Investigating the Effects of SARAH Exercise Program on Proprioception and Hand Functions in Patients With Rheumatoid Arthritis
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 49
- 试验地点
- 2
- 主要终点
- Change in Self-reported Hand Functions
研究概览
简要总结
The aim of this study is to investigate the effectiveness of the SARAH home exercise program to be applied for 12 weeks on wrist proprioception and hand functions in adult patients with rheumatoid arthritis.
详细描述
Finger/hand/wrist joints can be affected in the early period in patients with RA, and as the disease progresses, it can significantly limit the patient's functionality. Damage to articular and periarticular structures seen in inflammatory arthritis may affect the sense of proprioception by destroying mechanoreceptors located in these areas. Hand functions may worsen as a result of the worsening of the sense of proprioception, which can be defined as being aware of body parts.
SARAH (Strengthening and Stretching for Rheumatoid Arthritis of the Hand) home exercise program, which is a widely preferred approach in the case of hand involvement in patients with rheumatoid arthritis (RA), includes exercises to increase hand-wrist strength and mobility. Although the effectiveness of this program on pain, muscle strength, and range of motion has been demonstrated in large patient groups, its effect on proprioception and hand functions, which may be caused by inflammatory arthritis, has not been studied. Therefore, this study aims to investigate the effectiveness of the SARAH home exercise program on wrist proprioception and hand functions in adult patients with rheumatoid arthritis.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •RA diagnosis according to 2010 ACR/EULAR RA criteria
- •Being between the ages of 18-65
- •Being able to follow Turkish instructions
- •Volunteering to participate in the study
排除标准
- •Being in an acute disease exacerbation period
- •Ongoing physiotherapy/occupational/exercise treatment regarding hands within the last 6 months
- •History of steroid injection, surgery, or trauma to the upper extremity in the last 6 months
结局指标
主要结局
Change in Self-reported Hand Functions
时间窗: At baseline and twelve weeks later
Duruoz Hand Index and The Measures of Activity Performance of the Hand Questionnaire will be used for subjective assessment of hand functions. Higher scores in both questionnaires reflect poorer hand functions.
Change in Hand Performance
时间窗: At baseline and twelve weeks later
Hand performance will be evaluated Nine-Hole Peg Test.
Change in Grip Strength
时间窗: At baseline and twelve weeks later
Hand grip strength will be evaluated with a hand-dynamometer.
Change in Wrist Joint Position Sense
时间窗: At baseline and twelve weeks later
Wrist joint position sense will be evaluated with joint position sense goniometry. Joint position sense is measured by the ability to actively repeat a predetermined target angle. During the measurement, the wrist of the participant will passively be brought to the target angle and be kept in this position for three seconds. The participant will be asked to keep this position in his/her memory, then the wrist will passively be brought to the starting position. Then, the participant will be requested to bring her/his hand actively to these predetermined position. Wrist movements will be determined as three repetitive measurements for flexion, extension, radial deviation, and ulnar deviation directions.
Change in Pinch Strength
时间窗: At baseline and twelve weeks later
Pinch strength will be evaluated by using a pinchmeter.
次要结局
- Change in Pain(At baseline and twelve weeks later)
- Change in General Functioning(At baseline and twelve weeks later)
- Change in Morning Stiffness(At baseline and twelve weeks later)
- Change in Disease Activity(At baseline and twelve weeks later)
研究者
Deniz Bayraktar
Assistant Professor
Izmir Katip Celebi University