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Abstract Number: 981

The Effect of Compression Gloves in Hand Osteoarthritis: A Pre-Post-Test Trial

Alison Hammond1, Yeliz Prior2, Vivienne Jones3, Mary Dooley4, Yvonne Hough5 and Angela Jacklin6, 1Centre for Health Sciences Research, University of Salford, Greater Manchester, United Kingdom, 2Centre for Health Sciences, University of Salford, Greater Manchester, United Kingdom, 3Occupational Therapy, University of Salford, Greater Manchester, United Kingdom, 4Occupational Therapy, Southport & Formby District Hospital, Southport, United Kingdom, 5Occupational Therapy, St Helens Hospital, St Helens, United Kingdom, 6Occupational Therapy, Stepping Hill Hospital, Stockport, United Kingdom

Meeting: 2014 ACR/ARHP Annual Meeting

Keywords: Hand disorders, Hand function, Occupational therapy and osteoarthritis

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Session Information

Session Title: Osteoarthritis

Session Type: Abstract Submissions (ARHP)

Background/Purpose: Compression gloves are used in Hand Osteoarthritis (HOA) to reduce pain (day and/or night), stiffness and improve hand function.  A systematic review identified only two trials (sample sizes n= 2 and 5), with inconclusive results [1]. The commonest compression gloves provided in the UK are Isotoner gloves. The aim was to evaluate effects of compression gloves on hand pain, stiffness and function.

Methods:

A pre-post-test trial was conducted. Participants were recruited from 10 Rheumatology Occupational Therapy (OT) departments; had a doctor diagnosis of HOA and no steroid injections or new/changed medication within the previous 4 weeks.  Assessments at 0 and 4 weeks included: hand pain on activity and at night, hand stiffness   (all 0-10 numeric rating scales: none to very severe); Measure of Activity Performance of the Hand [MAP-HAND, 2]; Grip Ability Test [GAT, 3]; and composite finger flexion to distal wrist crease (CFF).  OT assessors were trained in standardised hand assessment procedures. Assessor inter-rater reliability (ICC,10) was good : CFF (0.76-0.93); GAT (0.98) [4]. All participants received Isotoner ¾ finger gloves. Data were analysed using paired t-tests and effect sizes calculated using eta-squared (values of 0.14+ = large effect, 5).

Results:

30 people with HOA participated: 28 women, 2 men); average age = 61.23(SD 8.35) years; time since diagnosis 4.71(SD 6.47)years.  (Right hand data presented below).

Mean(SD)

0 weeks

4 weeks

p

Effect size

Hand pain on activity

7.30 (1.61)

6.22 (1.99)

0.008

0.24

Hand pain at night

6.56 (2.10)

4.19 (2.20)

0.000

0.45

Hand stiffness

7.22 (1.74)

5.85 (2.14)

0.01

0.44

MAP-HAND

25.33 (7.08)

24.03 (7.87)

0.14

0.07

GAT

40.05 (12.04)

33.14 (13.10)

0.000

0.50

CFF Index (cms)

6.84 (2.17)

6.44 (2.33)

0.05

0.14

CFF Middle (cms)

5.72 (2.23)

5.29 (2.25)

0.03

0.17

  Conclusion: This study demonstrates, for the first time, that compression gloves used by people with HOA led to significant improvements in: pain during the day and night, stiffness, hand function and finger motion, with moderate to large effect sizes. A limitation was the lack of a control group meaning we cannot be certain benefits were due to compression gloves.  A randomised controlled trial needs to be conducted, including longer follow-up.   

1 Hammond et al (2014) Rheumatology 53(suppl 1):i125; 2. Paulsen et al (2010) J Rehabil Med 42:636-644; 3. Dellhag & Bjelle (1995) J Rheumatol 22:1559-65; 4. Hammond et al (2014) Rheumatology 53(suppl 1):i124; 5. Cohen (1988) Statistical power for the Behavioural Sciences (Ehlrbaum).


Disclosure:

A. Hammond,

Jobskin UK,

2,

Promedics Orthopaedics Ltd,

2,

Dowager Eleanor Peel Trust,

2;

Y. Prior,
None;

V. Jones,
None;

M. Dooley,
None;

Y. Hough,
None;

A. Jacklin,
None.

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