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Status unknownNCT03821298CMCUpdated Jul 31, 2019

Psychosocial Factors a Prognostic Study of Pain in Patients With CMC Osteoarthritis

An interventional study of Standard of Care Hand Therapy in Pain and Osteoarthritis, sponsored by Gannon University. Status unknown at 1 site in United States. Open to female participants aged 18 Years to 90 Years. Per ClinicalTrials.gov, last updated 2019-07-31.

Sponsored by Gannon University · Not applicable, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Jul 2019), so the status shown — last known as Recruiting — may be out of date.
Phase
Not applicable
Study type
Interventional
Enrollment
50
Allocation
Not applicable
Ages
18 Years to 90 Years
Sex
Female
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Study summary

In this clinical trial, females with a diagnosis of thumb CMC OA, will be recruited. The primary outcome of potential risk factors of osteoarthritis, pain and function will be measured using the demographic data, visual analog scale (VAS) and Disabilities of the Arm, Shoulder and Hand (QuickDASH). Secondary out-comes will include the Pain Self-Efficacy Questionnaire (PSEQ), Tampa Scale of Kinesiophobia (TSK), Fear Avoidance Beliefs Questionnaire (FABQ), Hospital Anxiety and Depression Scale (HADS) and Impairment and Functioning Inventory (IFI). Measurements will be taken at the baseline, three, six and 12 months follow up.

Read the detailed description

The study will start recruitment in April 2019.In this clinical trial, 50-100 females, aged 50 to 90 years of age, with a diagnosis of thumb CMC OA, will be recruited. The primary outcome of potential risk factors of osteoarthritis, pain and function will be measured using the demographic data, visual analog scale (VAS) and Disabilities of the Arm, Shoulder and Hand (QuickDASH). Secondary out-comes will include the Pain Self-Efficacy Questionnaire (PSEQ), Tampa Scale of Kinesiophobia (TSK), Fear Avoidance Beliefs Questionnaire (FABQ), Hospital Anxiety and Depression Scale (HADS) and Impairment and Functioning Inventory (IFI). Measurements will be tak-en at the baseline, three, six and 12 months follow up.

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Conditions studied

  • Pain
  • Osteoarthritis

Keywords

  • pain
  • osteoarthritis
  • function
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In context

Pain

2,450 studies on the registry are indexed under Pain; 945 are open to participants now.

This study's planned enrollment of 50 is below the median of 70 across 2,101 interventional studies indexed under Pain.

Browse Pain studies →

Lead sponsor

Gannon University is the lead sponsor of 2 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years to 90 Years
Sexes eligible
Female
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • women older than 18 years
  • diagnosed with bilateral thumb CMC OA
  • a reported pain intensity during activities of daily living (ADLs) of up to 4 of 10 on the visual analog scale (VAS)
  • The referring hand surgeon will made the diagnosis of CMC OA based on radiographs and clinical exploration.

Exclusion criteria

Exclusion Criteria:

  • neurologic disorder affecting the upper limb
  • had received previous treatment for their hand problem in the last 6 months including an intra-articular joint injection to wrist, fingers, or thumb
  • had fractures or a significant hand injury or previous surgery to the wrist or hand
  • had hand or finger tenosynovitis and/or Dupuytren disease
  • patients who did not complete any questionnaire or if they did not sign the informed consent.
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
50 participants (estimated)

Study arms

  • Experimental
    Standard of Care

    short thumb orthoses during ADL, joint reeducation for hand used, radial nerve gliding exercises and thumb proprioception exercises

    Other: Standard of Care Hand Therapy

Interventions

  • OtherStandard of Care Hand Therapy

    8 sessions 2 times a week for 4 weeks

    Also known as: Orthosis, Radial Nerve Gliding, Joint Protection Education, Proprioception exercises

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What researchers measure

Primary outcomes

  1. Change from baseline to 12 months Visual Analog Scale (VAS)

    Pain scale VAS; 0: no pain, 100: maximum pain

    Time frame: baseline, three, six and 12 months follow up

  2. Change from baseline to 12 months Quick Disabilities of the Arm, Shoulder and Hand

    Self Report Function,QuickDash scores range from 0 to 100, higher scores means more dysfunction

    Time frame: baseline, three, six and 12 months follow up

Secondary outcomes

  1. Change from baseline to 12 months using the Pain Self-Efficacy Questionnaire

    Confidence in performing activities of daily living,They answer by circling a number on a 7-point Likert scale under each item, where 0 = not at all confident and 6= completely confident. A total score, ranging from 0 to 60, is calculated by adding the scores for each item. Higher scores reflect stronger self- efficacy beliefs.

