Development and delivery of an exercise intervention for rheumatoid arthritis: Strengthening and stretching for rheumatoid arthritis of the hand (SARAH) trial

P. J. Heine; M. A. Williams; E. Williamson; C. Bridle; J. Adams; A. O'Brien; D. Evans; S. E. Lamb; SARAH Team

doi:10.1016/j.physio.2011.03.001

Development and delivery of an exercise intervention for rheumatoid arthritis: Strengthening and stretching for rheumatoid arthritis of the hand (SARAH) trial

P. J. Heine, M. A. Williams, E. Williamson, C. Bridle, J. Adams, A. O'Brien, D. Evans, S. E. Lamb, SARAH Team

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Abstract

This paper describes the development and implementation of a hand exercise intervention for rheumatoid arthritis (RA) as part of a large multi-centred randomised controlled trial in a UK National Health Service (NHS) setting. Participants are eligible if diagnosed with RA according to American College of Rheumatology criteria, have a history of disease activity, functional deficit or impairment in the hand and/or wrist, and have been on a stable medication regime for at least 3 months. The intervention development was informed by the current evidence base, published guidelines, clinician and expert opinion, and a pilot study. The exercise programme targets known, potentially modifiable physical impairments of the hand with 5 exercise sessions and a home exercise component over a 12 week period. The intervention will be provided to 240 participants along with usual care. A further 240 will receive usual care only as part of the control arm. Specific details of the treatments delivered are described. [ISRCTN no: 89936343]. (C) 2011 Chartered Society of Physiotherapy. Published by Elsevier Ltd. All rights reserved.

Original language	English
Pages (from-to)	121-130
Number of pages	10
Journal	Physiotherapy
Volume	98
Issue number	2
DOIs	https://doi.org/10.1016/j.physio.2011.03.001
Publication status	Published - 03 Jun 2012

Keywords

HIGH-INTENSITY
Randomised control trial
THERAPY
Therapy
PERCEIVED EXERTION
Hand
KNEE OSTEOARTHRITIS
Exercise
PREDICTORS
Rheumatoid arthritis
PROGRAM
RANDOMIZED CONTROLLED-TRIAL
RESISTANCE EXERCISE
ADULTS

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title = "Development and delivery of an exercise intervention for rheumatoid arthritis: Strengthening and stretching for rheumatoid arthritis of the hand (SARAH) trial",

abstract = "This paper describes the development and implementation of a hand exercise intervention for rheumatoid arthritis (RA) as part of a large multi-centred randomised controlled trial in a UK National Health Service (NHS) setting. Participants are eligible if diagnosed with RA according to American College of Rheumatology criteria, have a history of disease activity, functional deficit or impairment in the hand and/or wrist, and have been on a stable medication regime for at least 3 months. The intervention development was informed by the current evidence base, published guidelines, clinician and expert opinion, and a pilot study. The exercise programme targets known, potentially modifiable physical impairments of the hand with 5 exercise sessions and a home exercise component over a 12 week period. The intervention will be provided to 240 participants along with usual care. A further 240 will receive usual care only as part of the control arm. Specific details of the treatments delivered are described. [ISRCTN no: 89936343]. (C) 2011 Chartered Society of Physiotherapy. Published by Elsevier Ltd. All rights reserved.",

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author = "Heine, {P. J.} and Williams, {M. A.} and E. Williamson and C. Bridle and J. Adams and A. O'Brien and D. Evans and Lamb, {S. E.} and {SARAH Team}",

note = "Heine, P. J., Williams, M. A., Williamson, E., Bridle, C., Adams, J., O'Brien, A., Evans, D., Lamb, S. E., SARAH Team (2012). Development and delivery of an exercise intervention for rheumatoid arthritis: Strengthening and stretching for rheumatoid arthritis of the hand (SARAH) trial. Physiotherapy, 98 (2), 122-130.",

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AU - Bridle, C.

AU - Adams, J.

AU - O'Brien, A.

AU - Evans, D.

AU - Lamb, S. E.

AU - SARAH Team

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N2 - This paper describes the development and implementation of a hand exercise intervention for rheumatoid arthritis (RA) as part of a large multi-centred randomised controlled trial in a UK National Health Service (NHS) setting. Participants are eligible if diagnosed with RA according to American College of Rheumatology criteria, have a history of disease activity, functional deficit or impairment in the hand and/or wrist, and have been on a stable medication regime for at least 3 months. The intervention development was informed by the current evidence base, published guidelines, clinician and expert opinion, and a pilot study. The exercise programme targets known, potentially modifiable physical impairments of the hand with 5 exercise sessions and a home exercise component over a 12 week period. The intervention will be provided to 240 participants along with usual care. A further 240 will receive usual care only as part of the control arm. Specific details of the treatments delivered are described. [ISRCTN no: 89936343]. (C) 2011 Chartered Society of Physiotherapy. Published by Elsevier Ltd. All rights reserved.

AB - This paper describes the development and implementation of a hand exercise intervention for rheumatoid arthritis (RA) as part of a large multi-centred randomised controlled trial in a UK National Health Service (NHS) setting. Participants are eligible if diagnosed with RA according to American College of Rheumatology criteria, have a history of disease activity, functional deficit or impairment in the hand and/or wrist, and have been on a stable medication regime for at least 3 months. The intervention development was informed by the current evidence base, published guidelines, clinician and expert opinion, and a pilot study. The exercise programme targets known, potentially modifiable physical impairments of the hand with 5 exercise sessions and a home exercise component over a 12 week period. The intervention will be provided to 240 participants along with usual care. A further 240 will receive usual care only as part of the control arm. Specific details of the treatments delivered are described. [ISRCTN no: 89936343]. (C) 2011 Chartered Society of Physiotherapy. Published by Elsevier Ltd. All rights reserved.

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KW - Randomised control trial

KW - THERAPY

KW - Therapy

KW - PERCEIVED EXERTION

KW - Hand

KW - KNEE OSTEOARTHRITIS

KW - Exercise

KW - PREDICTORS

KW - Rheumatoid arthritis

KW - PROGRAM

KW - RANDOMIZED CONTROLLED-TRIAL

KW - RESISTANCE EXERCISE

KW - ADULTS

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SP - 121

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JO - Physiotherapy

JF - Physiotherapy

IS - 2

ER -

Development and delivery of an exercise intervention for rheumatoid arthritis: Strengthening and stretching for rheumatoid arthritis of the hand (SARAH) trial

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Keywords

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