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 activi… Show more
“…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 ].…”
Background/ objective
To gain insight in the use of current systemic sclerosis (SSc) care provided by health professionals from the patient perspective. We focused on referral reasons, treatment goals, the alignment with unmet care needs, and outcome satisfaction.
Methods
Dutch SSc patients from 13 participating rheumatology departments were invited to complete an online survey. Descriptive statistics were used to describe current use of non-pharmacological care and outcome satisfaction. Reasons for referral and treatment goals were encoded in International Classification of Function and Disability (ICF) terms.
Results
We included 650 patients (mean (standard deviation [SD]) age, 59.4 (11.4) years. 50% had contact with a health professional in the past year; 76.3% since disease onset. Physiotherapists were the most frequently visited in the past year (40.0%), followed by dental hygienists (11.4%) and podiatrists (9.2%). The three most common referral reasons were pain, joint mobility and cardiovascular functions. Fatigue, Raynaud’s phenomenon, physical limitations, reduced hand function and joint problems were mentioned by more than 25% of all respondents as unmet needs. The proportion of patients treated in the past year by a health professional who were satisfied with knowledge and expertise of their health professionals was 74.4%; 73% reported improved daily activities and better coping with complaints. However, 48.9% perceived that the collaboration between rheumatologist and health professional was never or only sometimes sufficient.
Conclusion
Despite the high outcome satisfaction and good accessibility of health professionals, there are obstacles in the access to non-pharmacological care and communication barriers between health professionals and rheumatologists.
“…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 ].…”
Background/ objective
To gain insight in the use of current systemic sclerosis (SSc) care provided by health professionals from the patient perspective. We focused on referral reasons, treatment goals, the alignment with unmet care needs, and outcome satisfaction.
Methods
Dutch SSc patients from 13 participating rheumatology departments were invited to complete an online survey. Descriptive statistics were used to describe current use of non-pharmacological care and outcome satisfaction. Reasons for referral and treatment goals were encoded in International Classification of Function and Disability (ICF) terms.
Results
We included 650 patients (mean (standard deviation [SD]) age, 59.4 (11.4) years. 50% had contact with a health professional in the past year; 76.3% since disease onset. Physiotherapists were the most frequently visited in the past year (40.0%), followed by dental hygienists (11.4%) and podiatrists (9.2%). The three most common referral reasons were pain, joint mobility and cardiovascular functions. Fatigue, Raynaud’s phenomenon, physical limitations, reduced hand function and joint problems were mentioned by more than 25% of all respondents as unmet needs. The proportion of patients treated in the past year by a health professional who were satisfied with knowledge and expertise of their health professionals was 74.4%; 73% reported improved daily activities and better coping with complaints. However, 48.9% perceived that the collaboration between rheumatologist and health professional was never or only sometimes sufficient.
Conclusion
Despite the high outcome satisfaction and good accessibility of health professionals, there are obstacles in the access to non-pharmacological care and communication barriers between health professionals and rheumatologists.
“…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 ) .…”
[Purpose] The purpose of this study was to find evidence for the effectiveness of
rehabilitation for pain relief in patients with rheumatoid arthritis. [Subjects and
Methods] A systematic review was conducted of MEDLINE, The Cochrane Central Register of
Controlled Trials (CENTRAL), and OVID, for studies published from July 2005 to July 2015.
We extracted data regarding patients, intervention, comparison, and outcomes, and assessed
the methodological quality of the data. [Results] Nine randomized controlled trials
comparing the effects of pain relief in patients with rheumatoid arthritis were found.
[Conclusion] Physical therapy and occupational therapy can reduce pain in rheumatoid
arthritis.
“…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).…”
Resumo: Objetivo: O objetivo deste estudo foi fazer uma revisão de literatura por intermédio da seleção e análise de estudos clínicos que investigassem os modelos de órteses para membros superiores, mais especificamente os tipos utilizados pelos profissionais da terapia ocupacional e, assim, produzir uma visão ampliada dessa demanda de modelos de órteses na área da terapia ocupacional em reabilitação da mão e membros superiores em sujeitos adultos. Método: Este estudo caracterizou-se como uma revisão narrativa da literatura acompanhada de uma análise descritiva nas bases eletrônicas de dados MEDLINE (Medical Literature Analysis and Retrieval System Online / PubMed) e LILACS (Literatura científica e técnica da América Latina e Caribe/BVS-Biblioteca Virtual em Saúde), com busca restrita ao período de janeiro de 2007 a janeiro de 2017. Resultados: Foram encontrados cinco artigos completos de trabalhos realizados por/com terapeutas ocupacionais, com enfoque em confecção e utilização de órteses na reabilitação de membros superiores. Conclusão: Os estudos envolvendo o uso de órteses para membros superiores possuem diferentes objetivos e métodos de utilização, bem como variados modelos e materiais para a confecção e fabricação do dispositivo, sendo que os fatores de interferência dessas decisões são o paciente, o tipo de lesão/condição clínica e a adaptação do usuário com relação àquele dispositivo de tecnologia assistiva.
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