    Time frame: baseline, three, six and 12 months follow up

  2. Change from baseline to 12 months using the Tampa Scale of Kinesiophobia

    measure of fear of movement, the total score ranges between 17 and 68. A high value on the TSK indicates a high degree of kinesiophobia, and a cutoff score was developed by Vlaeyen (1995), where a score of 37or over is considered as a high score, while scores below that are considered as low scores. Use of a total score (including all 17 items) is recommended, although practitioners may wish to interpret results using two subscales

    Time frame: baseline, three, six and 12 months follow up

  3. Change from baseline to 12 months using the Fear Avoidance Beliefs Questionnaire

    self report measure of avoidance of activities of daily livin, The questionnaire consists of 16 items in which a patient rates their agreement with each statement on a 7-point Likert scale. Where 0= completely disagree, 6=completely agree. There is a maximum score of 96. A higher score indicates more strongly held fear avoidance belief

    Time frame: baseline, three, six and 12 months follow up

  4. Change from baseline to 12 months using the Hospital Anxiety and Depression Scale

    Measure Depression and Anxiety,Each item on the questionnaire is scored from 0-3 and this means that a person can score between 0 and 21 for either anxiety or depression. The higher the score indicates heightened anxiety or depression

    Time frame: baseline, three, six and 12 months follow up

  5. Change in from baseline to 12 months using the Impairment and Functioning Inventory

    Function, . It consists of 30 items with two related subscales: Daily Functioning and Impairment (perceived current level of functioning compared with the level of functioning before pain onset). 30 questions scored 0-4. Higher score indicates increased ability to perform activities of daily living

    Time frame: baseline, three, six and 12 months follow up

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Study locations

1 of 1 sites recruiting
  • Gannon University
    Ruskin, Florida 33573, United States
    • Kristin A Valdes, OTD · Contact · valdes001@gannon.edu · 813-658-4905
    • Nancy Naughton, OTD · Sub investigator
    Recruiting
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References and documents

Publications

  • Pincus T, Burton AK, Vogel S, Field AP. A systematic review of psychological factors as predictors of chronicity/disability in prospective cohorts of low back pain. Spine (Phila Pa 1976). 2002 Mar 1;27(5):E109-20. doi: 10.1097/00007632-200203010-00017. PubMed 11880847 ↗
  • Kerns RD, Sellinger J, Goodin BR. Psychological treatment of chronic pain. Annu Rev Clin Psychol. 2011;7:411-34. doi: 10.1146/annurev-clinpsy-090310-120430. PubMed 21128783 ↗
  • Haugen IK, Englund M, Aliabadi P, Niu J, Clancy M, Kvien TK, Felson DT. Prevalence, incidence and progression of hand osteoarthritis in the general population: the Framingham Osteoarthritis Study. Ann Rheum Dis. 2011 Sep;70(9):1581-6. doi: 10.1136/ard.2011.150078. Epub 2011 May 27. PubMed 21622766 ↗
  • Zhang W, Doherty M, Leeb BF, Alekseeva L, Arden NK, Bijlsma JW, Dincer F, Dziedzic K, Hauselmann HJ, Herrero-Beaumont G, Kaklamanis P, Lohmander S, Maheu E, Martin-Mola E, Pavelka K, Punzi L, Reiter S, Sautner J, Smolen J, Verbruggen G, Zimmermann-Gorska I. EULAR evidence based recommendations for the management of hand osteoarthritis: report of a Task Force of the EULAR Standing Committee for International Clinical Studies Including Therapeutics (ESCISIT). Ann Rheum Dis. 2007 Mar;66(3):377-88. doi: 10.1136/ard.2006.062091. Epub 2006 Oct 17. PubMed 17046965 ↗

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 31, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT03821298
Lead sponsor
Gannon University
Responsible party
Kristin Valdes (Assistant Professor of Occupational Therapy, Gannon University) — Principal investigator
First posted
Jan 29, 2019
Start date
Apr 1, 2019
Primary completion
Apr 1, 2020 (estimated)
Completion
Apr 1, 2020 (estimated)
Last update
Jul 31, 2019

Study contacts

Kristin Valdes, OTD, OT, CHT
Contact
valdes001@gannon.edu
813 6584901

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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