Document Detail

Effect of an intensive hand exercise programme in patients with rheumatoid arthritis.
MedLine Citation:
PMID:  19180723     Owner:  NLM     Status:  MEDLINE    
The aim of this study was to test the effect of an intensive hand exercise programme in patients with rheumatoid arthritis (RA). Designed as a clinical controlled trial, the first 30 participants received a conservative exercise programme (CEP), while the next 30 received an intensive exercise programme (IEP). Outcomes were assessed at baseline, and after 2 and 14 weeks. Hand strength, measured as grip strength and pinch strength, was the primary outcome variable. Secondary outcomes were joint mobility, hand pain, and functional ability. After two weeks, there were significant differences between the groups in favour of the IEP in pinch strength in the dominant hand (p = 0.01), as well as grip and pinch strength in the non-dominant hand (p = 0.04 and 0.05, respectively). After 14 weeks, there was a significant difference between the two groups in grip strength in the non-dominant hand (p = 0.04), again in favour of the IEP. There was a trend towards increased pain in the CEP group and towards decreased pain in the IEP group, with significant differences between the groups in several measures of pain after 2 and 14 weeks. However, there were few significant differences between the two groups regarding joint mobility and functional ability. The results indicate that, compared with a traditional programme, an intensive hand exercise programme is well tolerated and more effective in improving hand function in patients with RA.
Aud Rønningen; Ingvild Kjeken
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Scandinavian journal of occupational therapy     Volume:  15     ISSN:  1103-8128     ISO Abbreviation:  Scand J Occup Ther     Publication Date:  2008 Sep 
Date Detail:
Created Date:  2009-01-30     Completed Date:  2009-03-04     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9502210     Medline TA:  Scand J Occup Ther     Country:  Norway    
Other Details:
Languages:  eng     Pagination:  173-83     Citation Subset:  IM    
Lillehammer Hospital for Rheumatic Diseases, Margrethe Grundtvigs v 6, 2609 Lillehammer, Norway.
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MeSH Terms
Analysis of Variance
Arthritis, Rheumatoid / rehabilitation*
Exercise Therapy*
Hand / physiology*
Hand Strength / physiology*
Middle Aged
Muscle Strength / physiology*
Occupational Therapy
Pain / rehabilitation
Pain Measurement
Program Evaluation*
Range of Motion, Articular / physiology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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