Evaluation Of A Functional Index In Rheumatoid Arthritis

P, Lee; Mk, Jasani; Wc, Dick; Ww, Buchanan

doi:10.3109/03009747309098820

Cited by 130 publications

(21 citation statements)

References 20 publications

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“…Their progress was assessed by means of the following tests: pain on a visual analogue scale (Huskisson, 1974;Scott & Huskisson, 1976), articular index of joint tenderness (Ritchie, Boyle, McInnes, Jasani, Dalakos, Grieveson & Buchanan, 1968), grip strength in each hand (Deodhar, Dick, Hodgkinson & Buchanan, 1973;Lee, Baxter, Dick & Webb, 1974), digital joint circumference (Webb, Downie, Dick & Lee, 1973), duration of morning stiffness (limbering up time) and functional index (Lee, Jasani, Dick & Buchanan, 1973). These assessments were made by an independent assessor (MM) who routinely did the assessments ofall patients at the Rheumatic Centre, and were made at the initial visit and thereafter at monthly intervals for the 3 months of the trial.…”

Section: Clinical and Laboratory Parametersmentioning

confidence: 99%

Homoeopathic therapy in rheumatoid arthritis: evaluation by double‐ blind clinical therapeutic trial.

Gibson¹,

Gibson²,

MacNeill³

et al. 1980

Brit J Clinical Pharma

149

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Twenty‐three patients with rheumatoid arthritis on orthodox first‐line anti‐inflammatory treatment plus homeopathy were compared wtih a similar group of twenty‐three patients on orthodox first‐line treatment plus an inert preparation. There was a significant improvement in subjective pain, articular index, stiffness and grip strength in those patients receiving homoeopathic remedies whereas there was no significant change in the patients who received placebo. Two physicians were involved in prescribing for the patients and there were no significant differences in the results which they obtained. No side effects were observed with the homoeopathic remedies.

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Section: Clinical and Laboratory Parametersmentioning

confidence: 99%

Homoeopathic therapy in rheumatoid arthritis: evaluation by double‐ blind clinical therapeutic trial.

Gibson¹,

Gibson²,

MacNeill³

et al. 1980

Brit J Clinical Pharma

149

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“…Clinical information collected included assess ment of pain on a 0-to 4-point scale [15], Ritchie index of articular function [16], duration of morning stiffness, joint mobility and functional capacity [17], Investigations. Hematological, serological and ra diological investigations were performed for all pa tients.…”

Section: Assessment Sociodemographic and Clinical Informationmentioning

confidence: 99%

Alexithymic Characteristics in Rheumatoid Arthritis: A Controlled Study

Fernandez

Sriram

Rajkumar

et al. 1989

Psychother Psychosom

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Forty rheumatoid arthritis (RA) patients diagnosed by rigid criteria were evaluated for alexithymic characteristics using the Beth Israel Hospital Psychosomatic Questionnaire (BIQ) and the Toronto Alexithymia Scale (TAS). 40 healthy subjects matched with RA patients on sociodemographic variables served as controls. RA patients scored significantly higher on the BIQ and TAS compared to controls. The two scales correlated in the expected direction. Using the TAS cutoff score of 74 and above, 11 RA patients (27.5%) were identified as alexithymic. RA patients with greater functional impairment showed significantly higher alexithymia scores.

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“…Although the majority of the RA population is functionally independent, a substantial decline in functional capacity is often observed over time, and health professionals are increasingly asked to make judgments regarding the degree of disability of the patients (3,4). The functional capacity of the musculoskeletal system can be assessed by various physical measures, including grip strength, walking speed, stair climbing, and the button test (5)(6)(7). More often, selfreport questionnaires such as the Stanford Health Assessment Questionnaire (HAQ) (8) and the Arthritis Impact Measurement Scales (AIMS) (9) have been applied.…”

Section: Introductionmentioning

confidence: 99%

Effects of dynamic strength training on physical function, Valpar 9 work sample test, and working capacity in patients with recent‐onset rheumatoid arthritis

Häkkinen¹,

Sokka²,

Lietsalmi³

et al. 2003

Arthritis & Rheumatism

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Objective. To study the impact of 24 months of strength training on the physical function of patients with early rheumatoid arthritis (RA). Methods. Seventy patients were assigned to either the strength training (experimental) group (n ‫؍‬ 35) or the control group (n ‫؍‬ 35). Patients in the experimental group performed strength training for 24 months, and control patients were instructed to perform range of motion exercises. Maximal strength of the knee extensors, trunk flexors, and extensors, as well as grip strength were recorded with dynamometers. Disease activity was assessed by the erythrocyte sedimentation rate and Ritchie's articular index, joint damage was determined by the Larsen x-ray index, and functional capacity was assessed using the Valpar 9 test and the Stanford Health Assessment Questionnaire (HAQ). The employment status of each patient was recorded. Results. In the experimental group, strength training led to significant increases (19 -59%) in maximal strength of the trained muscles. Such increases in the control group varied from 1% to 31%. There was a clear training effect on muscular strength in favor of the experimental group, but significant improvements in the HAQ indices as well as in the Valpar 9 test were seen also in control patients. Results of the Valpar 9 and the HAQ were statistically significantly better in patients who remained gainfully employed compared with patients who retired preterm during followup. However, compared with patients who remained in the work force, patients who retired were older, and their work was physically more demanding. Conclusion. As expected, strength training led to increased muscle strength, but this increase did not correlate with improved physical function as assessed by the Valpar 9 work sample test. The increased muscle performance did not prevent a substantial proportion of patients from retiring preterm. The 2 items from the Valpar 9 test that were applied were not sensitive enough to differentiate the patients according to their working status.

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Evaluation Of A Functional Index In Rheumatoid Arthritis

Cited by 130 publications

References 20 publications

Homoeopathic therapy in rheumatoid arthritis: evaluation by double‐ blind clinical therapeutic trial.

Homoeopathic therapy in rheumatoid arthritis: evaluation by double‐ blind clinical therapeutic trial.

Alexithymic Characteristics in Rheumatoid Arthritis: A Controlled Study

Effects of dynamic strength training on physical function, Valpar 9 work sample test, and working capacity in patients with recent‐onset rheumatoid arthritis

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