Outcomes of an exercise program in patients with dorsal or volar midcarpal laxity: a cohort study of 213 patients

Mart Brands; Ruud W Selles; Yara E van Kooij; Reinier Feitz; Annemieke J Videler; Harm P Slijper; Robbert M Wouters

doi:10.1080/09638288.2023.2207219

Outcomes of an exercise program in patients with dorsal or volar midcarpal laxity: a cohort study of 213 patients

Mart Brands, Ruud W Selles, Yara E van Kooij, Reinier Feitz, Annemieke J Videler, Harm P Slijper, Robbert M Wouters

Research output: Contribution to journal › Article › Academic › peer-review

1 Citation (Scopus)

2 Downloads (Pure)

Abstract

PURPOSE: Describing the outcomes of an exercise program on wrist and hand function for patients with midcarpal instability (MCI).

MATERIALS AND METHODS: This study has a prospective cohort design. Two hundred and thirteen patients with MCI were included. The intervention was a 3-month exercise program consisting of hand therapy and home exercises. The primary outcome was perceived wrist and hand function evaluated with the Patient-Rated Wrist/Hand Evaluation (PRWHE) three months after treatment onset. Secondary outcomes were conversion to surgery, pain, and satisfaction with treatment results.

RESULTS: PRWHE total scores improved from 51 ± 19 (mean ± SD) to 33 ± 24 at 3 months (95% CI: 36-30, p < 0.001). All visual analog scales for pain demonstrated clinically relevant improvements at 6 weeks and 3 months ( p < 0.001). At 3 months, 81% of the participants would undergo the treatment again. After a median follow-up of 2.8 years, 46 patients (22%) converted to surgery.

CONCLUSIONS: We found clinically relevant improvements in hand and wrist function and pain. Most participants would undergo treatment again and 78% of the participants did not convert to surgery. Hence, non-invasive treatment should be the primary treatment choice for patients with MCI.

Original language	English
Pages (from-to)	1825-1831
Number of pages	7
Journal	Disability and Rehabilitation
Volume	46
Issue number	9
Early online date	8 May 2023
DOIs	https://doi.org/10.1080/09638288.2023.2207219
Publication status	Published - 2024

Bibliographical note

Publisher Copyright:
© 2023 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.

Access to Document

10.1080/09638288.2023.2207219Licence: CC BY-NC-ND

Outcomes of an exercise program in patients with dorsal or volar midcarpal laxity a cohort study of 213 patientsFinal published version, 3.03 MBLicence: CC BY-NC-ND

Cite this

@article{fbc52abed0a149c7ada4ab9e0bb43a5d,

title = "Outcomes of an exercise program in patients with dorsal or volar midcarpal laxity: a cohort study of 213 patients",

abstract = "PURPOSE: Describing the outcomes of an exercise program on wrist and hand function for patients with midcarpal instability (MCI).MATERIALS AND METHODS: This study has a prospective cohort design. Two hundred and thirteen patients with MCI were included. The intervention was a 3-month exercise program consisting of hand therapy and home exercises. The primary outcome was perceived wrist and hand function evaluated with the Patient-Rated Wrist/Hand Evaluation (PRWHE) three months after treatment onset. Secondary outcomes were conversion to surgery, pain, and satisfaction with treatment results.RESULTS: PRWHE total scores improved from 51 ± 19 (mean ± SD) to 33 ± 24 at 3 months (95% CI: 36-30, p < 0.001). All visual analog scales for pain demonstrated clinically relevant improvements at 6 weeks and 3 months ( p < 0.001). At 3 months, 81% of the participants would undergo the treatment again. After a median follow-up of 2.8 years, 46 patients (22%) converted to surgery. CONCLUSIONS: We found clinically relevant improvements in hand and wrist function and pain. Most participants would undergo treatment again and 78% of the participants did not convert to surgery. Hence, non-invasive treatment should be the primary treatment choice for patients with MCI.",

