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Table 4 Treatment effects of rehabilitation interventions on study outcomes

From: Effects of rehabilitative interventions on pain, function and physical impairments in people with hand osteoarthritis: a systematic review

Outcome

Intervention

Study

Measurement tool

Number

SMD (95% CI)

Quality: score on PEDro scale

Pain

Splints

Rannou, et al. [31]

VAS

101

0.19 (-0.20, 0.58)

8

 

Long-term

  

97

4.24a (3.52, 4.97)

 
 

Laser

Basford, et al. [22]

0-5 tenderness

81

0.00 (-0.44, 0.44)

8

  

Brosseau, et al. [24]

AUSCAN pain

86

0.33 (-0.10, 0.75)

10

 

Long-term

   

-0.88 (-0.5, 0.35)

 
 

Heat therapy

Stange-Rezende, et al. [35]

VAS

45

0.09 (-0.32, 0.05)

6

 

Exercise

Lefler and Armstrong [30]

0-6 pain scale

18

0.40 (-0.56, 1.36)

5

  

Rogers and Wilder [33]

AUSCAN pain

46

-0.04 (-0.45, 0.37)

4

 

Massage

Field, et al. [27]

VITAS

22

1.18a (0.26, 2.10)

3

 

Acupuncture

Dickens and Lewith [26]

VAS

13

NA

6

Hand function

Splints

Rannou, et al. [31]

CHFS

101

1.10a (0.68, 1.52)

8

 

Long-term

  

95

3.73a (3.05,4.40)

 
 

Laser

Brosseau, et al. [24]

AUSCAN ADL

86

0.08 (-0.34, 0.50)

10

 

Long-term

   

-0.05 (-0.48, 0.37

 
 

Heat therapy

Stange-Rezende, et al. [35]

AUSCAN

45

0.20 (-0.27, 0.67)

6

 

Exercise

Stamm, et al. [34]

HAQ

40

NA

6

  

Rogers and Wilder [33]

AUSCAN ADL

35

-0.08 (-0.55,0.39)

4

 

Acupuncture

Dickens and Lewith [26]

NS

13

NA

6

Hand strength

Splints

Rannou, et al. [31]

Pinch (Dy)

96

0.9a (0.5, 1.3)

8

 

Long-term

   

1.2a (0.8, 1.6)

 
 

Laser

Basford, et al. [22]

Grasp (Dy)

81

0.01 (-0.4, 0.5)

8

  

Brosseau, et al. [24]

Grip (Dy)

86

NA

10

 

Heat therapy

Stange-Rezende, et al. [35]

Grip (NS)

45

0.00 (-0.4, 0.4)

6

  

Favaro, et al. [39]

Grip (S)

48

NA

5

 

Exercise

Stamm, et al. [34]

Grip (V)

40

4.5a (3.3, 5.7)

6

  

Lefler and Armstrong [30]

Grip (Dy)

18

0.7 (-0.13, 1.7)

5

  

Rogers and Wilder [33]

Grip (Dy)

31

0.2 (-0.3, 0.7)

4

 

Massage

Field, et al. [27]

Grip -10-point scale

22

0.9 (-0.01, 1.7)

3

 

Acupuncture

Dickens and Lewith [26]

Pinch (NS)

13

NA

6

Range of motion

Splints

Rannou, et al. [31]

KI

97

-0.4a (-0.8, -0.03)

8

 

Long-term

   

3.30a (2.7, 3.9)

 
 

Laser

Basford, et al. [22]

Goniometer

81

0.00 (-0.4, 0.5)

8

  

Brosseau, et al. [24]

Goniometer

86

NA

10

 

Exercise

Lefler and Armstrong [30]

Goniometer

18

NA

5

Stiffness

Laser

Brosseau, et al. [24]

AUSCAN stiffness

86

0.30 (-0.1, 0.7)

10

 

Long-term

   

-0.4 (-0.8, 0)

 
 

Heat therapy

Stange-Rezende, et al. [35]

AUSCAN stiffness

45

-0.04 (-0.3, 0.2)

6

 

Exercise

Rogers and Wilder [33]

AUSCAN stiffness

31

3.00 (-45, 51)

4

  1. aSignificant treatment effects. ADL, activities of daily living; AUSCAN, Australian/Canadian osteoarthritis hand index; CHFS, Cochin hand functional scale; CI, confidence intervals for continuous variables; Dy, dynamometer(s); HAQ, Health Assessment Questionnaire; KI, Kapandji index (thumb opposition); NA, standardized mean difference not estimable; NS, measurement tool not stated; PEDro, Physiotherapy Evidence Database; S, sphygmomanometer; SMD, standardized mean difference; V, vigorimeter; VAS, visual analogue scale; VITAS, visual analogue scale anchored with five faces.