Evaluating In-Clinic Versus Home Exercise Therapy After Thumb Joint Surgery for Arthritis

What this Trial Is About

Researchers are evaluating how formal occupational therapy compares with home exercise programs for patients recovering from trapeziectomy and suture suspensionplasty surgery for thumb carpometacarpal CMC arthritis. The study aims to determine if in-clinic therapy offers better outcomes than at-home exercises and to analyze the associated costs of each approach, especially considering challenges faced by patients living in rural areas. This is a prospective, randomized, controlled trial designed to provide clear evidence regarding post-operative therapy options. Participants will be randomly assigned to one of two groups one receives weekly in-clinic occupational therapy sessions lasting 30 to 60 minutes for six weeks, while the other group is given instructions and a booklet for a home exercise program to perform daily at home with occasional physician check-ins during routine follow-ups. The study will compare these two treatment approaches in terms of their effect on recovery and cost differences, including preoperative, intra-operative, and postoperative expenses. Throughout the study, participants progress will be assessed at multiple time points up to one year after surgery using measures such as the Kapandji Score, radial abduction range, key pinch strength, grip strength, and PROMIS questionnaires on upper extremity function and overall health. The study includes scheduled evaluations at 2 weeks, 6 weeks, 12 weeks, 6 months, and 1 year to monitor recovery and function. This comprehensive follow-up ensures detailed tracking of participant outcomes and therapy effectiveness.

Trapeziectomy and Suture Suspensionplasty for Thumb Carpometacarpal Arthritis - Is In-Clinic Therapy Needed?