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Original Article
Available online 17 May 2023
Effectiveness of proprioception training in functional recovery of thumb osteoarthritis. Single, multicenter, non-blind randomized clinical trial
Efectividad del entrenamiento propioceptivo en la recuperación funcional de la artrosis en la base del pulgar. Ensayo clínico multicéntrico con aleatorización simple no cegado
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Leire Cruz-Gamberoa,b, Alejandra Lucía Tuljakc, Santiago Garcia Orzad,e, Jorge H. Villafañef, Raquel Cantero-Téllezb,e,
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cantero@uma.es

Corresponding author.
a Unidad de Mano, Centro de Rehabilitación Tecan, Málaga, Spain
b Departamento de Fisioterapia, Facultad Ciencias de la Salud, Universidad de Málaga, Málaga, Spain
c Universidad Católica de Córdoba, Clínica Universitaria Reina Fabiola, Córdoba, Argentina
d Hospital Comarcal de la Axarquía, Vélez, Málaga, Spain
e HandresearchTeam, Instituto de investigación IBIMA, Málaga, Spain
f Fondazione Don Carlo Gnocchi, Milán, Italy
This item has received
Received 18 September 2022. Accepted 02 January 2023
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Tables (2)
Table 1. Basal characteristics of the participants.
Table 2. Intensity of pain (NRS), occupational performance (COPM-P and COPM-S), sensation of position (SP) and sensation of force (SF). Average (SD) for the results of each measurement in both groups, average (SD) for intragroup differences, average (SD) for differences between the groups and average (CI 95%) for differences between the groups.
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Abstract
Background and objectives

Osteoarthritis at the base of the thumb (CMC-1 OA) is a pathology that mainly affects postmenopausal women. The main symptoms including pain, decreased hand-thumb strength and fine motor capacity. Although a proprioceptive deficit has already been demonstrated in people with CMC-1 OA, there is insufficient evidence regarding the effects of proprioceptive training. The main objective of this study is to determine the effectiveness of proprioceptive training in functional recovery.

Materials and methods

A total of 57 patients were included in the study, 29 in the control group and 28 in the experimental group. Both groups underwent the same basic intervention programme, but the experimental group included a proprioceptive training protocol. Variables of the study were pain (VAS), perception of occupational performance (COMP), sense position (SP) and force sensation (FS).

Results

Statistically significant improvement was observed in the experimental group in pain (p < .05) and occupational performance (p < .001) after 3 months of treatment. No statistical differences were found in sense position (SP) or sensation of force (FS).

Discussion and conclusions

The results concord with previous studies focussing on proprioception training. The incorporation of a proprioceptive exercise protocol reduces pain and significantly improves occupational performance.

Keywords:
Proprioception
Thumb
Osteoarthritis
Resumen
Antecedentes y objetivos

La osteoartritis de la base del primer metacarpiano (OA CMC-1) es una patología que afecta mayormente a mujeres postmenopáusicas. Los síntomas principales que acompañan esta patología son el dolor, la pérdida de fuerza y la disminución de capacidad motora fina. A pesar de que se ha demostrado un déficit propioceptivo en personas con OA CMC-1, no hay evidencia suficiente sobre los efectos del trabajo propioceptivo. El objetivo de este estudio es determinar la efectividad del entrenamiento propioceptivo en la recuperación funcional.

Materiales y métodos

Se incluyeron un total de 57 pacientes, 29 del grupo control y 28 en el experimental. Ambos grupos llevaron a cabo el programa de intervención, y al grupo experimental se le incluyó además un protocolo de trabajo propioceptivo. Las variables de estudio fueron el dolor (EVA), percepción del desempeño ocupacional (COMP), sensación de posición (SP) y sensación de fuerza (SF).

Resultados

Se observó una mejora estadísticamente significativa en el grupo experimental en el dolor (p < 0.05) y el desempeño ocupacional (p < 0,001) a los 3 meses de tratamiento. No se encontraron diferencias estadísticas en la sensación de posición (SP) y la sensación de fuerza (FS).

Discusión y conclusiones

La correlación de nuestros resultados y los de estudios precedentes en cuanto a la efectividad del entrenamiento propioceptivo sobre las variables de estudio nos permite afirmar que la incorporación de un protocolo de ejercicios propioceptivos disminuye el dolor y mejora notablemente el desempeño ocupacional.

Palabras clave:
Propiocepción
Pulgar
Osteoartritis

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