Movement-related Activity of Patients with Rheumatoid Arthritis in Physical Rehabilitation

Nogas, A. O.; Karpinskiy, Andriy

doi:10.29038/2220-7481-2017-01-130-135

Cited by 4 publications

(3 citation statements)

References 9 publications

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“…Він може виникати без видимих причин, але зазвичай супроводжує різні захворювання, стани або є наслідком звичок чи професійних навичок. До станів, які сприяють виникненню даного синдрому, включають і ревматичні захворювання, зокрема ревматоїдний артрит [4,5].…”

Section: національний університет водного господарства та природокори...unclassified

“…За відсутності належного лікування та реабілітації/терапії протягом перших 5-6 років після встановлення діагнозу захворювання призводить до погіршення загального стану здоров'я, обмеження рухливості уражених суглобів, зниження працездатності, якості життя хворих та виходу на інвалідність [5,11,12].…”

Section: національний університет водного господарства та природокори...unclassified

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Assessment of Functional Disorders of the Upper Limbs in Patients with Rheumatoid Arthritis

Nogas¹

2023

Ukr. ž. med. bìol. sportu

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The purpose of the study was to assess functional disorders of the upper limbs in patients with rheumatoid arthritis using the Boston Carpal Tunnel Questionnaire. Materials and methods. To assess the functional status of the affected upper limbs of patients with rheumatoid arthritis, the Boston Carpal Tunnel Questionnaire was used, which consists of two scales: the Symptom Severity Scale and the Function Status Scale, which were filled out by the patients themselves. The study was conducted on the basis of rheumatology department of the Municipal Enterprise “Yuriy Semeniuk Rivne Regional Clinical Hospital” in Rivne during the period from 2016 to 2018. 216 patients took part in the examination, of which 178 (82%) were women and 38 (18%) were men. The patients’ age is from 25 to 59 years old (average age is 46 ± 0.24). The inclusion criteria were: the presence of an established diagnosis of rheumatoid arthritis based on the ACR/EULAR 2010 criteria, and in accordance with the Order of the Ministry of Health of Ukraine dated April 11, 2014 No. 263 “Unified clinical protocol of primary, secondary, of tertiary medical care and medical rehabilitation of patients with rheumatoid arthritis”, the presence of informed consent of patients to participate in the study. Patients' rights were respected in accordance with the Declaration of Helsinki “Ethical Principles of Medical Research Involving Human Subjects” developed by the World Medical Association, “Universal Declaration of Bioethics and Human Rights (UNESCO)”. Results and discussion. During the initial examination, it was found that the majority of patients had moderate (20.3%) and severe pain (16.6%) in the affected upper limbs (hands / wrists), which in the last two weeks had caused the patients to wake up at night: once – 10.6% of patients, 2–3 times –15.7% of patients. During the day, 20.3% of patients complained of moderate pain in a hand / wrist, and 17.5% of people were bothered by severe pain. The majority of patients (15.7%) noted that the pain lasted from 10 to 60 minutes. As for functional disorders, the greatest difficulties for patients occurred when buttoning clothes – 45.3%, doing household chores – 39.8%, and opening a bottle – 36.1% of patients. Manifestation of local symptoms of damage to the carpal tunnel affects the general physical and psychological condition of the patient. The patient loses work capacity, concentration, and the quality of his / her life decreases. Conclusion. Considering the above results, we are convinced of the need to implement the concept of physical rehabilitation/therapy, which would be able to reduce the level of existing functional disorders and improve the quality of life for patients with rheumatoid arthritis

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Section: національний університет водного господарства та природокори...unclassified

Assessment of Functional Disorders of the Upper Limbs in Patients with Rheumatoid Arthritis

Nogas¹

2023

Ukr. ž. med. bìol. sportu

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“…Артрит змушує багатьох хворих змінювати звичайний спосіб життя, турбуватися про своє майбутнє, зокрема й витратах на лікарняне обслуговування і т.д. Відповідно важливим завданням реабілітаційного лікування ревматологічних хворих є не тільки часткове або повне відновлення у них функціональної здатності суглобів, зменшення больового синдрому, але й відновлення та покращення якості їх життя [9,11].  довготривалі терміни медикаментозного лікування та фізичної терапії;…”

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Main provisions of the concept of physical therapy for patients with rheumatoid arthritis

