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

*Corresponding author for this work

    Research output: Contribution to journalArticlepeer-review

    37 Citations (SciVal)

    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 languageEnglish
    Pages (from-to)121-130
    Number of pages10
    JournalPhysiotherapy
    Volume98
    Issue number2
    DOIs
    Publication statusPublished - 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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