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 |
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Pages (from-to) | 121-130 |
Number of pages | 10 |
Journal | Physiotherapy |
Volume | 98 |
Issue number | 2 |
DOIs | |
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