Hand Exercises: Difference between revisions
No edit summary |
No edit summary |
||
| Line 19: | Line 19: | ||
=== '''iSARAH Hand Exercise''' === | === '''iSARAH Hand Exercise''' === | ||
It is a strengthening and stretching exercise programme for the hand to help '''RA''' patients<ref>Hall AM, Copsey B, Williams M, Srikesavan C, Lamb SE, Sarah Trial Team. Mediating effect of changes in hand impairments on hand function in patients with rheumatoid arthritis: exploring the mechanisms of an effective exercise program. Arthritis care & research. 2017 Jul;69(7):982-8.</ref>. A multicentre trial had been conducted in the UK as around 490 adult patients who suffer from rheumatoid arthritis, hand pain and dysfunction and they had been on a stable drug regime for at least 3months, to either usual care or usual care plus a tailored strengthening and stretching hand exercise programme<ref>Lamb SE, Williamson EM, Heine PJ, Adams J, Dosanjh S, Dritsaki M, Glover MJ, Lord J, McConkey C, Nichols V, Rahman A. Exercises to improve function of the rheumatoid hand (SARAH): a randomised controlled trial. The Lancet. 2015 Jan 31;385(9966):421-9.</ref> | It is a strengthening and stretching exercise programme for the hand to help '''RA''' patients<ref>Hall AM, Copsey B, Williams M, Srikesavan C, Lamb SE, Sarah Trial Team. Mediating effect of changes in hand impairments on hand function in patients with rheumatoid arthritis: exploring the mechanisms of an effective exercise program. Arthritis care & research. 2017 Jul;69(7):982-8.</ref>. A multicentre trial had been conducted in the UK as around 490 adult patients who suffer from rheumatoid arthritis, hand pain and dysfunction and they had been on a stable drug regime for at least 3months, to either usual care or usual care plus a tailored strengthening and stretching hand exercise programme<ref>Lamb SE, Williamson EM, Heine PJ, Adams J, Dosanjh S, Dritsaki M, Glover MJ, Lord J, McConkey C, Nichols V, Rahman A. Exercises to improve function of the rheumatoid hand (SARAH): a randomised controlled trial. The Lancet. 2015 Jan 31;385(9966):421-9.</ref><ref>Williams MA, Williamson EM, Heine PJ, Nichols V, Glover MJ, Dritsaki M, Adams J, Dosanjh S, Underwood M, Rahman A, McConkey C. Strengthening And stretching for Rheumatoid Arthritis of the Hand (SARAH). A randomised controlled trial and economic evaluation.</ref> | ||
== References == | == References == | ||
[[Category:Hand - Interventions]] | [[Category:Hand - Interventions]] | ||
<references /> | <references /> | ||
Revision as of 12:37, 21 October 2020
This page is currently under construction. Sorry for any inconvenience.
Introduction:[edit | edit source]
Hand Exercises are used as an intervention that aims to improve the mobility and strength of the hand and therefore,improving functional ability. Hand exercise may include:
- Mobilizing exercise (Increase or maintain range of motion)
- Strengthing exercise ( that use resistance from putty, a gel ball, or elastic band to strengthen hand and wrist muscles)[1]
There are many conditions that may affect the hand and need exercise as an intervention to help patients to perform their ADL activities independently and increase the strength of handgrip. [2]
- Example of conditions:
Osteoarthritis is the most common joint disease and most frequently affects the hand.[3] This disease leads to pain in and around the affected joints and to swelling, stiffness, deformity, and gradual loss of function. As a result, the ability to perform daily tasks may become impaired or lost.[4] A randomized controlled trail conducted in 2015 found that hand exercises were well tolerated and significantly improved activity performance, grip strength, pain and fatigue in women with HOA[5].
Rheumatoid arthritis is the most common polyarthritis and affecting 1% of the population. Most of RA patients suffer from frequent problems for the hand and wrist like inflammation, deformity (swan neck deformity), pain, weakness, and restricted mobility, resulting in loss of function[1][6].
Hand exercise[edit | edit source]
iSARAH Hand Exercise[edit | edit source]
It is a strengthening and stretching exercise programme for the hand to help RA patients[7]. A multicentre trial had been conducted in the UK as around 490 adult patients who suffer from rheumatoid arthritis, hand pain and dysfunction and they had been on a stable drug regime for at least 3months, to either usual care or usual care plus a tailored strengthening and stretching hand exercise programme[8][9]
References[edit | edit source]
- ↑ 1.0 1.1 Williams MA, Srikesavan C, Heine PJ, Bruce J, Brosseau L, Hoxey‐Thomas N, Lamb SE. Exercise for rheumatoid arthritis of the hand. Cochrane Database of Systematic Reviews. 2018(7).
- ↑ Ellegaard K, von Bülow C, Røpke A, Bartholdy C, Hansen IS, Rifbjerg-Madsen S, Henriksen M, Wæhrens EE. Hand exercise for women with rheumatoid arthritis and decreased hand function: an exploratory randomized controlled trial. Arthritis research & therapy. 2019 Dec 1;21(1):158.
- ↑ Fife RS, Klippel J. Primer on the rheumatic diseases.
- ↑ Stamm TA, Machold KP, Smolen JS, Fischer S, Redlich K, Graninger W, Ebner W, Erlacher L. Joint protection and home hand exercises improve hand function in patients with hand osteoarthritis: a randomized controlled trial. Arthritis Care & Research: Official Journal of the American College of Rheumatology. 2002 Feb;47(1):44-9.
- ↑ Hennig T, Hæhre L, Hornburg VT, Mowinckel P, Norli ES, Kjeken I. Effect of home-based hand exercises in women with hand osteoarthritis: a randomised controlled trial. Annals of the rheumatic diseases. 2015 Aug 1;74(8):1501-8.
- ↑ Lamb SE, Williamson EM, Heine PJ, Adams J, Dosanjh S, Dritsaki M, Glover MJ, Lord J, McConkey C, Nichols V, Rahman A. Exercises to improve function of the rheumatoid hand (SARAH): a randomised controlled trial. The Lancet. 2015 Jan 31;385(9966):421-9.
- ↑ Hall AM, Copsey B, Williams M, Srikesavan C, Lamb SE, Sarah Trial Team. Mediating effect of changes in hand impairments on hand function in patients with rheumatoid arthritis: exploring the mechanisms of an effective exercise program. Arthritis care & research. 2017 Jul;69(7):982-8.
- ↑ Lamb SE, Williamson EM, Heine PJ, Adams J, Dosanjh S, Dritsaki M, Glover MJ, Lord J, McConkey C, Nichols V, Rahman A. Exercises to improve function of the rheumatoid hand (SARAH): a randomised controlled trial. The Lancet. 2015 Jan 31;385(9966):421-9.
- ↑ Williams MA, Williamson EM, Heine PJ, Nichols V, Glover MJ, Dritsaki M, Adams J, Dosanjh S, Underwood M, Rahman A, McConkey C. Strengthening And stretching for Rheumatoid Arthritis of the Hand (SARAH). A randomised controlled trial and economic evaluation.
