The beneficial effects of rehabilitation on hand function in patients with rheumatoid arthritis
More details
Hide details
Submission date: 2016-11-17
Final revision date: 2016-12-13
Acceptance date: 2016-12-14
Online publication date: 2016-12-30
Publication date: 2016-12-30
Reumatologia 2016;54(6):285-290
Objectives: The hand is one of the main elements of the rehabilitation of patients with rheumatoid arthritis (RA) due to deformities, which occur in approximately 90% of patients. It is a serious problem, both in the psychological and functional aspect, connected with muscle strength reduction, a limited range of motion and non-acceptance of the changes in the shape of the limb. The study aimed to assess the effect of rehabilitation on the function of the hand in rheumatoid arthritis.
Material and methods: The study group consisted of 40 women with RA. The patients had been previously treated at the Rehabilitation Department of the National Institute of Geriatrics, Rheumatology and Rehabilitation in Warsaw. The study group underwent 3 weeks of rehabilitation involving individual therapy, exercises with equipment, patient education and physical therapy. The control group included women without a diagnosis of RA, hands pain-free and fully mobile. In both groups the hand was assessed for grip value, grip quality and manipulative ability. In the study group the basis of pain intensity was noted. The measurements were performed twice – prior to the rehabilitation and after 3 weeks of rehabilitation in women with RA and once in women without hand problems.
Results: The results obtained revealed marked limitation of hand function in patients with rheumatoid arthritis. The treatment resulted in an improvement of all assessed parameters except cylindrical grip, in which only a part of the findings was statistically significant.
Conclusions: The analysis of the study material showed that appropriately adjusted and conducted hand physiotherapy in women with rheumatoid arthritis contributed to the improvement of its function by pain reduction, improved value and quality of grip, and also increased manipulative ability.
Zimmermann-Górska I. Choroby reumatyczne. Podręcznik dla lekarzy i studentów. Wydawnictwo Lekarskie PZWL, Warszawa 2000.
Zimmermann-Górska I. Reumatologia kliniczna. Wydawnictwo Lekarskie PZWL, Warszawa 2008.
Głuszko P, Filipowicz-Sosnowska A, Tłustochowicz W. Reumatoidalne zapalenie stawów. Reumatologia 2012; 50: 83-90.
Tłustochowicz W. Ból w chorobach stawów. Termedia, Poznań 2010.
Hagner W. Ręka reumatoidalna. Uniwersytet Mikołaja Kopernika w Toruniu, Bydgoszcz 2006.
Seyfried A. Rehabilitacja osób z chorobami reumatologicznymi. In: Rehabilitacja Medyczna. Dega W, Milanowska K (eds.). Wydawnictwo Lekarskie PZWL, Warszawa 1994; 402-412.
David C, Lloyd J. Rheumatological Physiotherapy. Mosby, London 1998.
Sadura-Sieklucka T. Ręka reumatoidalna. In: Fizjoterapia w reumatologii, Księżopolska-Orłowska K (ed.). Wydawnictwo Lekarskie PZWL, Warszawa 2013; 121-135.
Kujawa J, Gworys K. Fizjoterapia w reumatologii. In: Fizjoterapia w wybranych dziedzinach medycyny. Olszewski J (ed.). Wydawnictwo Lekarskie PZWL, Warszawa 2013; 290-310.
Kądziołka J, Grzegorczyk J, Rawska A. Wpływ fizjoterapii na poziom odczuwanego bólu u chorych na reumatoidalne zapalenie stawów. Przegląd Medycyny Uniwersytetu Rzeszowskiego, Rzeszów 2009; 1: 46-54.
Jones E, Hanly J, Mooney R, et al. Strength and function in the normal and rheumatoid hand. J Rheumatol 1991; 18: 1313-1318.
Drużbicki M, Zwolińska J, Przysada G, et al. Assessment of hand mobility in patients with rheumatoid arthritis using.
a computer measures station. Reumatologia 2013; 51: 133-138.
Bączyk G, Klijewska M. Wpływ rehabilitacji na funkcjonowanie i jakość życia chorych z reumatoidalnym zapaleniem stawów. Nowiny Lekarskie 2005; 74: 123-126.
Ronen R, Braun Z. A community-oriented programme for rehabilitation of person with arthritis. Disabil Rehabil 1996; 18: 476-481.
Sadura-Sieklucka T. Wpływ stabilizacji nadgarstka na funkcję ręki w reumatoidalnym zapaleniu stawów. Praca doktorska, Warszawski Uniwersytet Medyczny 2014.
Łukowicz M, Bieleń R, Zalewski P, Weber-Zimmermann M. Wpływ ćwiczeń manualnych na funkcję ręki reumatycznych. Acta Balneologica 2007; 49: 281-287.
Buljina A, Taljanovic M, Avdic D, et al. Physical and Exercise Therapy for Treatment of the Rheumatoid Hand. Arthritis Rheum 2001; 45: 392-397.
Brorsson S, Hilliges M, Sollerman Ch, et al. A six-week hand exercise programme improves strength and hand function in patients with rheumatoid arthritis. J Rehabil Med 2009; 41: 338-342.
De Jong Z, Munneke M, Zwinderman A, et al. Long term high intensity exercise and damage of small joint in rheumatoid arthritis. Ann Rheum Dis 2004; 63: 1399-1405.
Księżopolska-Orłowska K, Krasowicz-Towalska O, Wroński Z. Rehabilitacja pacjentów z chorobami reumatycznymi. Reumatologia 2007; 45 (supl. 1): 41-45.
Krawczyk-Wasielewska A, Kuncewicz E, Sobieska M, et al. Ocena skuteczności fizjoterapii w uśmierzaniu bólu towarzyszącego reumatoidalnemu zapaleniu stawów. Nowa Medycyna 2007; 4: 74-79.
Księżopolska-Pietrzak K. Krioterapia w leczeniu chorób reumatycznych. Ortopedia, Traumatologia i Rehabilitacja 2000; 2: 66-69.
Wójcik P, Tomczak H. Wpływ krioterapii miejscowej na leczenie bólu w reumatoidalnym zapaleniu stawów. Fam Med Prim Care Rev 2007; 9: 645-649.
Jones E, Hanly J, Mooney R, et al. Strenght and function in the normal and rheumatoid hand. J Rheumatology 1991; 18: 1313-1318.
Brorsson S, Nilsdotter A, Pedersen E, et al. Relationship between finger flexion end extension force in healthy women and women with rheumatoid arthritis. J Rehabil Med 2012; 44: 605-608.
Copyright: © Narodowy Instytut Geriatrii, Reumatologii i Rehabilitacji w Warszawie. This is an Open Access journal, all articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) License (https://creativecommons.org/licenses/by-nc-sa/4.0/), allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license.
Journals System - logo
Scroll to top