Hand Rheumatism, Rheumatoid Arthritis
Conditions
Keywords
Magnetotherapy, Rheumatoid arthritis, Hand function
Brief summary
Brief Summary: Participants with rheumatoid arthritis with recommendation to physiotherapy. Created 2 study groups: 1. Kinesiotherapy with static magnetic field 2. Kinesiotherapy with low-frequency pulsed magnetic field Pulsed magnetic field give better effects then static magnetic field.
Detailed description
Participants with rheumatoid arthritis with recommendation to physiotherapy. All participants have dysfunction and pain of hand. Before entering the study, all patients were examined by a rheumatologist, who determined the degree of radiological and functional changes and measured blood pressure. Patients with II° and III° of radiological and functional changes were qualified for the study. All the patients gave their informed consent to participate in the study. The examination included an overall assessment of functional status. Patients were examined immediately before and after the intervention.
Interventions
Individual kinesiotherapy. Parameters of magnetic field: 7 mT, f= 10-20 Hz, type of impulse: bipolar, rectangular pulse
Sponsors
Jolanta Zwolińska
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Masking description
Assessor evaluating the patients' condition had no knowledge of the outcome of randomization of patients to the study groups.
Eligibility
Sex/Gender
ALL
Age
35 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
1. Informed voluntary consent to participate in the study 2. II ° and III ° of advancement of radiological changes 3. II ° and III ° of advancement of functional changes 4. Remission, low or moderate RA activity: DAS28 5. Medical referral for physiotherapy treatment
Exclusion criteria
1. Additional physiotherapy treatments for the hands 2. Contraindications for magnetotherapy treatments 3. Lack of informed, voluntary consent to participate in the study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Visual Analogue Scale | 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 | Change from baseline HAQ-20 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. |
| Range of motion | Change from baseline range of motion value immediately after therapy. | Computerized measurement of the range of motion of the joints of the hand \[mm\]. A higher score value meant a greater range of motions. |
| Displacement hand volume measurement | Change from baseline volume value immediately after therapy. | Measurement of hand volume using the displacement method \[mm3\]. The higher score means less swelling. |
| Persistence time of morning stiffness | Change from baseline time of morning stiffness value immediately after therapy. | Patient's subjective assessment of the duration of morning stiffness \[min\]. The longer durations means more hand dysfunction. |
| Severity of morning stiffness | Change from baseline time of severity of morning stiffness value immediately after therapy. | Assessing the severity of morning stiffness using a 100-point scale. The higher score means a greater severity of morning stiffness. |
Countries
Poland
Outcome results
None listed