author = "Mart Brands and Selles, {Ruud W} and {van Kooij}, {Yara E} and Reinier Feitz and Videler, {Annemieke J} and Slijper, {Harm P} and Wouters, {Robbert M}",

note = "Publisher Copyright: {\textcopyright} 2023 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.",

year = "2024",

doi = "10.1080/09638288.2023.2207219",

language = "English",

volume = "46",

pages = "1825--1831",

journal = "Disability and Rehabilitation",

issn = "0963-8288",

publisher = "Informa Healthcare",

number = "9",

}

TY - JOUR

T1 - Outcomes of an exercise program in patients with dorsal or volar midcarpal laxity

T2 - a cohort study of 213 patients

AU - Brands, Mart

AU - Selles, Ruud W

AU - van Kooij, Yara E

AU - Feitz, Reinier

AU - Videler, Annemieke J

AU - Slijper, Harm P

AU - Wouters, Robbert M

PY - 2024

Y1 - 2024

N2 - PURPOSE: Describing the outcomes of an exercise program on wrist and hand function for patients with midcarpal instability (MCI).MATERIALS AND METHODS: This study has a prospective cohort design. Two hundred and thirteen patients with MCI were included. The intervention was a 3-month exercise program consisting of hand therapy and home exercises. The primary outcome was perceived wrist and hand function evaluated with the Patient-Rated Wrist/Hand Evaluation (PRWHE) three months after treatment onset. Secondary outcomes were conversion to surgery, pain, and satisfaction with treatment results.RESULTS: PRWHE total scores improved from 51 ± 19 (mean ± SD) to 33 ± 24 at 3 months (95% CI: 36-30, p < 0.001). All visual analog scales for pain demonstrated clinically relevant improvements at 6 weeks and 3 months ( p < 0.001). At 3 months, 81% of the participants would undergo the treatment again. After a median follow-up of 2.8 years, 46 patients (22%) converted to surgery. CONCLUSIONS: We found clinically relevant improvements in hand and wrist function and pain. Most participants would undergo treatment again and 78% of the participants did not convert to surgery. Hence, non-invasive treatment should be the primary treatment choice for patients with MCI.

AB - PURPOSE: Describing the outcomes of an exercise program on wrist and hand function for patients with midcarpal instability (MCI).MATERIALS AND METHODS: This study has a prospective cohort design. Two hundred and thirteen patients with MCI were included. The intervention was a 3-month exercise program consisting of hand therapy and home exercises. The primary outcome was perceived wrist and hand function evaluated with the Patient-Rated Wrist/Hand Evaluation (PRWHE) three months after treatment onset. Secondary outcomes were conversion to surgery, pain, and satisfaction with treatment results.RESULTS: PRWHE total scores improved from 51 ± 19 (mean ± SD) to 33 ± 24 at 3 months (95% CI: 36-30, p < 0.001). All visual analog scales for pain demonstrated clinically relevant improvements at 6 weeks and 3 months ( p < 0.001). At 3 months, 81% of the participants would undergo the treatment again. After a median follow-up of 2.8 years, 46 patients (22%) converted to surgery. CONCLUSIONS: We found clinically relevant improvements in hand and wrist function and pain. Most participants would undergo treatment again and 78% of the participants did not convert to surgery. Hence, non-invasive treatment should be the primary treatment choice for patients with MCI.

UR - http://www.scopus.com/inward/record.url?scp=85158081746&partnerID=8YFLogxK

U2 - 10.1080/09638288.2023.2207219

DO - 10.1080/09638288.2023.2207219

M3 - Article

C2 - 37154580

SN - 0963-8288

VL - 46

SP - 1825

EP - 1831

JO - Disability and Rehabilitation

JF - Disability and Rehabilitation

IS - 9

ER -

Outcomes of an exercise program in patients with dorsal or volar midcarpal laxity: a cohort study of 213 patients

Abstract

Bibliographical note

Access to Document

Other files and links

Fingerprint

Cite this