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Journal > Journal of the Indonesian Medical Association > Home-based Hand Exercise Program on Dexterity among Rheumatoid Arthritis Patients

 

Journal of the Indonesian Medical Association
Vol. 61 No. 11 November 2011
Home-based Hand Exercise Program on Dexterity among Rheumatoid Arthritis Patients
Widiani, Wini ( Medical Rehabilitation Department, Faculty of Medicine Universitas Indonesia/ Cipto Mangunkusumo Hospital, Jakarta)
Nuhonni, Siti Annissa ( Medical Rehabilitation Department, Faculty of Medicine Universitas Indonesia/ Cipto Mangunkusumo Hospital, Jakarta)
Murdana, I Nyoman ( Medical Rehabilitation Department, Faculty of Medicine Universitas Indonesia/ Cipto Mangunkusumo Hospital, Jakarta)
Sumariyono, Sumariyono ( Internal Medicine Department, Faculty of Medicine Universitas Indonesia/ Cipto Mangunkusumo Hospital, Jakarta)
Bardosono, Saptawati ( Nutrition Department, Faculty of Medicine Universitas Indonesia, Jakarta)
Article Info   ABSTRACT
Published date:
30 Nov 2011
 
Approximately 90% of patients with rheumatoid arthritis (RA) have impairment in their hand joints, reducing mobility, strength and increase of pain. This, in turn, often leads to disability in daily life. Conservative hand exercises is one recommendation. The aim of this study is to evaluate the effect of hand exercises at home on bimanual dexterity among RA patients. This study was conducted as a pre- and post- test experimental design. Sixteen patients who met the criteria received a conservative home-based hand exercise program aimed at increasing range of motion and maintain grip strength. On weekly meeting, dexterity was measured with sequential occupational dexterity assessment (SODA). Analysis were done by intention to treat. Bimanual dexterity of RA patients in the Rheumatology Clinic measured by SODA before hand exercise therapy performed had a median of 95.5 (45-101), which means moderate to fairly good. SODA value after 6 weeks exercise have increased and is statistically significant, with changes in the value of SODA was 5.94 (p=0.006). This study demonstrated that a home-based program of conservative hand exercises is effective in increasing bimanual dexterity among RA patients. J Indon Med Assoc. 2011:61; 435-41.Keywords: Rheumatoid arthritis, hand exercise, bimanual dexterity
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