Prof Alison Hammond A.Hammond@salford.ac.uk
The effectiveness of home hand exercise programmes in rheumatoid arthritis : a systematic review
Hammond, A; Prior, Y
Authors
Prof Yeliz Prior Y.Prior@salford.ac.uk
Professor of Clinical Rehabilitation
Abstract
Introduction: Rheumatoid arthritis (RA) commonly reduces hand function. We systematically reviewed trials to investigate effects of home hand exercise programmes on hand symptoms and function in RA.
Sources of Data: We searched: Medline (1946-), AMED, CINAHL, Physiotherapy Evidence Database, OT Seeker, the Cochrane Library, ISI Web of Science from inception to January 2016.
Areas of Agreement: Nineteen trials were evaluated. Only three were randomised controlled trials with low risk of bias (n=665). Significant short-term improvements occurred in hand function, pain and grip strength, with long term improvements in hand and upper limb function and pinch strength.
Areas of controversy: Heterogeneity of outcome measures meant meta-analysis was not possible.
Growing Points: Evaluation of low and moderate risk of bias trials indicated high intensity home hand exercise programmes lead to better short-term outcomes than low intensity programmes. Such programmes are cost-effective.
Areas timely for developing research: Further research is needed to evaluate methods of helping people with RA maintain home hand exercise long-term.
Citation
Hammond, A., & Prior, Y. (2016). The effectiveness of home hand exercise programmes in rheumatoid arthritis : a systematic review. British Medical Bulletin, 119(1), 49-62. https://doi.org/10.1093/bmb/ldw024
Journal Article Type | Article |
---|---|
Acceptance Date | May 3, 2016 |
Online Publication Date | Jun 30, 2016 |
Publication Date | Sep 9, 2016 |
Deposit Date | Jul 26, 2016 |
Publicly Available Date | Jun 29, 2017 |
Journal | British Medical Bulletin |
Print ISSN | 0007-1420 |
Electronic ISSN | 1471-8391 |
Publisher | Oxford University Press |
Volume | 119 |
Issue | 1 |
Pages | 49-62 |
DOI | https://doi.org/10.1093/bmb/ldw024 |
Publisher URL | https://doi.org/10.1093/bmb/ldw024 |
Related Public URLs | http://bmb.oxfordjournals.org/ |
Files
Hand exercises review Brit Med Bull AHammond 22.4.16 Author Accepted Manuscript.pdf
(1 Mb)
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