Joint Protection Principles

Introduction[edit | edit source]

Functional ability is reduced in 60% of people with rheumatoid arthritis (RA) within the first five years from diagnosis, with 16% developing more
severe functional disability and 44% following a remittingurelapsing course.[1] Within two years 50% experience difficulties in household tasks.[2] Women with RA can have on average only 40% of normal power and pinch grip within six months of diagnosis, even with early commencement of disease-modifying drugs (DMARDs).[3] This suggests therapy to help maintain hand function and independence should be provided early for those developing functional limitations.

  1. Young A, Dixey J, Cox Net al. How does functional ability in early rheumatoid arthritis (RA)affect patients and their lives? Results of 5 years of follow-up in 732 patients from the Early Rheumatoid Arthritis Study (ERAS)Rheumatology 2000;39: 603�/11.
  2. Eberhardt KB, Rydgren LC, Petersson H, Wollheim FA. Early rheumatoid arthritis�/ onset, course and outcomes after two years.Rheumatol Int 1990;10: 135�/42.
  3. Hammond A, Kidao R, Young A. Hand impairment and function in early rheumatoid arthritis.Arthritis Rheum2000;43(9 suppl):S285.