La muñeca reumatoidea. Aspectos esenciales en el tratamiento

Vergara-Amador, Enrique; Rojas, Alberto

doi:10.1016/j.rcreu.2015.12.001

Cited by 5 publications

(3 citation statements)

References 45 publications

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“…Up to 90% of patients with RA report wrist or hand problems, especially metacarpophalangeal (MCP), and proximal interphalangeal (PIP) joints (6), with symptoms such as pain, swelling, decreased (7), loss of muscle mass (8), hand deformities, reduced strength (9), and stiffness (10), which causes impaired function and social participation (11). This leads to a huge socioeconomic burden, higher than that of other non-communicable diseases (12), with an estimated annual loss of productivity of 11.500$ per person (13), and an increased 50% risk of unemployment (14).…”

Section: Background and Rationale {6a}mentioning

confidence: 99%

A mobile app using therapeutic exercise and education for self-management in patients with hand rheumatoid arthritis. A randomized controlled trial protocol.

Rodríguez-Sánchez-Laulhé¹,

Romero

Blanquero

et al. 2020

Preprint

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Background: Therapeutic exercise is a safe and cost-effective approach to alleviate hand rheumatoid arthritis (RA) related symptoms. This study aims to investigate the differences in self-management between a smartphone app (CareHand), using hand exercises and educational advices, compared with a standard approach, on hand overall function, pain intensity, stiffness, and grip and pinch strength in patients with hand RA. Methods: The project is a prospective, longitudinal, superiority, randomized controlled trial. Fifty-eight participants with hand RA will be randomly assigned into an experimental group (CareHand app) or a control group (conventional treatment). Control intervention involves a paper sheet with exercises and recommendations, and the experimental group includes the use of a smartphone app, which provides individualized exercise programmes, self-management and educational strategies to promote adherence to treatment. Both intervention protocols will last for 3 months. The principal investigator will conduct an educational session at baseline for all participants. Primary outcome comprises the overall hand function, assessed with the Michigan Hand Outcome Questionnaire (MHQ). Secondary outcomes include self-reported functional ability with the Quick DASH questionnaire, self-reported pain intensity and morning stiffness using a Visual Analogue Scale (VAS), and hand grip and pinch strength (dynamometer). Outcome measures will be collected at baseline, and at 1 month and 3-month follow-up. Discussion: This study will evaluate the effectiveness of a telerehabilitation tool, which uses exercise and self-management strategies, compared to a conventional approach, in patients with hand RA. The smartphone app will allow to monitor the patient´s status, and to enhance patient-therapist communication. Some limitations may be related to the short follow-up duration and the lack of evaluation of psychosocial factors. Overall, this new way of promoting long-term effects in patients with a chronic rheumatic disease could be feasible and easy to implement in daily life clinical practice and current musculoskeletal care.

show abstract

Section: Background and Rationale {6a}mentioning

confidence: 99%

A mobile app using therapeutic exercise and education for self-management in patients with hand rheumatoid arthritis. A randomized controlled trial protocol.

Rodríguez-Sánchez-Laulhé¹,

Romero

Blanquero

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…Up to 90% of patients with RA report wrist or hand problems, especially metacarpophalangeal (MCP), and proximal interphalangeal (PIP) joints (6), with symptoms such as pain, swelling, decreased mobility (7), loss of muscle mass (8), hand deformities, reduced strength (9), and stiffness (10), which causes impaired function and social participation (11). This leads to a huge socioeconomic burden, higher than that of other non-communicable diseases (12), with an estimated annual loss of productivity of 11.500$ per person (13), and an increased 50% risk of unemployment (14).…”

Section: Introduction Background and Rationale {6a}mentioning

confidence: 99%

A mobile app using therapeutic exercise and education for self-management in patients with hand rheumatoid arthritis. A randomized controlled trial protocol.

Sánchez-Laulhé¹,

Romero

Blanquero

et al. 2020

Preprint

View full text Add to dashboard Cite

• Background: Therapeutic exercise is a safe and cost-effective approach to alleviate hand rheumatoid arthritis (RA) related symptoms. This study aims to investigate the differences in self-management between a smartphone app (CareHand), using hand exercises and educational advices, compared with a standard approach, on hand overall function, pain intensity, stiffness, and grip and pinch strength in patients with hand RA.• Methods: The project is a prospective, longitudinal, superiority, randomized controlled trial. Fifty-eight participants with hand RA will be randomly assigned into an experimental group (CareHand app) or a control group (conventional treatment). Control intervention involves a paper sheet with exercises and recommendations, and the experimental group includes the use of a smartphone app, which provides individualized exercise programmes, self-management and educational strategies to promote adherence to treatment. Both intervention protocols will last for 3 months. The principal investigator will conduct an educational session at baseline for all participants. Primary outcome comprises the overall hand function, assessed with the Michigan Hand Outcome Questionnaire (MHQ). Secondary outcomes include self-reported functional ability with the Quick DASH questionnaire, self-reported pain intensity and morning stiffness using a Visual Analogue Scale (VAS), and hand grip and pinch strength (dynamometer). Outcome measures will be collected at baseline, and at 1 month and 3-month follow-up.• Discussion: This study will evaluate the effectiveness of a telerehabilitation tool, which uses exercise and self-management strategies, compared to a conventional approach, in patients with hand RA. The smartphone app will allow to monitor the patient´s status, and to enhance patient-therapist communication. Some limitations may be related to the short follow-up duration and the lack of evaluation of psychosocial factors. Overall, this new way of promoting long-term effects in patients with a chronic rheumatic disease could be feasible and easy to implement in daily life clinical practice and current musculoskeletal care.• Trial registration: ClinicalTrials.gov Identifier: NCT04263974. Registered 7 March 2020. Date of last update 15 April 2020. Ethics committee code: PI_RH_2018.

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“…Éste compromiso también lo describe Machado y colaboradores 18 , sin embargo, un porcentaje importante de esos recesos se encontraron asociados a erosiones y señal doppler de poder. En la artritis reumatoide la articulación más frecuentemente involucrada a nivel de la mano es la muñeca, llegando a comprometerse en el 75% de ellos, y es específicamente su aspecto cubital el que casi siempre se convierte en el primer sitio en afectarse [38][39][40][41] . De la totalidad de hallazgos ecográficos en nuestros participantes, sólo el 0.8% de ellos se localizaron en la articulación radioulnar distal (dos casos de sinovitis leve), lo que la convierte en el receso individual con menores hallazgos registrados.…”

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Hallazgos ultrasonográficos a nivel de articulaciones de manos y pies en sujetos voluntarios asintomáticos

Calderón-Cordero

Narváez-Reyes

Calvo-Páramo

et al. 2019

Revista Colombiana de Reumatología

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La muñeca reumatoidea. Aspectos esenciales en el tratamiento

Cited by 5 publications

References 45 publications

A mobile app using therapeutic exercise and education for self-management in patients with hand rheumatoid arthritis. A randomized controlled trial protocol.

A mobile app using therapeutic exercise and education for self-management in patients with hand rheumatoid arthritis. A randomized controlled trial protocol.

A mobile app using therapeutic exercise and education for self-management in patients with hand rheumatoid arthritis. A randomized controlled trial protocol.

Hallazgos ultrasonográficos a nivel de articulaciones de manos y pies en sujetos voluntarios asintomáticos

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