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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A proof-of-concept study of the online version of an evidence-based hand exercise programme for people with rheumatoid arthritis

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  • presenting/speaker Cynthia Srikesavan - RRIO, NDORMS, University of Oxford, Oxford, United Kingdom
  • Esther Williamson - RRIO, NDORMS, University of Oxford, Oxford, United Kingdom
  • Jacqueline Thompson - RRIO, NDORMS, University of Oxford, Oxford, United Kingdom
  • Jo Adams - Centre for innovation and leadership in health sciences, Faculty of health sciences, University of Southampton, Southampton, 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. DocIFSHT19-1223

doi: 10.3205/19ifssh1613, urn:nbn:de:0183-19ifssh16138

Veröffentlicht: 6. Februar 2020

© 2020 Srikesavan 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/.

Gliederung

Text

Objective: The Strengthening And stretching for Rheumatoid Arthritis of the Hand (SARAH) is an evidence-based hand exercise programme for people with rheumatoid arthritis (RA). An online version (mySARAH) has been developed to allow direct access for people with RA. mySARAH consists of six online exercise and review sessions completed over 12 weeks. The objective of this study is to assess the feasibility, acceptability, and safety of mySARAH.

Materials and Methods: We are currently recruiting adults with RA who report problems with hand function and who have access to the internet. We plan to enroll up to 12 participants.

Participants are observed during four of the six mySARAH sessions to assess their ability to complete the programme. We film the participants performing the SARAH exercises to allow evaluation of exercise completion. Participants undertake two sessions independently at home.

At baseline and 12 weeks, Michigan hand outcomes questionnaire hand function subscale and grip strength are collected. Hand joint pain is measured using a 0-10 numerical scale at each session. At 12 weeks, patient satisfaction, ease of use, intention to continue to exercise, and perceived benefit are also collected. We also conduct telephone interviews to explore participants' experiences with mySARAH programme.

The study is approved by the South Central - Berkshire B Research Ethics Committee, UK.

Results: So far, eight participants have been enrolled and are at different stages of the 12-week timeline. The median (interquartile range) age of participants is 61 (47-67.75) years, duration since diagnosis is 1.5 (1-13.75) years, and time spent on internet daily is 60 (60-68.5) minutes.

At baseline, the median hand function of both hands is 60 (57.5-62.5), grip strength of the right hand is 11.93 (10.85-16.33) Kgs and the left hand is 14.01 (11.96-17.01) Kgs, and hand joint pain is 3 (1.75-3.25).

Conclusions: The study is ongoing and updated results will be presented at IFSHT 2019.

Funding and support: NIHR CLAHRC Oxford and Oxford NIHR BRC.