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A six-week hand exercise programme improves strength and hand function in patients with rheumatoid arthritis
PRODEA Research Group, Halmstad University, Halmstad.ORCID iD: 0000-0002-1813-3616
PRODEA Research Group, Halmstad University, Halmstad.
Department of Hand Surgery, Sahlgrenska University Hospital, Göteborg, ; R & D Center, Spenshults Hospital of Rheumatic Diseases.
R & D Center, Spenshults Hospital of Rheumatic Diseases ; Department of Research and Education, Halmstad County Hospital, Halmstad, Sweden.
2009 (English)In: Journal of rehabilitation medicine, ISSN 1651-2081, Vol. 41, no 5, 338-42 p.Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE: To evaluate the effects of hand exercise in patients with rheumatoid arthritis, and to compare the results with healthy controls.

METHODS: Forty women (20 patients with rheumatoid arthritis and 20 healthy controls) performed a hand exercise programme. The results were evaluated after 6 and 12 weeks with hand force measurements (with a finger extension force measurement device (EX-it) and finger flexion force measurement with Grippit). Hand function was evaluated with the Grip Ability Test (GAT) and with patient relevant questionnaires (Disability of the Arm, Shoulder, and Hand (DASH) and Short Form-36). Ultrasound measurements were performed on m. extensor digitorum communis for analysis of the muscle response to the exercise programme.

RESULTS: The extension and flexion force improved in both groups after 6 weeks (p < 0.01). Hand function (GAT) also improved in both groups (p < 0.01). The rheumatoid arthritis group showed improvement in the results of the DASH questionnaire (p < 0.05). The cross-sectional area of the extensor digitorum communis increased significantly in both groups measured with ultrasound.

CONCLUSION: A significant improvement in hand force and hand function in patients with rheumatoid arthritis was seen after 6 weeks of hand training; the improvement was even more pronounced after 12 weeks. Hand exercise is thus an effective intervention for rheumatoid arthritis patients, leading to better strength and function.

Place, publisher, year, edition, pages
2009. Vol. 41, no 5, 338-42 p.
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:du-14371DOI: 10.2340/16501977-0334ISI: 000266097400007PubMedID: 19363566OAI: oai:DiVA.org:du-14371DiVA: diva2:726152
Available from: 2014-06-17 Created: 2014-06-17 Last updated: 2015-06-01Bibliographically approved

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CiteExportLink to record
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Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • chicago-author-date
  • chicago-note-bibliography
  • Other style
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Language
  • de-DE
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  • nn-NB
  • sv-SE
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