Terapia ocupacional na artrite reumatoide: o que o reumatologista precisa saber?

Abstract

Interventions focusing on education and self-management of rheumatoid arthritis (RA) by the patient improves adherence and effectiveness of early treatment. The combination of pharmacologic and rehabilitation treatment aims to maximize the possibilities of intervention, delaying the appearance of new symptoms, reducing disability and minimizing sequelae, decreasing the impact of symptoms on patient's functionality. Occupational therapy is a health profession that aims to improve the performance of daily activities by the patient, providing means for the prevention of functional limitations, adaptation to lifestyle changes and maintenance or improvement of psychosocial health. Due to the systemic nature of RA, multidisciplinary follow-up is necessary for the proper management of the impact of the disease on various aspects of life. As a member of the health team, occupational therapists objective to improve and maintaining functional capacity of the patient, preventing the progression of deformities, assisting the process of understanding and coping with the disease and providing means for carrying out the activities required for the engagement of the individual in meaningful occupations, favoring autonomy and independence in self-care activities, employment, educational, social and leisure. The objective of this review is to familiarize the rheumatologist with the tools used for assessment and intervention in occupational therapy, focusing on the application of these principles to the treatment of patients with RA.

Room for improvement in non-pharmacological systemic sclerosis care? — a cross-sectional online survey of 650 patients

“…In addition, there is still a lack of strong evidence of the effectiveness of non-pharmacological treatment options [ 10 ]. However, since non-pharmacological treatments often do not focus on a specific disease, but rather on symptoms or limitations in activities, evidence for many non-pharmacological treatments originally intended for other rheumatic conditions could also be relevant in this patient group [ 27 ]. For instance the evidence for the effectiveness of treatments for commonly SSc specific problems such as fatigue, reduced hand function, and joint problems are already available in other rheumatological diseases [ 28 – 30 ].…”

Effects of rehabilitation for pain relief in patients with rheumatoid arthritis: a systematic review

“…Many intervention methods and assessment tool were used in this study. Categorization of RA intervention and assessment in this study is similar to the four categorizations noted by de Almeida 24 ) : patient guidance and education, joint protection and energy conservation, modifying activities and environments, and assistive technologies. In a remarkable intervention, one study was carried out to determine whether comprehensive intervention promotes function in employed people 17 ) .…”

Modelos De Órteses Para Membros Superiores: Uma Revisão Da Literatura

“…Adams et al (2008), os resultados obtidos quanto ao uso de órteses estáticas no tratamento inicial de AR não foram benéficos para a funcionalidade da mão, evidenciando a necessidade de um olhar holístico do profissional e terapias alternativas para cada caso individualmente (WELLINGTON; MCGEEHAN, 2015). Assim, apesar das diversas possibilidades de desenvolver diferentes modelos ortóticos, o raciocínio clínico para a prescrição de uma órtese deve ser individualizado e centrado em cada caso, de acordo com o objetivo do tratamento para o paciente (ALMEIDA et al, 2015;CARVALHO et al, 2006).…”