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The Impact of Exercise on Hand Function, Daily Activities Performance and Quality of Life of SLE' Patients

Not Applicable
Completed
Conditions
Systemic Lupus Erythematosus
Arthralgia
Interventions
Behavioral: HAND EXERCISE
Registration Number
NCT03802578
Lead Sponsor
National and Kapodistrian University of Athens
Brief Summary

A total of 240 consecutive SLE patients fulfilling the SLICC classification criteria was evaluated. Sixty two patients who met the inclusion criteria were randomly assigned to the exercise group (n=32) or the control group (n=30).

Patients in the exercise group performed a program of strengthening, stretching and resistance upper limbs exercises, of 30 minutes duration daily, for 12 weeks. Performance of daily activities was evaluated with the DASH and HAQ questionnaires, grip and pinch strength with the Jamar dynamometer and pinch gauge tools respectively, dexterity with the Purdue pegboard test and the quality of life with the LUPUSQoL questionnaire at 0, 6, 12 (end of the exercise program) and 24 weeks for both groups. SLE activity and cumulative organ damage were evaluated with the SLE disease activity index 2000 (SLEDAI-2K) and SLICC/ACR-DI, respectively.

Detailed Description

A total of 240 consecutive SLE patients fulfilling the SLICC classification criteria was evaluated. Sixty two patients who met the inclusion criteria \[age\>18, upper limb arthralgias, and DASH (Disabilities of the Arm, Shoulder, and Hand) questionnaire score\>10)\] were randomly assigned to the exercise group (n=32) or the control group (n=30).

Patients in the exercise group performed a program of strengthening, stretching and resistance upper limbs exercises, of 30 minutes duration daily, for 12 weeks. Performance of daily activities was evaluated with the DASH and HAQ questionnaires, grip and pinch strength with the Jamar dynamometer and pinch gauge tools respectively, dexterity with the Purdue pegboard test and the quality of life with the LUPUSQoL questionnaire at 0, 6, 12 (end of the exercise program) and 24 weeks for both groups. SLE activity and cumulative organ damage were evaluated with the SLE disease activity index 2000 (SLEDAI-2K) and SLICC/ACR-DI, respectively.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
62
Inclusion Criteria
  • SLE patients fulfilling the SLICC classification criteria
  • Upper limb arthralgias
  • DASH score>10
  • Stable drug regimen≥3 months
Exclusion Criteria
  • Hand fracture or surgery in last 6 months
  • Physiotherapy program in last month

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
EXERCISE GROUPHAND EXERCISEPatients in the exercise group performed a program of strengthening, stretching and resistance upper limbs exercises (Hand exercise), of 30 minutes duration daily, for 12 weeks in addition to medical care.
Primary Outcome Measures
NameTimeMethod
change of DASH questionnaireBaseline, 6, 12, 24 weeks

Hand function was measured with DASH Questionnaire

Secondary Outcome Measures
NameTimeMethod
change of Grip strengthBaseline, 6, 12, 24 weeks

Grip strength was measured with Jamar Dynamometer

change of Quality of LifeBaseline, 6, 12, 24 weeks

Quality of Life was measured with LupusQoL Questionnaire

change of HAQ questionnaireBaseline, 6, 12, 24 weeks

Hand function was measured with HAQ Questionnaire

change of Pinch strengthBaseline, 6, 12, 24 weeks

Pinch strength was measured with Jamar pinch gauge

change of DexterityBaseline, 6, 12, 24 weeks

Dexterity was measured with Purdue Pegboard test

Trial Locations

Locations (2)

General Hospital of Athens 'Laiko'

🇬🇷

Athens, Attica, Greece

General Hospital of Elefsina 'Thriasio'

🇬🇷

Elefsina, Attica, Greece

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