Abstract
This paper describes the development and implementation of a hand exercise intervention
for rheumatoid arthritis (RA) as part of a large multi-centred randomised controlled
trial in a UK National Health Service (NHS) setting. Participants are eligible if
diagnosed with RA according to American College of Rheumatology criteria, have a history
of disease activity, functional deficit or impairment in the hand and/or wrist, and
have been on a stable medication regime for at least 3 months. The intervention development
was informed by the current evidence base, published guidelines, clinician and expert
opinion, and a pilot study. The exercise programme targets known, potentially modifiable
physical impairments of the hand with 5 exercise sessions and a home exercise component
over a 12 week period. The intervention will be provided to 240 participants along
with usual care. A further 240 will receive usual care only as part of the control
arm. Specific details of the treatments delivered are described. [ISRCTN no: 89936343].
Keywords
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Article Info
Publication History
Published online: June 06, 2011
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© 2011 Chartered Society of Physiotherapy. Published by Elsevier Inc. All rights reserved.
