Verma Chhaya, Parikh Ruchita, Nadkar Milind, Mehta Amita
P.T. School and Center.
Professor, Department of Medicine, Seth G. S. Medical College and K.E.M. Hospital, Mumbai, Maharashtra.
J Assoc Physicians India. 2017 Mar;65(3):20-24.
BACKGROUND / OBJECTIVES: Rheumatoid arthritis (RA) is associated with significant pain and deformities, where individuals continue to perform activities with reduced abilities. Fatigue and functional disability ensues with the progressive nature of the disease. The study was designed to observe the correlation between the Functional Ability of the Hand with Upper Limb function and Quality of Life in patients with Rheumatoid Arthritis.
75 patients diagnosed with RA who were classified in Class I, II, III as per the revised criteria for Classification of Functional Status as given by the American College of Rheumatology were asked to perform the Grip Ability Test to calculate the Hand function. They were then asked to grade their Upper limb function on the Disabilities of Arm, Shoulder and Hand Questionnaire and Quality of Life on the Health Assessment Questionnaire- Disability Index. The scores were analyzed and statistical analysis was done using the Spearmann Rho Correlation.
A total of 75 patients (68 females, 7 males) were included. The mean age of the patients was 41.10 years, with the range being from 19 to 55 years. The Hand function, upper limb function and Quality of life was affected in varying degrees amongst the patients.
We concluded that, there is a moderate positive correlation between the functional ability of the hand and upper limb function, a moderate positive correlation between the functional ability of the hand and quality of life and a strong positive correlation between the upper limb function and quality of life. Thus we need to incorporate newer techniques and approaches to assessment and treatment for enhancing functioning of the upper extremity, thus reducing disability.
背景/目的:类风湿关节炎(RA)会导致严重疼痛和畸形,患者在能力下降的情况下仍继续进行活动。随着疾病的进展,会出现疲劳和功能障碍。本研究旨在观察类风湿关节炎患者手部功能与上肢功能及生活质量之间的相关性。
根据美国风湿病学会修订的功能状态分类标准,将75例诊断为RA的患者分为I、II、III级,要求他们进行握力测试以计算手部功能。然后要求他们根据手臂、肩部和手部残疾问卷对上肢功能进行评分,并根据健康评估问卷-残疾指数对生活质量进行评分。对分数进行分析,并使用Spearmann Rho相关性进行统计分析。
共纳入75例患者(68例女性,7例男性)。患者的平均年龄为41.10岁,范围为19至55岁。患者的手部功能、上肢功能和生活质量均受到不同程度的影响。
我们得出结论,手部功能与上肢功能之间存在中度正相关,手部功能与生活质量之间存在中度正相关,上肢功能与生活质量之间存在强正相关。因此,我们需要采用更新的评估和治疗技术及方法来增强上肢功能,从而减少残疾。