Hand Rheumatism, Rheumatoid Arthritis
Conditions
Keywords
Magnetotherapy, Rheumatoid arthritis, Hand function
Brief summary
Participants with rheumatoid arthritis with recommendation to physiotherapy. Created 3 study groups: 1. Only kinesiotherapy 2. Kinesiotherapy with unipolar magnetic field 3. Kinesiotherapy with bipolar magnetic field Kinesiotherapy with magnetic field give better effects than only kinesiotherapy.
Detailed description
Participants with rheumatoid arthritis with recommendation to physiotherapy. All participants have dysfunction and pain of hand. Inclusion criteria: 1. II ° and III ° of advancement of radiological changes 2. II ° and III ° of advancement of functional changes 3. Remission, low or moderate RA activity: DAS28 4. Medical order 1. Magnetotherapy and kinesiotherapy 2. Kinesiotherapy 3. Consent to participate in the study 4. Completion of the research program Exclusion criteria: 1. Additional physiotherapy treatments for the hands 2. Change in type or dose of pharmacotherapy used 3. Taking steroid anti-inflammatory drugs 4. Malaise and side effects in the subject Outcome Measures: 1. Duration of morning stiffness 2. The degree of severity of morning stiffness 3. Pain intensity assessment (VAS) 4. Test Box & Blocks 5. Measurement of the palmar surface of the hand 6. Measuring the range of motion in the joints of the hand 7. Measurement of compression force in a cylindrical grip 8. Time to maintain maximum pressure during cylindrical grip 9. Hand volume measurement 10. HAQ-20 test Intervention: 1. Group 1: Only kinesiotherapy 2. Group 2: Kinesiotherapy with bipolar magnetic field 3. Group 3: Kinesiotherapy with unipolar magnetic field Assessment: 1. Immediately before start therapy 2. Immediately after therapy (10 treatments in 2 weeks)
Interventions
Individual kinesiotherapy. Parameters of magnetic field: 7 mT, f= 0-50 Hz, type of impulse: unipolar or bipolar, rectangular pulse
Sponsors
Jolanta Zwolińska
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
35 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
* II ° and III ° of advancement of radiological changes * II ° and III ° of advancement of functional changes * Remission, low or moderate RA activity: DAS28 * Medical order * Magnetotherapy and kinesiotherapy * Kinesiotherapy * Consent to participate in the study * Completion of the research program
Exclusion criteria
* Additional physiotherapy treatments for the hands * Change in type or dose of pharmacotherapy used * Taking steroid anti-inflammatory drugs * Malaise and side effects in the subject
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Visual Analogue Scale (VAS) | Change from baseline VAS value immediately after therapy | Pain severity rating scale. only one value. Minimum value is 0, maximum value is 10. The best is 0, the worst is 10. |
| Health Assesment Questionaire (HAQ) | Change from baseline HAQ value immediately after therapy | Subjective assesment of level of disability. Value of each of 8 subsections: minimum value 0, maximum value 3. total score is averaged. The best total score is 0, the worst is 3. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Test Box&Blocks | Change from baseline number of blocks immediately after therapy. | Objective assessment of level of disability of hand. Number of blocks transfer from box 1 to box 2 during 1 minute. |
Countries
Poland
Outcome results
None listed