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Heated Mittens for Patients With Hand Osteoarthritis (HOT)
The primary objective of this trial is to assess the efficacy of an intervention with heated mittens in patients with hand osteoarthritis (HOA). The joints of the hands are some of the most commonly joints affected by osteoarthritis, together with hip and knee joints. The prevalence increases with age and as the elderly population is growing so will the number of persons with HOA. The primary symptoms for HOA are reduced function, stiffness and pain, with function being the most limiting factor for the patients. Pharmacological treatments have some effect. Non-pharmacological treatments (such as exercise) have been investigated in a limited number of studies with overall minimal effect on the primary symptoms. In the earlier days the use of heating interventions, such as paraffin bath, was common treatment for patients with arthritis. During the last decades a shift from heating to exercise oriented treatment has occurred, however seemingly with limited effect on the primary symptoms. American College of Rheumatology (ACR) newest published guideline for the management of HOA (2020) recommend heating as a treatment among others but without scientific sound evidence for effect. The hypothesis is that heated mittens worn at least 15 minutes every day for six weeks has a beneficial effect on physical function in patient with HOA when compared to placebo mittens (heat deactivated). This study is designed as a randomized controlled trial with two parallel groups (1:1) and physical function of the hand as primary endpoint after six weeks. The plan is to include 200 patients with HOA for this study. The intervention group will receive mittens with functioning heating elements; the control group will receive mittens without a functioning heating element. All participants are asked to wear the mittens for 6 weeks, 15 minutes each day. The primary endpoint is change in physical function of the hand, measured with the Australian/Canadian Osteoarthritis Hand Index (AUSCAN).
Details
| Lead sponsor | Cecilie Bartholdy |
|---|---|
| Phase | NA |
| Status | COMPLETED |
| Enrolment | 200 |
| Start date | Sun Oct 04 2020 00:00:00 GMT+0000 (Coordinated Universal Time) |
| Completion | Tue Mar 07 2023 00:00:00 GMT+0000 (Coordinated Universal Time) |
Conditions
- Hand Osteoarthritis
Interventions
- activated mittens
- deactivated mittens
Countries
Denmark