Księżopolska-Orłowska Krystyna, Sadura-Sieklucka Teresa, Kasprzak Katarzyna, Gaszewska Ewa, Rodkiewicz-Bogusławska Agnieszka, Sokołowska Beata
Department of Rehabilitation in Rheumatology, National Institute of Geriatrics, Rheumatology and Rehabilitation, Warsaw, Poland.
Mossakowski Medical Research Centre, Polish Academy of Sciences, Warsaw, Poland.
Reumatologia. 2016;54(6):285-290. doi: 10.5114/reum.2016.64903. Epub 2016 Dec 30.
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.
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.
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.
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.
由于畸形，手是类风湿关节炎（RA）患者康复的主要要素之一，约90%的患者会出现这种情况。这在心理和功能方面都是一个严重问题，与肌肉力量减弱、活动范围受限以及对肢体形状变化的不接受有关。本研究旨在评估康复对类风湿关节炎患者手部功能的影响。
研究组由40名患有RA的女性组成。这些患者此前在华沙国家老年病学、风湿病学和康复研究所康复科接受过治疗。研究组接受了为期3周的康复治疗，包括个体治疗、器械锻炼、患者教育和物理治疗。对照组包括未诊断出RA、手部无疼痛且活动自如的女性。对两组的手部进行握力值、握力质量和操作能力评估。记录研究组的疼痛强度基线。测量进行了两次——在RA女性患者康复前和康复3周后，以及在无手部问题的女性中进行了一次测量。
所获得的结果显示类风湿关节炎患者手部功能存在明显受限。治疗使除圆柱状握力外的所有评估参数均有所改善，其中只有部分结果具有统计学意义。
对研究材料的分析表明，对类风湿关节炎女性患者进行适当调整和实施的手部物理治疗有助于通过减轻疼痛、改善握力值和质量以及提高操作能力来改善手部功能。
