Table 6.5Exercise

StudyTreatmentFollow-upOutcomesResult – best treatment
1 MA165
Level 1++
Hand: exercise vs controlEnd of treatment (4 weeks)Change in: flexion and extension of the dominant hand, grip strength, grip and pinch function, stiffness (both hands), pain on resisted and non-resisted motionExercise (all p=0.04 except flexion/extension p=0.004)
1 MA169
Level 1++
Tai Chi exercises vs controlRange: 8 to 10 weeksROMankle plantar flexion; lower extremity flexion; withdrawalsTai-chi (p=0.02; p=0.004; p=0.003)
Functional Assessment; RAI; swollen joints; 50-foot walk; grip strength; patient global: number rated ‘recovery’ at 2 months and 3 months; ROMshoulder flexion, shoulder internal and external rotation and total upper extremity combined; self-reported enjoyment – benefit and frequencyNS

From: 6, The multidisciplinary team

Cover of Rheumatoid Arthritis
Rheumatoid Arthritis: National Clinical Guideline for Management and Treatment in Adults.
NICE Clinical Guidelines, No. 79.
National Collaborating Centre for Chronic Conditions (UK).
Copyright © 2009, Royal College of Physicians of London.

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