Evaluating therapy options after thumb joint surgery
Trapeziectomy and Suture Suspensionplasty for Thumb Carpometacarpal Arthritis - Is In-Clinic Therapy Needed?
This study tests whether going to therapy sessions or doing exercises at home helps people recover better after thumb joint surgery for arthritis.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 180 (estimated) |
| Ages | 18 Years and up |
| Sex | All |
| Sponsor | University of Missouri-Columbia Academic / other |
| Locations | 1 site (Columbia, Missouri) |
| Trial ID | NCT06820528 on ClinicalTrials.gov |
What this trial studies
This clinical trial investigates the effectiveness of formal occupational therapy compared to at-home exercise programs for patients recovering from trapeziectomy and suture suspensionplasty due to thumb carpometacarpal arthritis. Participants will be randomly assigned to either in-clinic therapy sessions or a home exercise program, with outcomes assessed based on recovery and cost-effectiveness. The study aims to determine if the benefits of in-clinic therapy justify the time and financial investments, especially for patients in rural areas with limited access to therapy services.
Who should consider this trial
Good fit: Ideal candidates include adults over 18 years old who are scheduled for CMC arthroplasty and can provide informed consent.
Not a fit: Patients undergoing revision surgeries or those with acute traumatic dislocations of the CMC joint may not benefit from this study.
Why it matters
Potential benefit: If successful, this study could help determine the most effective and accessible rehabilitation method for patients recovering from thumb joint surgery.
How similar studies have performed: Other studies have explored therapy options post-surgery, but this specific comparison of in-clinic versus at-home therapy is relatively novel.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Patients over the age of 18 years * Patients undergoing CMC Arthroplasty * Ability to read and write in English * Ability to provide informed consent Exclusion Criteria: * Patients undergoing revision CMC arthroplasty * Acute traumatic dislocation of the CMC joint as indication for surgery * Concomitant treatment of MCP hyperextension
Where this trial is running
Columbia, Missouri
- University of Missouri - Columbia — Columbia, Missouri, United States (Recruiting)
Study contacts
- Principal investigator: Julia A.V. Nuelle, MD — University of Missouri-Columbia
- Study coordinator: Bryce T Fletcher, BS, CCRP
- Email: umhsorthoenroll@health.missouri.edu
- Phone: (573) 882-2663
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.