Akdeniz University, Institue of Health Sciences, Department of Physiotherapy and Rehabilitation - Antalya, Turkey.
Akdeniz University, Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation - Antalya, Turkey.
Rev Assoc Med Bras (1992). 2023 Sep 18;69(9):e20230252. doi: 10.1590/1806-9282.20230252. eCollection 2023.
This study aimed to investigate the effects of upper extremity home exercises on grip strength, range of motion, activity performance, and functionality in individuals with systemic sclerosis and to compare with patient education.
A total of 46 individuals with systemic sclerosis (55.52±11.54 years) were included. Individuals were randomly assigned into intervention (n=23) and control (n=23) groups. Dynamometer, goniometer, Canadian Occupational Performance Measurement, Disabilities of the Arm, Shoulder, and Hand, Score for Assessment and Quantification of Chronic Rheumatic Affections of the Hands, and Duruoz Hand Index were used for evaluation.
Post-treatment, in terms of delta (Δ) values, hand grip and pinch strengths (p: 0.000-0.016), active (p: 0.000-0.032) and passive (p: 0.000-0.043) total range of motions, Canadian Occupational Performance Measurement performance and satisfaction, Disabilities of the Arm, Shoulder, Score for Assessment and Quantification of Chronic Rheumatic Affections of the Hands, and Duruoz Hand Index (p: 0.000) were in favor of the intervention group.
Upper extremity home exercises increase grip strength, range of motion, activity performance, and functionality in patients with systemic sclerosis. We recommend that rehabilitation programs include not only hand exercises but also upper extremity exercises.
本研究旨在探讨上肢家庭运动对系统性硬化症患者握力、活动范围、活动表现和功能的影响，并与患者教育进行比较。
共纳入 46 名系统性硬化症患者（55.52±11.54 岁）。将患者随机分为干预组（n=23）和对照组（n=23）。使用测力计、量角器、加拿大职业表现测量、上肢、肩、手残疾量表、慢性风湿性手部疾病评估和量化评分以及杜罗手部指数进行评估。
治疗后，手部握力和捏力（p：0.000-0.016）、主动（p：0.000-0.032）和被动（p：0.000-0.043）总活动范围、加拿大职业表现测量的表现和满意度、上肢、肩、手残疾量表、慢性风湿性手部疾病评估和量化评分以及杜罗手部指数（p：0.000）均有利于干预组。
上肢家庭运动可增加系统性硬化症患者的握力、活动范围、活动表现和功能。我们建议康复计划不仅包括手部运动，还包括上肢运动。
