In a nutshell
This study explored the use of specific hand exercises to improve hand function in rheumatoid arthritis (RA) patients. The results showed that a tailored hand exercise program improved hand strength and flexibility.
Some background
RA is a chronic autoimmune disease (when the immune system attacks healthy tissue) that causes pain, stiffness, swelling, and restricted movement in the joints, particularly in the hands. It can affect quality of life and hand function. The most effective treatment for RA is to aggressively control the disease with medication. These medications do not always help to improve hand function. The impact of hand exercises along with medication to improve hand function is not known.
Methods & findings
This study examined the benefit of hand exercises tailored to the individual RA patient. 438 patients were included in the study. All patients were treated with their normal medications. 246 patients had 6 sessions with an occupational therapist who taught specific hand exercises, as well as education on joint protection. Hand exercises were to be done at home for at least 12 weeks. 242 patients had usual care, including joint-protection education. Patients were followed for an average of 12 months.
Improvements in hand function were more than double in the exercise group compared to the usual care group. Hand muscle strength and dexterity (ability to perform tasks) significantly improved in the exercise group. Both groups improved in flexibility.
The bottom line
The study concluded that hand exercises are an effective treatment option in addition to medications.
The fine print
Patients can find exercises very difficult when in pain or when the disease is active.
What’s next?
Speak with your doctor about helpful exercises to increase the strength and flexibility of your hands.
Published By :
The Lancet
Date :
Oct 09, 2014
