Development and delivery of an exercise intervention for rheumatoid arthritis: Strengthening and stretching for rheumatoid arthritis of the hand (SARAH) trial

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• 作者：P.J. Heine^a ; ^{P.Heine@warwick.ac.uk} ; M.A. Williams^a ; ^{M.A.Williams.3@warwick.ac.uk} ; E. Williamson^a ; ^{E.M.Williamson@warwick.ac.uk} ; C. Bridle^a ; ^{C.Bridle@warwick.ac.uk} ; J. Adams^b ; ^{ja@soton.ac.uk} ; A. O’ ; Brien^c ; D. Evans^a ; S.E. Lamb^a ; ^d ; ^{S.Lamb@warwick.ac.uk} ; on behalf of the SARAH team
• 关键词：Rheumatoid arthritis ; Hand ; Exercise ; Therapy ; Randomised control trial
• 刊名：Physiotherapy
• 出版年：2012
• 出版时间：June, 2012
• 年：2012
• 卷：98
• 期：2
• 页码：122-130
• 全文大小：2254 K

文摘

This paper describes the development and implementation of a hand exercise intervention for rheumatoid arthritis (RA) as part of a large multi-centred randomised controlled trial in a UK National Health Service (NHS) setting. Participants are eligible if diagnosed with RA according to American College of Rheumatology criteria, have a history of disease activity, functional deficit or impairment in the hand and/or wrist, and have been on a stable medication regime for at least 3 months. The intervention development was informed by the current evidence base, published guidelines, clinician and expert opinion, and a pilot study. The exercise programme targets known, potentially modifiable physical impairments of the hand with 5 exercise sessions and a home exercise component over a 12 week period. The intervention will be provided to 240 participants along with usual care. A further 240 will receive usual care only as part of the control arm. Specific details of the treatments delivered are described. [ISRCTN no: 89936343].