Effect of Manual Lymphatic Drainage on Upper Extremity Functionality in Rheumatoid Arthritis
Conditions
Brief summary
Rheumatoid arthritis (RA) is a chronic, progressive, autoimmune disease characterized by inflammation of the synovial joints and tendon sheaths. As a result of synovitis, progressive damage occurs in cartilage, bone and joints. This damage leads to severe functional limitations and deterioration in quality of life. Synovial tissues are the main site of involvement. Manual lymph drainage reduces the levels of inflammatory mediators associated with edema and pain in the acute phase. On the basis of this concept; Stimulating the lymph system and increasing circulation, removing biochemical residues, regulating sympathetic and parasympathetic system responses, and thus reducing edema and pain. The increase in cardiac parasympathetic activity measured after MLD also contributes to relaxation. In addition to the transport of lymphatic fluid, manual lymph drainage stimulates free nerve endings in the skin with the touches it contains. Gentle stimulation to the skin increases tactile input and closes the pain pathways. In addition, the superficial relaxation and warming provided by soft stimulation creates an effect on the autonomic nervous system and activates the parasympathetic system. The aim of this study is to evaluate the effect of manual lymphatic drainage on upper extremity functionality in individuals with rheumatoid arthritis.
Interventions
OTHERmanual lymphatic drainage
In addition to conventional treatment for 4 weeks, manual lymph drainage will be applied to the patients.
OTHERexcersize
upper extremity normal joint range of motion exercise, strengthening exercise, tendon gliding exercises
Sponsors
Selcuk University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
FEMALE
Age
25 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* Diagnosed with RA according to ACR criteria * Being between the ages of 18-65 * Volunteering to participate in the study
Exclusion criteria
* Presence of neuromuscular disease * Having difficulty walking * Cognitive impairment * Having systemic disease such as diabetes mellitus and osteoarthritis * History of upper extremity sIf you have Hand Deformity
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Rheumatoid Arthritis Quality of Life Scale (QOL-RA) | 10 minutes | In the scale consisting of 30 questions; questions are scored as yes-1 and no-0. The scores obtained range from 0-30, and high scores indicate poor quality of life. |
| pressure pain threshold | 5 minutes | It is used for the assessment of sensitivity to pain and the determination of pressure perception. will be evaluated with a digital algometer device with a surface area of 1 cm2 and a sensitivity of 0.25 kg/cm2 (Jtech Medical Industries, ZEVEX Company, USA). |
| hand grip strength | 5 minutes | The Jamar hand dynamometer, which is recommended by the American Association of Hand Therapists (AETD) and has high validity and reliability in many studies and is therefore accepted as the gold standard, will be used. |
| finger grip strength | 5 minutes | Finger pinchmeter (Baseline) will be used to measure finger grip strength. |
Countries
Turkey (Türkiye)
Outcome results
None listed