A randomised controlled trial of occupational therapy for people with early rheumatoid arthritis

Hammond, Alison; Young, Adam; Kidao, R

doi:10.1136/ard.2002.001511

Cited by 67 publications

(73 citation statements)

References 28 publications

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“…Interventions by the multidisciplinary team aim to reduce symptoms, preserve function and maximize coping and self-management. However, evidence is emerging that it is diffi cult to engage patients in adopting self-management techniques within the fi rst few years of diagnosis (Hammond et al, 2004). This might be because acceptance and adaptation take time to achieve and both are considered to be necessary before adoption of self-management behaviours can be actioned (Hammond et al, 2004;Shaul, 1995).…”

Section: Introductionmentioning

confidence: 97%

Nursing support at the onset of rheumatoid arthritis: Time and space for emotions, practicalities and self‐management

Hehir¹,

Carr²,

Davis³

et al. 2007

Musculoskeletal Care

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Section: Introductionmentioning

confidence: 97%

Nursing support at the onset of rheumatoid arthritis: Time and space for emotions, practicalities and self‐management

Hehir¹,

Carr²,

Davis³

et al. 2007

Musculoskeletal Care

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“…In 2004, reviews of rheumatology occupational therapy concluded there was evidence for effectiveness of comprehensive occupational therapy, joint protection, and wrist working splints, but insufficient good quality trials evaluating hand exercises, and only surveys and observational studies indicating the benefits of assistive devices, ADL training, psychological interventions, work rehabilitation, and leisure rehabilitation. Most research still focused on RA, and more research into other conditions was called for (Hammond 2004, Steultjens et al 2008.…”

Section:  Group Processesmentioning

confidence: 99%

“…In 2004 a comprehensive 4-hour individualized occupational therapy programme, plus a 2-hour group education programme for people with early RA, was shown to significantly increase use of self-management compared to usual care (Hammond et al 2004  Process: clients reported that therapists instilled confidence, understood the condition and its impact, were accessible, gave individualized treatment, were good communicators, and provided the opportunity to discuss issues of importance to the client.…”

Section: Comprehensive Occupational Therapymentioning

confidence: 99%

The Elizabeth Casson Memorial Lecture 2014: Changing ways; changing times

Hammond¹

2014

British Journal of Occupational Therapy

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“…Tem-se recorrido cada vez mais à fisioterapia para o tratamento de doenças reumáticas, em especial nos casos de artrite reumatóide, normalmente associada ao tratamento medicamentoso, o que tem permitido resultados favoráveis 8,10 .…”

Section: Introductionunclassified

Efeitos da reabilitação aquática na sintomatologia e qualidade de vida de portadoras de artrite reumatóide

Ferreira¹,

Pestana²,

Oliveira³

et al. 2008

Fisioter. Pesqui.

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RESUMO: A artrite reumatóide (AR) tem manifestações articulares e extraarticulares, afetando diretamente a qualidade de vida dos pacientes. A hidroterapia é um recurso muito utilizado na reabilitação desses pacientes devido às propriedades físicas e efeitos fisiológicos da água. O objetivo do trabalho foi avaliar o efeito da hidroterapia na sintomatologia e qualidade de vida de portadoras de AR. Participaram do estudo oito voluntárias com média de idade 56,4±5,2 anos e diagnóstico clínico de AR. Antes e após o tratamento todas foram submetidas a avaliação fisioterapêutica, que incluiu a aplicação do Questionário Short-Form 36 (SF-36) e avaliação da rigidez matinal, dor e qualidade do sono, por escalas analógico-visuais. O protocolo de tratamento consistiu de 10 sessões de hidroterapia de 45 minutos cada, duas vezes por semana. Os dados coletados foram tratados estatisticamente, com nível de significância fixado em p≤0,05. Após o tratamento foi possível verificar redução da rigidez matinal (p=0,003) e da dor (p=0,004), além da melhora na qualidade do sono (p=0,006). Também foi verificada melhora significativa (p≤0,05) na maioria dos domínios do SF-36 após o tratamento. Conclui-se que o protocolo de hidroterapia proposto possibilitou melhora na qualidade de vida relacionada à saúde, redução dos sintomas de dor e rigidez matinal, além de melhora da qualidade do sono de portadoras de AR. DESCRITORES: Artrite reumatóide; Hidroterapia; Qualidade de vida ABSTRACT: Rheumatoid arthritis (RA) has both joint and extra-joint manifestations and may directly affect patients' quality of life. Hydrotherapy is a very useful resource for treating RA due the water physical properties and physiological effects. The aim of this study was to evaluate the impact of a hydrotherapy program on RA female patients' symptoms and health-related quality of life. Eight volunteers, aged 56,4±5.2 years old, were selected for this study, all with RA diagnosis. Before and after treatment they were submitted to a physical therapy evaluation that included application of the Short Form-36 Questionnaire (SF-36) and assessment of pain, morning stiffness, and quality of sleep, by means of visual analogue scales. The treatment consisted of ten 45-minute hydrotherapy sessions, held twice a week. Collected data were statistically analysed, and significance level set at p≤0.05. At the end of treatment results showed significant decrease in pain (p=0.004) and morning stiffness (p=0.003), and improvement in quality of sleep (p=0.006). Also, significant improvement was detected in most SF-36 domains (p≤0.05). The proposed aquatic therapy program may be thus said to having improved health-related quality of life, reduced pain and morning stiffness, and improved quality of sleep of women with RA.

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A randomised controlled trial of occupational therapy for people with early rheumatoid arthritis

Cited by 67 publications

References 28 publications

Nursing support at the onset of rheumatoid arthritis: Time and space for emotions, practicalities and self‐management

Nursing support at the onset of rheumatoid arthritis: Time and space for emotions, practicalities and self‐management

The Elizabeth Casson Memorial Lecture 2014: Changing ways; changing times

Efeitos da reabilitação aquática na sintomatologia e qualidade de vida de portadoras de artrite reumatóide

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