Issue: 2021, Vol. 26, No. 1

E. I. Amiry, N. V. Koryagina, S. Е. Myasoedova

EFFECTIVENESS OF REMEDICAL GYMNASTICS COMPLEX IN THE IMPROVEMENT OF HAND FUNCTION IN RHEUMATOID ARTHRITIS

Keywords

rheumatoid arthritis, hand function, remedial gymnastics.

Abstarct

Actuality. Hand physical deficiency is typical for patients with rheumatoid arthritis (RА) and stipulates lower quality of their life. Restoration of hand functions and large joints of upper limbs in RA is one of the important tasks of the rehabilitation. Objective – to develop and approbate remedial gymnastics (RG) complex for hands and large joints of upper limbs in RA, to evaluate its efficacy in patients in one and three months of its application. Material and methods. 20 women with RA aged 45–82 years – 68 [65; 74] with long standing of the disease - from 0,5 to 40 years (8,5 [2; 18,5]) were enrolled in the study. RG complex which was taken from SARAH survey [13], included exercises for minor hand joints, wrist, elbow and humeral joints was the base of the rehabilitative measures; it was supplemented by us with training apparatus for hand joints. Patients training was carried out at in-patient department, then the exercises were made by them at home within three months. Hand dynamometry was performed, pain expression by visual analogous scale (VAS) and functional status by HAQ-DI were evaluated initially, in one and three months of remedial gymnastics. Results and discussion. At the background of RG exercises the trustworthy increase of right hand dynamometry indices was observed (initially 5,5 [3,5; 10,3] кgsec, in one month – 7,0 [5,0; 10,6] kgsec, p < 0,05; in three months – 8,3 [5,2; 12,3] mm, p < 0,05). Already in one month of this training the decrease pain expression by VAS was marked (initially – 58 [48; 70] mm, in one month – 35 [23; 50] mm, p < 0,05), in three months – functional status improvement – HAQ-DI index decrease (initially – 1,25 [0,9; 1,9], in three months – 0,875 [0,5; 1,5], p < 0,05). Conclusions. This RG program for hand was proved to be easily reproduced, safe and might be used in the rehabilitation of patients with RA both in the hospitals and at home. Physical exercises promoted hand strength increase, painful syndrome decrease and functional status improvement in RA.

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• Vestnik 1 2021 sbornik-28-33