Grygus¹,

Nogas²

2020

J Educ Health Sport

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The purpose, main tasks and principles of the author's concept are defined, conceptual approaches to the problems of physical therapy of patients with rheumatoid arthritis are analyzed. The main approaches to the prerequisites for the development of the author's concept of restoring the quality of life of patients with rheumatoid arthritis are considered, which include: biological, social and personal prerequisites. A system of restoration and improvement of the quality of life of patients with rheumatoid arthritis has been developed, which consists in the integrated application of rehabilitation measures, taking into account the individual and interdisciplinary approach to each patient in each of the recovery periods. The methodological approaches in accordance with the domains of the International classification of functioning, taking into account the factors that affect the level of functional impairment and quality of life of the patient, are taken into account. It is emphasised that the proposed concept was holistic in nature, based on the targeted use of a comprehensive psychological, pedagogical, medical and rehabilitation approach, physical therapy programmes were individually selected for each patient, taking into account functional joint disability, rheumatoid arthritis activity, quality of life and health status of patients. The article presents the technology of rehabilitation measures to improve the effectiveness of rehabilitation treatment of patients with rheumatoid arthritis, achieve clinical remission, reduce pain, improve joint motor function, prevent deformities and contractures, maintain performance and improve quality of life. It was noted that the realization of the restorative effect in accordance with the tasks of physical therapy varied. Each patient was given a personalized approach to rehabilitation intervention, taking into account the degree of functional joint disability, participation in work life and psychosocial issues.

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Assessment of Hand Function in Patients With Rheumatoid Arthritis as a Result of Physical Therapy

Nogas¹

2023

Scientific and practical journal

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Assessment of hand function is the great importance in physical therapy for patients with rheumatoid arthritis, as the choice of rehabilitation measures and evaluation of their results depends on the functional capacity of the hand. The purpose is to evaluate hand function in patients with rheumatoid arthritis as a result of physical therapy using the Sollerman test. Materials and methods. The research was conducted on the basis of the rheumatology department and the department of rehabilitation treatment using traditional and alternative methods of the Municipal Enterprise “Rivne Regional Clinical Hospital named after Yuriy Semeniuk” in Rivne. The results of the research were accumulated as patients were admitted for inpatient treatment. A total of 188 patients with rheumatoid arthritis were examined, with an average age of 44.9±7.6 years. All patients were randomly assigned to the control (n=92) and main (n=96) groups. Patients of the control group underwent rehabilitation in accordance with the recommendations of the regulatory document of the Ministry of Health of Ukraine. Patients in the main group were treated according to the proposed physical therapy technology, which included the following elements: therapeutic exercises, therapeutic massage, physiotherapy, hydrotherapy, orthotics, kinesiotaping of the upper extremities, mechanotherapy and psychological support. A physical therapy programme was developed for each patient for a long-term period of 6 months. To determine the function of the arm, the Sollerman test was used. The obtained digital material was processed statistically using the Statistica 10 statistical analysis package (Serial Number: STA999K347150-W). Results. The initial examination revealed the presence of disorders of the basic functions of the hand and deviations from the norm, as well as impaired fine motor skills and various types of hand grip according to the Solleraman test. We analysed the quality of different types of grasping in patients with rheumatoid arthritis, in particular, the greatest difficulties were in performing spherical and cylindrical grasping – in 82.9% of patients and 89.3% of cases, respectively. Forceps grasping was also difficult in 76.5% of patients. During the repeated examination after 3 and 6 months, patients in both groups showed positive dynamics in the performance of individual test tasks. Thus, in patients of the main group, after 3 months, the average Sollerman test scores increased to 65.1±5.3 points, in the control group this figure was significantly lower than 61.8±3.6 points (x ±S) (p<0.05). In 6 months after hospitalisation, the mean values of the Sollerman test in the main group of patients with rheumatoid arthritis increased significantly and were close to normal values. In patients of the control group, the average values of this test also increased, but they were significantly lower than those of the main group. Accordingly, the mean Sollerman test score in patients of the main group increased from 65.1±5.3 points to 70.2±6.3 points, which is significantly higher than in patients of the control group – from 61.8±3.6 points to 65.1±3.8 points (x±S) (p<0.05). The results of the Sollerman test in the main group are significantly higher than those of the control group, which indicates the effectiveness of the developed rehabilitation technology for patients in the main group. Conclusions. The increase in the functional capacity of the upper extremities of patients in the main group with rheumatoid arthritis confirms the effectiveness of the implemented physical therapy technology.

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Movement-related Activity of Patients with Rheumatoid Arthritis in Physical Rehabilitation

Cited by 4 publications

References 9 publications

Assessment of Functional Disorders of the Upper Limbs in Patients with Rheumatoid Arthritis

Assessment of Functional Disorders of the Upper Limbs in Patients with Rheumatoid Arthritis

Main provisions of the concept of physical therapy for patients with rheumatoid arthritis

Assessment of Hand Function in Patients With Rheumatoid Arthritis as a Result of Physical Therapy

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