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. 2014 Jun;26(6):807-12.
doi: 10.1589/jpts.26.807. Epub 2014 Jun 30.

Contralateral sensory and motor effects of unilateral kaltenborn mobilization in patients with thumb carpometacarpal osteoarthritis: a secondary analysis

Jorge H Villafañe  1 , Cesar Fernandez de-Las-Peñas  2 , Guillermo B Silva  3 , Stefano Negrini  4
Affiliations

Contralateral sensory and motor effects of unilateral kaltenborn mobilization in patients with thumb carpometacarpal osteoarthritis: a secondary analysis

Jorge H Villafañe et al. J Phys Ther Sci. 2014 Jun.

Abstract

[Purpose] The aim of this study was to determine changes in pressure sensitivity and pinch strength in patients with thumb carpometacarpal (CMC) osteoarthritis (OA) in the contralateral hand after unilateral Kaltenborn mobilization on the symptomatic hand. [Subjects and Methods] Twenty-nine females with dominant hand thumb CMC osteoarthritis participated (age 70-90), and were randomized into 2 groups. The experimental group received a Kaltenborn mobilization, and the placebo group received a nontherapeutic dose of intermittent ultrasound. Pressure pain thresholds (PPT) at the thumb CMC joint, scaphoid bone and hamate bone and tip and tripod pinch strength were assessed before and after the intervention and 1 week (1st follow-up) and 2 weeks (2nd follow-up) after the intervention. [Results] Significant increases in PPT in the experimental group at all follow-up periods as compared with baseline data were found. The post-intervention between-group mean differences for PPT were 1.1 (95%CI 0.4-1.8) for the CMC joint, 1.1 (95%CI 0.2-2.1) for the scaphoid, and 1.5 (95%CI 0.5-2.8) for the hamate. The post-intervention between-group mean differences were 0.5 (95%CI 0.2-0.9) for the tip pinch and 0.3 (95%CI 0.1-0.6) for the tripod pinch. [Conclusion] The current secondary analysis found that Kaltenborn mobilization for the symptomatic hand reduces pressure pain sensitivity (PPT increases) and also produces motor changes in the contralateral non-treated hand compared with a placebo group.

Keywords: Carpometacarpal osteoarthritis; Kaltenborn mobilization; Pressure pain threshold.

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Fig. 1.
Fig. 1.
Flow diagram of criteria in the study
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References

    1. Stahl S, Shapira D: Trapeziometacarpal joint osteoarthritis and carpal tunnel syndrome: a new surgical approach for concomitant treatment. J Hand Surg [Br], 2003, 28: 246–250 - PubMed
    1. Villafañe JH, Silva GB, Bishop MD, et al. : Radial nerve mobilization decreases pain sensitivity and improves motor performance in patients with thumb carpometacarpal osteoarthritis: a randomized controlled trial. Arch Phys Med Rehabil, 2012, 93: 396–403 - PubMed
    1. Rogers MW, Wilder FV: Exercise and hand osteoarthritis symptomatology: a controlled crossover trial. J Hand Ther, 2009, 22: 10–17, discussion 19–20, quiz 18. - PubMed
    1. Bagis S, Sahin G, Yapici Y, et al. : The effect of hand osteoarthritis on grip and pinch strength and hand function in postmenopausal women. Clin Rheumatol, 2003, 22: 420–424 - PubMed
    1. Wajon A, Ada L: No difference between two splint and exercise regimens for people with osteoarthritis of the thumb: a randomised controlled trial. Aust J Physiother, 2005, 51: 245–249 - PubMed

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