Variability and biomechanical strategies in single and bi-manual hand movements

   Musculoskeletal Science and Sports Medicine

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  Dr G Pearson  No more applications being accepted  Awaiting Funding Decision/Possible External Funding

About the Project

Self-funded Master's by Research opportunity

Osteoarthritis (OA) of the thumb carpometacarpal joint (CMCJ) is a common condition affecting 60-70% of people over 65, and tends to affect females more than males. However, not all require surgical treatment. Thumb CMCJ OA presents with pain and swelling of the joint which leads to loss of grip strength and difficulties with activities of daily living.

There are various surgical options for the treatment of symptomatic end stage thumb CMCJ OA; fusion, trapeziectomy and arthroplasty. The most common surgery is trapeziectomy with arthroplasty increasing in popularity due to the perceived benefits of faster recovery and better functional outcomes including the fact that artificial joint replacement is said to give better grip strength. These benefits need to be weighed against the increased risk of revision surgery with arthroplasty.

Currently patient reported outcome measures (PROM) are used to assess the success in orthopaedic hand surgery; however this approach is limited and there is no consensus on which outcomes should be used in the reporting of new treatments or even what the primary outcomes for thumb CMCJ surgery are. Importantly, currently there is in fact no PROMS designed specifically for the thumb, which is therefore a significant omission in assessment of treatment outcomes.

Given the limitations of current PROMS score and lack of thumb-function specific PROMS, we would like to obtain quantitative data on thumb movements during activities of daily living before and after surgery and be able to track those changes during the course of recovery and rehabilitation. 

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Medicine (26) Sport & Exercise Science (33)

Funding Notes

Self-funded, 12-month Master's by Research opportunity

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