EFFECTIVENESS of A NIGHT-TIME HAND POSITIONING SPLINT in RHEUMATOID ARTHRITIS: A RANDOMIZED CONTROLLED TRIAL

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dc.contributor.authorSilva, Ana Carolina [UNIFESP]
dc.contributor.authorJones, Anamaria [UNIFESP]
dc.contributor.authorSilva, Paula Gabriel [UNIFESP]
dc.contributor.authorNatour, Jamil [UNIFESP]
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.date.accessioned2016-01-24T13:51:43Z
dc.date.available2016-01-24T13:51:43Z
dc.date.issued2008-10-01
dc.description.abstractObjective: To evaluate the effectiveness of a night-time hand positioning splint in patients with rheumatoid arthritis.Design: Randomized controlled trial.Methods: Fifty patients with rheumatoid arthritis were divided randomly into 2 groups. the study group used a night-time splint starting at baseline, while the control group used the splint only, during evaluations. All patients attended evaluations wearing their splints, so that the assessor remained blinded to patient allocation. the splints used in the control group were stored in a cabinet between assessments. Participants were evaluated at baseline, 45 and 90 days, using the visual analogue scale for pain; the Jamar dynamometer for grip strength; a pinch gauge for pinch strength; a Health Assessment Questionnaire for function; the Disability of the Arm, Shoulder and Hand (DASH) questionnaire for upper limb disability and symptoms; and a Likert scale for patient satisfaction with treatment.Results: the groups were homogenous for all parameters at baseline. Pain, Health Assessment Questionnaire score, DASH score, grip strength and pinch strength were significantly different between groups over time and satisfaction with the splint was reported as better and much better by most participants.Conclusion: the use of a night-time hand positioning splint reduces pain, improves grip and pinch strength, upper limb function and functional status in patients with rheumatoid arthritis.en
dc.description.affiliationUniversidade Federal de São Paulo, Div Rheumatol, BR-04023900 São Paulo, Brazil
dc.description.affiliationUnifespUniversidade Federal de São Paulo, Div Rheumatol, BR-04023900 São Paulo, Brazil
dc.description.sourceWeb of Science
dc.format.extent749-754
dc.identifierhttp://dx.doi.org/10.2340/16501977-0240
dc.identifier.citationJournal of Rehabilitation Medicine. Oslo: Taylor & Francis As, v. 40, n. 9, p. 749-754, 2008.
dc.identifier.doi10.2340/16501977-0240
dc.identifier.fileWOS000260295300011.pdf
dc.identifier.issn1650-1977
dc.identifier.urihttp://repositorio.unifesp.br/handle/11600/30927
dc.identifier.wosWOS:000260295300011
dc.language.isoeng
dc.publisherTaylor & Francis As
dc.relation.ispartofJournal of Rehabilitation Medicine
dc.rightsinfo:eu-repo/semantics/openAccess
dc.rights.licensehttp://journalauthors.tandf.co.uk/permissions/reusingOwnWork.asp
dc.subjectnight-time splinten
dc.subjecthanden
dc.subjectrheumatoid arthritisen
dc.subjectpainen
dc.subjectfunctionen
dc.titleEFFECTIVENESS of A NIGHT-TIME HAND POSITIONING SPLINT in RHEUMATOID ARTHRITIS: A RANDOMIZED CONTROLLED TRIALen
dc.typeinfo:eu-repo/semantics/article
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