In a nutshell
This study examined if different types of hand exercises can improve hand function in patients with rheumatoid arthritis. The authors concluded that techniques used to improve grip strength can lead to an improvement in hand function.
Some background
Patients with rheumatoid arthritis (RA) are affected by swelling and pain in their joints. A large proportion of RA patients report symptoms in the hand and wrist. Joint pain and swelling can lead to reduced function of the hands and can affect a person’s ability to carry out everyday tasks.
Certain hand exercises are recommended to improve hand function. An exercise-based program has been developed to improve hand and wrist function for people with RA. This program includes exercises to improve muscular strength and to improve range of motion in the hands and wrists. Both of these muscle functions should be taken into account when creating an exercise program for patients with RA.
Methods & findings
488 patients with RA in their hands were included in this study. 246 were randomly assigned to the group who took part in the exercise program. 242 were randomly assigned to the control group who received only their regular treatment. Measurements including grip strength, pinch strength, and finger lifting were taken at the beginning of the study and at 4 and 12 months.
Improvements in grip strength at 4 months predicted improved hand function at 12 months. Improvements in grip strength accounted for a 19.4% improvement in hand function.
The bottom line
The authors concluded that exercises to improve grip strength can help to improve hand function in patients with RA.
The fine print
The authors advised that the measurement tools used to assess mobility in this study may not have captured a complete picture of the improvements in hand function.
Published By :
Arthritis Care & Research
Date :
Oct 01, 2016
