Therapeutic Putty-based Hand Strengthening Exercises to Improve Hand Function and Quality of Life in Patients with Chronic Rheumatoid Arthritis

Author:

Choudhry Dimple1,Singh Harpreet2,Yadav Joginder3,Dev Savarna4,Kalra Sheetal5

Affiliation:

1. College of Physiotherapy, Pt. BD Sharma PGIMS, Rohtak, Haryana, India

2. Department of Medicine, Pt. BD Sharma PGIMS, Rohtak, Haryana, India

3. Faculty of Physiotherapy, SGT University, Gurugram, Haryana, India

4. College of Physiotherapy, SBMN University, Rohtak, Haryana, India

5. School of Physiotherapy, Delhi Pharmaceutical Sciences and Research University, New Delhi, India

Abstract

Context: Rheumatoid arthritis (RA) primarily affects the hands, leading to disabling joint abnormalities and reduced muscle strength, profoundly impacting hand function and overall quality of life (QOL). Aim: The aim of this study was to find the effect of therapeutic putty-based hand exercises on hand function and QOL in patients with chronic RA. Setting and Design: It was an experimental study conducted at the College of Physiotherapy, Pt. B.D. Sharma, PGIMS, Rohtak. Subjects and Methods: In this study, 206 chronic RA patients were randomly split into two groups. Group A (control) received conventional physiotherapy care including hot fomentation, joint protection advice, active exercises, and splinting. Group B (experimental) engaged in hand strengthening exercises with 85 g of therapeutic putty alongside conventional physiotherapy. Key outcomes assessed grip and key pinch strength, hand function (Short Form of the Score for the Assessment and Quantification of Chronic Rheumatic Affections of the Hands), and QOL (WHO-BREF) at baseline, 4th, 8th, and 12th weeks. Statistical Analysis: Effect of treatment comparison was done with one-way analysis of variance followed by post hoc analysis. Results: The experimental group showed superior outcomes for grip, key strength, and hand function (P = 0.000). Regarding the QOL, improvements were observed in the physical component at the 4th week (P = 0.003) and in both the 8th and 12th weeks (P = 0.000). The psychological, social, and environmental components improved significantly in the 8th and 12th weeks (P < 0.005). Conclusion: A therapeutic putty-based strength training program as an addition to usual care is a worthwhile, low-cost intervention that helps improve function, disability, and QOL.

Publisher

Medknow

Reference21 articles.

1. Rheumatoid arthritis: Pathological mechanisms and modern pharmacologic therapies;Guo;Bone Res,2018

2. Clinical characteristics in patients with rheumatoid arthritis: Differences between genders;Intriago;ScientificWorldJournal,2019

3. Women, men, and rheumatoid arthritis: Analyses of disease activity, disease characteristics, and treatments in the QUEST-RA study;Sokka;Arthritis Res Ther,2009

4. What quality of life? The WHOQOL group. World Health Organization quality of life assessment;World Health Forum,1996

5. Effects of isotonic and isometric hand exercises on pain, hand functions, dexterity and quality of life in women with rheumatoid arthritis;Dogu;Rheumatol Int,2013

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3