Comparison of the Effects of Exercise and Protective Approach in the Rheumatoid Hand and Joint Mobilization Applications on Pain, Functional Status and Quality of Life
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Enrollment
- 21
- Locations
- 1
- Primary Endpoint
- Amount of hypertrophia and effusion in wrist joints
Study Overview
Brief Summary
The goal of this randomized-controlled study is to learn about the effectiveness of the Mulligan mobilization in rheumatoid hands. The main question it aims to answer are:
-Does mulligan mobilization reduce effusion in wrist joints with rheumatoid arthritis? Participants will take Mulligan mobilization application and active ROM exercises for their hands. Researcher will compare treatments group ith sham mobilization.
Detailed Description
Rheumatoid arthritis (RA) is a systemic disease that can lead to chronic pain, bone and soft tissue damage, and disability retirement. Alleviating pain and maintaining joint range of motion in RA are important for reducing disability. Joint mobilizations are manual therapy techniques used to increase range of motion and reduce pain. The aim of this study is to investigate the effects of rheumatoid hand exercise and protective approach and joint mobilization applications on pain, functional status and quality of life.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Double (Participant, Care Provider)
Eligibility Criteria
- Ages
- 30 Years to 65 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Having been diagnosed with RAS according to ACR and EULAR criteria,
- •Being under the control of a physiatrist for at least 1 year,
- •Have not had any upper extremity surgery in the last 6 months
- •Have the cognitive capacity to understand commands,
- •Not to be involved in any other rehabilitation program or study,
Exclusion Criteria
- •Presence of soft tissue injury and chronic bone damage in the hand,
- •Presence of acute inflammation in any joint in the previous week,
- •Presence of a degenerative or non-degenerative neurological condition that causes a change in pain perception,
Outcomes
Primary Outcomes
Amount of hypertrophia and effusion in wrist joints
Time Frame: 6 weeks
Synovial fluid (area of hypertrophy and effusion, mm2: synovial fluid MCP/region)
Distance in wrist joints
Time Frame: 6 weeks
the radiographic distance (mm) between the MCP or interphalangeal bone space (joint space MCP/region)
DAS-28
Time Frame: 6 weeks
High disease activ ity \>5.1, low disease activity ≤ 3.2, remission ≤ 2.6
Joint activity
Time Frame: 6 weeks
Primary outcomes included the automated quantification (Q) of joint activity using color Doppler pixel count calculations (% hyperemia/blood flow activity score within an inflamed joint: color Q-Doppler MCP/region)
Secondary Outcomes
- Range of Motion(6 weeks)
- Determining the state of pain after treatment(6 weeks)
- Grip force(6 weeks)
- Post-treatment status of disease-related quality of life(6 weeks)
- Physical, social, and emotional well-being in RA(6 weeks)
Investigators
Ömer Faruk ÖZÇELEP
Lecturer
Kirsehir Ahi Evran Universitesi