis - Hand Joint, Osteoarthritis Hand, Pain
About this trial
This is an interventional treatment trial for Rheumatoid Arthritis - Hand Joint
Eligibility Criteria
Inclusion Criteria:
Hand Osteoarthritis (OA) patients:
Subjects with hand osteoarthritis according to the American College of Rheumatology (ACR) classification criteria for clinical OA; hand pain, aching or stiffness and 3 of the following points;
- Hard tissue enlargement of 2 or more of 10 hand joints.
- Hard tissue enlargement of 2 or more interphalangeal joints.
- Fewer than 3 swollen Metacarpal joints.
- Deformity of 1 or more of 10 hand joints.
- Pain and dysfunction in the joints of the hands and/or wrists
- Possession of a smartphone with internet.
Rheumatoid Arthritis (RA) Hand patients:
Subjects with hand arthritis according to the American College of Rheumatology (ACR) clinical and immunological criteria for clinical RA. Patients must meet 4 of the following seven criteria:
- Morning stiffness in and around joints lasting at least 1 hour.
- Swelling in three or more joints.
- Swelling in hand or wrist joints,
- Symmetrical joint swelling.
- erosions or decalcification on radiographs of hand and/or wrist.
- Rheumatoid nodules.
- Abnormal serum rheumatoid factor.
- Pain and dysfunction in the joints of the hands and/or wrists.
- Possession of a smartphone with internet
Exclusion Criteria:
Hand Osteoarthritis Patients:
- Age under 18 years
- People with cognitive impairment
- Surgery on any upper limb joint or fracture in the upper limb within the previous 6 months
- People on the waiting list for upper limb surgery.
- Persons who have received steroid injections into the joints of their hands in the two months prior to recruitment.
- People with inflammatory rheumatic disease (arthritis, spondylitis or cancer)
Rheumatoid Arthritis Hand Patients
- Age under 18 years
- People with cognitive impairment
- Surgery on any upper limb joint or fracture in the upper limb within the previous 6 months
- People on the waiting list for upper limb surgery.
- Pregnancy.
Sites / Locations
- Faculty of Medicine
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Smartphone Application
Conventional Treatment
A protocol of exercises and general recommendations based on the current scientific evidence will be provided through a smartphone application. A follow-up of the use of the application will be carried out. The treatment protocol will last 6 months, during which a minimum of 4 weekly sessions of exercises will be carried out at home. Each pathology will have an unique program of exercises and recommendations.
Those in this group will received the conventional treatment protocol provided within the Andalusian Public Health System. This will consist on the delivery of an exercise program and recommendations using a sheet of paper. Participants will be told to perform the exercises during 6 months, with minimum of 4 weekly sessions of exercise that will be carried out at home.