| Prevalence of hand symptoms, impairments and activity limitations in rheumatoid arthritis in relation to disease duration. | |
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MedLine Citation:
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PMID: 21031287 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To determine the prevalence of hand and wrist symptoms and impairments, and the resulting activity limitations in relation to disease duration in patients with rheumatoid arthritis. DESIGN AND PATIENTS: A cross-sectional study included 200 consecutive patients with rheumatoid arthritis in 4 categories of disease duration: 2-4, 4-6, 6-8 and ≥ 8 years. Patients were asked about the presence of various hand and wrist symptoms, and underwent a standardized physical examination. To evaluate activity limitations, patients completed the Disabilities of the Arm Shoulder and Hand questionnaire and scored their limitations on a Numerical Rating Scale (0 = no to 10 = maximum limitation). RESULTS: Of all patients, 94% suffered from at least one symptom, and 67% had at least one impairment, mostly from the earliest stages onwards. The median standardized Disabilities of the Arm Shoulder and Hand score (interquartile range) was 26.7 (10.8-42.5). The mean Numerical Rating Scale score for activity limitations was 2.99 (standard deviation 2.50) in the dominant hand and 2.59 (standard deviation 2.49) in the non-dominant hand. CONCLUSION: A high prevalence of hand and wrist symptoms and impairments is often already present after 2 years of disease duration. We recommend that physicians specifically screen for these symptoms and impairments, starting 2 years after the diagnosis of rheumatoid arthritis. |
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Authors:
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Noortje C A Horsten; Jennie Ursum; Leo D Roorda; Dirkjan van Schaardenburg; Joost Dekker; Agnes F Hoeksma |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of rehabilitation medicine : official journal of the UEMS European Board of Physical and Rehabilitation Medicine Volume: 42 ISSN: 1651-2081 ISO Abbreviation: J Rehabil Med Publication Date: 2010 Nov |
Date Detail:
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Created Date: 2010-10-29 Completed Date: 2010-11-12 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101088169 Medline TA: J Rehabil Med Country: Sweden |
Other Details:
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Languages: eng Pagination: 916-21 Citation Subset: IM |
Affiliation:
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Department of Rehabilitation Medicine, Jan van Breemen Institute, VU University Medical Centre, Amsterdam, The Netherlands. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Activities of Daily Living Adult Aged Arthritis, Rheumatoid / diagnosis, physiopathology* Cohort Studies Cross-Sectional Studies Disability Evaluation Hand / physiopathology* Hand Strength / physiology Humans Longitudinal Studies Middle Aged Questionnaires Range of Motion, Articular / physiology Time Factors Wrist Joint / physiology |
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