The SMOotH Study

Self Management in Osteoarthritis of the Hand: a randomised controlled trial in the community

The SMOotH Study

Osteoarthritis (OA) is the commonest form of arthritis in the Western world, and is the leading cause of disability in older adults, with the hand being one of the most frequently affected sites. Evidence of effectiveness for self-management of hand osteoarthritis is lacking. In this randomised, factorial trial, we evaluated the effectiveness of joint protection versus no joint protection, and hand exercise versus no hand exercise in adults, 50 years of age or older, with hand osteoarthritis.

The findings of the SMOotH study has shown that occupational therapists can support self-management in older adults with hand osteoarthritis, and that joint protection provides an effective intervention for medium term outcome.

Funded by the Arthritis Research UK ISRCTN 33870549


Self management, joint protection and exercises in hand osteoarthritis: a randomised controlled trial with cost effectiveness analyses

Self-management approaches for osteoarthritis in the hand: a 2×2 factorial randomised trial

A Guide to People who have Osteoarthritis

Osteoarthritis of the Hand


Useful Links

NICE Pathways for the management of Osteoarthritis  

NICE Guidelines for Osteoarthritis Care and Management

Occupational Therapy and Arthritis: How can Occupational Therapist Help?

Medical Management of Osteoarthritis


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