Assessment of the interactive device Pablo System and art therapy on hand function and quality of life in patients with rheumatoid arthritis.

Study participants with rheumatoid arthritis undergoing therapeutic intervention will be randomly divided into 2 groups. Participants in the first experimental group will receive therapeutic intervention using the interactive device Pablo System. In this group patients will train various hand function e.g. grip streingth or range of motion while playing computer games. They will control the games with motion sensors placed on the upper limb Duration of the one exercise will be 2 minutes and rest between exercises will be 2 minutes. Participants in the second experimental group will receive art therapy intervention. In this group patiens will train upper limb function with selected methods of art therapy such as plasticine, collage and coloring with paints. All participants will undergo assessments of hand function. This will include evaluating strength and range of motion in the upper limb using the Pablo System device, as well as assessing dexterity using the 25 Hole Peg Test, Box and Blocks Test, and Jebsen Taylor Hand Function Test. Additionally, an evaluation of daily activities will be conducted using the Canadian Occupational Performance Measure (COPM) questionnaire, and quality of life will be assessed using the SF-36v2 questionnaire. All measurements will be performed twice before and after the completion of therapy. Therapeutic interventions in the first and second groups will be administered individually three times a week for 45 minutes over a period of six weeks at the Academy of Physical Education in Krakow by an occupational therapist.