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THE EFFECT OF A LONG-TERM EXERCISE PROGRAMME ON THE RHEUMATOID HAND
Authors:BRIGHTON  S W; LUBBE  J E; VAN DER MERWE  C A
Institution:*Departments of Rheumatology, University of Pretoria Pretoria, South Africa
{dagger}Departments of Physiotherapy, University of Pretoria Pretoria, South Africa
{ddagger}Departments of Quantitative Management, University of Pretoria Pretoria, South Africa
Abstract:Forty-four female patients with sero-positive active RA participatedin a 48-month trial to assess the effect of simple hand exercises.Twenty-two patients in the test group were given a daily exerciseregime of six exercises. The control group were not given anyexercises. At the end of 48 months there was a statisticallysignificant improvement in grip strength (P<0.0001) and pincergrip strength (P<0.0005) in the test group. There was a significantdeterioration in the control group (P<0.0000). A simple exerciseprogramme is beneficial for the rheumatoid hand as far as gripand pincer grip strength are concerned. KEY WORDS: Rheumatoid hand, Exercise, Grip strength, Pincer grip strength, Metacarpophalangeal joints, Proximal inter-phalangeal joints
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