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

^*Corresponding author for this work

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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}",

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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

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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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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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