Andrade Júnia A, Brandão Marina B, Pinto Maria Raquel C, Lanna Cristina C D
Júnia A. Andrade, PhD, is Occupational Therapist, Clinics Hospital, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.
Maria Raquel C. Pinto, MSc, is Rheumatologist, Department of Rheumatology, Clinics Hospital, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.
Am J Occup Ther. 2016 Jul-Aug;70(4):7004290030p1-7. doi: 10.5014/ajot.2016.017467.
We evaluated factors contributing to activity limitations in people with rheumatoid arthritis (RA) according to the International Classification of Functioning, Disability and Health model.
In a cross-sectional study, we measured five activity constructs in 81 people with RA.
Multiple regression analysis revealed the following results for the five constructs: (1) RA Activities (R² = .512) included handgrip strength, range of motion deficit, deformity, and mental health; (2) Upper-Limb Activities (R² = .473) included time since diagnosis, dexterity, handgrip strength, and range of motion deficit; (3) Timed Activities (R² = .320) included dexterity and work activities; (4) Physical Autonomy Activities (R² = .562) included range of motion deficit, vitality, pain, and functional classification; and (5) Physical Conditions for Activities (R² = .416) included functional classification and vitality.
Factors most associated with activity limitations were handgrip strength and hand range of motion deficits. Activity limitations in people with RA are multifactorial.
根据国际功能、残疾和健康分类模型，我们评估了类风湿性关节炎（RA）患者活动受限的影响因素。
在一项横断面研究中，我们测量了81名RA患者的五种活动指标。
多元回归分析得出了这五种指标的以下结果：（1）类风湿性关节炎活动（R² = 0.512）包括握力、活动范围受限、畸形和心理健康；（2）上肢活动（R² = 0.473）包括诊断后的时间、灵活性、握力和活动范围受限；（3）定时活动（R² = 0.320）包括灵活性和工作活动；（4）身体自主活动（R² = 0.562）包括活动范围受限、活力、疼痛和功能分级；（5）活动的身体状况（R² = 0.416）包括功能分级和活力。
与活动受限最相关的因素是握力和手部活动范围受限。类风湿性关节炎患者的活动受限是多因素的。
