Sadura-Sieklucka Teresa, Sokołowska Beata, Prusinowska Agnieszka, Trzaska Anna, Księżopolska-Orłowska Krystyna
Rheumatology Clinic and Outpatient Department, National Institute of Geriatrics, Rheumatology and Rehabilitation, Warsaw, Poland.
Bioinformatics Laboratory, Mossakowski Medical Research Centre Polish Academy of Sciences, Warsaw, Poland.
Reumatologia. 2018;56(6):362-367. doi: 10.5114/reum.2018.80713. Epub 2018 Dec 23.
The goal was to present the use of a functional wrist splint and its impact on hand function in patients with rheumatoid arthritis (RA).
The study group comprised 104 women aged 18-65 and diagnosed with RA, who were treated in the Rheumatology Clinic and Outpatient Department of the National Institute of Geriatrics, Rheumatology and Rehabilitation in Warsaw. The control group consisted of 40 healthy women in the same age group. Assessment of the hand function was the research method.
Our results revealed substantially deteriorated function of the rheumatoid hand in relation to the healthy hand. The use of a wrist stabiliser is justified in patients with RA due to its beneficial impact, such as improved hand strength and dexterity and reduced pain. Based on the results obtained, it may be assumed that it is mainly patients with moderate and high disease activity who require stabilisation. The small number of patients in remission and with low disease activity was a limitation of the study. Hands with RA require an individual approach, and the most effective methods slowing down development of deformation should be sought. The results presented in this article may provide a starting point for further research on the most favourable wrist stabilisation in order to improve hand function in RA.
Our study showed that the hand function of women with RA is limited due to deteriorated grip quality and manual dexterity in comparison to healthy persons. Wrist stabilisation improves hand function in patients with RA.
本研究旨在介绍功能性腕部夹板的使用及其对类风湿关节炎（RA）患者手部功能的影响。
研究组包括104名年龄在18至65岁之间、被诊断为RA的女性，她们在华沙国家老年病学、风湿病学和康复研究所的风湿病门诊和门诊部接受治疗。对照组由40名同年龄组的健康女性组成。研究方法是对手部功能进行评估。
我们的研究结果显示，与健康手相比，类风湿性手部的功能明显恶化。由于腕部稳定器具有有益影响，如提高手部力量和灵活性以及减轻疼痛，因此在RA患者中使用腕部稳定器是合理的。根据所获得的结果，可以推测主要是疾病活动度为中度和高度的患者需要稳定治疗。处于缓解期和疾病活动度低的患者数量较少是本研究的一个局限性。患有RA的手部需要个体化治疗方法，应寻求最有效的减缓畸形发展的方法。本文所呈现的结果可能为进一步研究最有利的腕部稳定治疗以改善RA患者的手部功能提供一个起点。
我们的研究表明，与健康人相比，RA女性患者的手部功能因握力质量和手部灵活性下降而受到限制。腕部稳定治疗可改善RA患者的手部功能。
