Rheumatoid arthritis
Conditions
Interventions
The study was divided into 2 groups: Intervention Group and Control Group. The Intervention Group performed a rehabilitation protocol which consisted of exercises to strengthen the force of intrinsic
other
Q65.060
Sponsors
Universidade de São Paulo - Faculdade de Medicina de Ribeirão Preto
Fundação de Apoio ao Ensino, Pesquisa e Assistência do Hospital de Clínicas da FMRP/USP
Eligibility
Sex/Gender
Female
Age
37 Years to No maximum
Inclusion criteria
Inclusion criteria: Women diagnosed with rheumatoid arthritis and presenting deformity in at least one of the fingers of each hand participated voluntarily in the present study. Each hand should present at least one of the following deformities: swan neck, boutonniere finger and Z-shaped thumb. Deformities as bouchard's nodules and ulnar deviation should be obligatorily present in both hands.
Exclusion criteria
Exclusion criteria: Women presenting other rheumatoid arthritis -related diseases and/or who entered the exacerbation phase (symptoms of inflammation in the hand joints) during the experimental time were excluded from the study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Measurement of handgrip strength using a dynamometer JAMAR and pinch strength using a dynamometer Preston Pinch Gauge, at (Kgf) scale. The handgrip strengths in the dominant and non-dominant hands were measured with the subjects seated on a chair, hips and knees flexed at 90o, feet kept on the floor, upper limbs in adduction position, elbows at 90o, and wrists in neutral position. The pinch strength (PS) was measured for both hands in which four different pinch tasks with digit pulps were performed: the first pinch movement involved index finger and thumb (PS1); the second involved third finger and thumb (PS2); the third involved fourth finger and thumb (PS3); and the fourth involved fifth finger and thumb (PS4). Each woman performed three sustained contractions for 6 seconds, with a 30-second rest interval between each contraction for both handgrip and pinch strengths evaluations. A mean value was obtained from the three measurements. All evaluations were made by only one examiner. The intervention group was re-evaluated after 10 and 20 physiotherapy sessions . The controle group was re-evaluated after 2 and half months. | — |
Secondary
| Measure | Time frame |
|---|---|
| Health Assessment Questionnaire (HAQ) was performed for assessment of the functional capacity of all women. HAQ is composed of questions on daily activities, general impact, occupational impact, and symptom intensity. The HAQ score ranges from 0 to 3, where zero means no debility and 3 means severe debility. The intervention group was evaluated at the beginning and re-evaluated after 10 and 20 physiotherapy sessions . The controle group was re-evaluated after 2 and half months. ;The Short-Form 36 Medical Outcomes Study (SF36) questionnaires were used to evaluate the quality of life of all women. Both groups were evaluated at the beginning and at the end of the study . | — |
Countries
Brazil
Contacts
Public ContactDaniela Abreu
Universidade de São Paulo - Faculdade de Medicina de RibeirãoPreo
Outcome results
None listed