gms | German Medical Science

14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT)

17.06. - 21.06.2019, Berlin

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Service evaluation of an evidence-based hand exercise programme in people with rheumatoid arthritis: Preliminary results

Meeting Abstract

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  • presenting/speaker Esther Williamson - RRIO, NDORMS, University of Oxford, Oxford, United Kingdom
  • Jacqueline Thompson - RRIO, NDORMS, University of Oxford, Oxford, United Kingdom
  • Cynthia Srikesavan - RRIO, NDORMS, University of Oxford, Oxford, United Kingdom
  • Sarah E. Lamb - RRIO, NDORMS, University of Oxford, Oxford, United Kingdom

International Federation of Societies for Surgery of the Hand. International Federation of Societies for Hand Therapy. 14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT). Berlin, 17.-21.06.2019. Düsseldorf: German Medical Science GMS Publishing House; 2020. DocIFSHT19-1028

doi: 10.3205/19ifssh1486, urn:nbn:de:0183-19ifssh14868

Veröffentlicht: 6. Februar 2020

© 2020 Williamson et al.
Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung). Lizenz-Angaben siehe http://creativecommons.org/licenses/by/4.0/.

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Background: The Strengthening And stretching for Rheumatoid Arthritis of the Hand (SARAH) is an evidence-based, 12-week hand exercise programme for people with hand problems due to rheumatoid arthritis. The purpose of this ongoing study is to evaluate SARAH implementation into routine NHS care in the UK.

Methods: An online training (iSARAH) was made freely available to train NHS therapists on the SARAH programme. After completing the training, they are invited to deliver the programme in their departments. Therapists collected Michigan Hand Outcomes Questionnaire hand function subscale (0-100), grip strength, pain (5-point scale), perceived recovery, satisfaction and usefulness of the programme from patients who agreed to take part in the evaluation. A postal follow-up is conducted at 4 months.

Results: Since December 2017, 19 therapists from 14 NHS Trusts have participated. 59 patients have been enrolled and 14 patients have completed the programme. The majority of patients were female (86%). The median age was 64.5 (interquartile range [IQR] 54-71) years.

At baseline, the median pain score was 3 (IQR: 2-3) and median hand function was 47 (IQR: 42.5-57.5). The median grip strength of the left hand was 12.33 (IQR: 9.20-15.50) Kg and right hand was 16.67 (IQR: 11.67-21.67) Kg.

At the final session, the median pain score was 2 (IQR: 1-3) and median hand function was 70.0 (IQR: 60.0-75.0). The median grip strength of the left hand was 14.67 (IQR: 11.72-18.50) Kg and right hand was 17.0 (IQR: 10.91-23.25) Kg.

Wilcoxon signed-rank test showed improvements in pain (p=0.017), hand function (p=0.003), and grip strength of the left hand (p=0.014). All patients found the programme useful and satisfactory. Twelve patients (85.71%) rated themselves as 'improved' with regard to arthritis of their hands.

Follow-up data is not yet available.

Conclusions: Initial findings are encouraging. We will present updated results at the IFSHT 2019.