Bal

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• Balçova Thermal SpA,Physical Therapy And
  Rehabilitation Center, Izmir/TURKEY
• MSc.,PT.,Burcu APLAK ARIN

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EVALUATION Of HAND FUNCTIONS AND QUALITY Of
LIFE(SF-36)IN RHEUMATOID ARTHRITIS PATIENTS
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• Pain
• Stiffness Quality of life
  
• Fatigue Functional
  capacity
• Physical
• Disability

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• The objective of study is to evaluate the
  hand functions and quality of life in
  rheumatoid arthritis patients.

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Material Method

• 213 Norwegian cases with RA
• Combine therapy 3 weeks(3 active,2 passive)
• Assessment
• ?Demographic variable
• ?Disease duration
• ?Functional classification(ACR)
• ?Hand measuruments(grip strenght,distance
  between tip of finger and their bases
  (DTFB))

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SACRAH Questionnaire(Score for Assessment
and Quantification Chronic Rheumatic
Affections Of Hands)

• Hand functions (17 questions)locking a
  door,turning the handle of door,writing,cutting
  with a kitchen-knife e.g.
• Morning stiffness (2 questions)
• Pain(4 questions)

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(No Transcript)
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Exclusion Criteria

• Patients who have secondary
  problems(neurological,cardiopulmonary,
• orthopaedical e.g.)
• Patients who were unable to complete the
  therapy course
• Patients who had hand operations
• Functional class IV

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RESULTS

• Mean age of cases 49.6312.07
• Female 139(65.3) Male 74(34.7)
• Means of disease duration
• female? 8.87 male ? 6.91 (p0.000)
• Functional classification(ACR)
• I------?38.2
• II-----?41.3
• III----?20.5

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• We determined significantly possitive findings
  in grip strenght and DTFB measuruments in
  male than female.(p0.004)

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Comparing Scores of SACRAH total and subscale
pre and post treatment
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Correlation Between SACRAH Total Score and
Grip Strenght,DTFB
Grip Strenght-SACRAH Total Score DTFB-SACRAH Total Score
Correlation Coefficient r-0.698 p0.001 r0.544 p0.003
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Internal Consistency Of SACRAH Total And
Subscale Score
Score Cronbach Alpha
Hand Function 0.89
Morning Stiffness 0.81
Pain 0.86
Total 0.96
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• The differences between pre and post
  treatment scores of eight subscale in male
  were significantly high.(plt0.05)
• The differences between role of physical
  functioning,bodily pain,social functioning and
  menthal health domains were no significant
  in female.(pgt0.05)

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Comparing Two Summary Scores Among Male and
Female
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Comparing Scores Of SF-36 Subscale According To
Disease Duration
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PF,BP,GH and SF subscale scores were
determined significantly higher in cases who
have functional class I and II than III
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Conclusions
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The SACRAH score may be an useful tool in
measuring the degree rheumatic hand functions
and effectiveness of therapy.
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Our study shows that comprehensive
physiotherapy increases the quality of life
and ability of doing activity of daily
living in rheumatoid arthritis patients.
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THANKS