Development and delivery of an exercise intervention for rheumatoid arthritis: Strengthening and stretching for rheumatoid arthritis of the hand (SARAH) trial
Abstract This paper describes the development and implementation of a hand exercise intervention for rheumatoid arthritis (RA) as part of a large multi-centred randomised controlled trial in a UK National Health Service (NHS) setting. Participants are eligible if diagnosed with RA according to Ameri...
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| Veröffentlicht in: | Physiotherapy 2012-06, Vol.98 (2), p.121-130 |
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| container_title | Physiotherapy |
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| creator | Heine, P.J Williams, M.A Williamson, E Bridle, C Adams, J O’Brien, A Evans, D Lamb, S.E |
| description | Abstract This paper describes the development and implementation of a hand exercise intervention for rheumatoid arthritis (RA) as part of a large multi-centred randomised controlled trial in a UK National Health Service (NHS) setting. Participants are eligible if diagnosed with RA according to American College of Rheumatology criteria, have a history of disease activity, functional deficit or impairment in the hand and/or wrist, and have been on a stable medication regime for at least 3 months. The intervention development was informed by the current evidence base, published guidelines, clinician and expert opinion, and a pilot study. The exercise programme targets known, potentially modifiable physical impairments of the hand with 5 exercise sessions and a home exercise component over a 12 week period. The intervention will be provided to 240 participants along with usual care. A further 240 will receive usual care only as part of the control arm. Specific details of the treatments delivered are described. [ISRCTN no: 89936343]. |
| doi_str_mv | 10.1016/j.physio.2011.03.001 |
| format | Article |
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Participants are eligible if diagnosed with RA according to American College of Rheumatology criteria, have a history of disease activity, functional deficit or impairment in the hand and/or wrist, and have been on a stable medication regime for at least 3 months. The intervention development was informed by the current evidence base, published guidelines, clinician and expert opinion, and a pilot study. The exercise programme targets known, potentially modifiable physical impairments of the hand with 5 exercise sessions and a home exercise component over a 12 week period. The intervention will be provided to 240 participants along with usual care. A further 240 will receive usual care only as part of the control arm. Specific details of the treatments delivered are described. [ISRCTN no: 89936343].</description><identifier>ISSN: 0031-9406</identifier><identifier>EISSN: 1873-1465</identifier><identifier>DOI: 10.1016/j.physio.2011.03.001</identifier><identifier>PMID: 22507362</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>Arthritis ; Arthritis, Rheumatoid - rehabilitation ; Exercise ; Exercise (programs) ; Exercise Therapy - methods ; Hand ; Hand Strength ; Hands ; Health (services) ; Home ; Humans ; Medications ; Muscle Stretching Exercises - methods ; National health services ; Patient Compliance ; Physical Medicine and Rehabilitation ; Pilot studies ; Randomised control trial ; Research Design ; Rheumatoid arthritis ; Rheumatology ; Stretching ; Therapy ; Wrists</subject><ispartof>Physiotherapy, 2012-06, Vol.98 (2), p.121-130</ispartof><rights>Chartered Society of Physiotherapy</rights><rights>2011 Chartered Society of Physiotherapy</rights><rights>Copyright © 2011 Chartered Society of Physiotherapy. 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All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c731t-e3774f582b4f13e06c971583d9b3e4327fefb0941e14200988b9aaca6c86d8723</citedby><cites>FETCH-LOGICAL-c731t-e3774f582b4f13e06c971583d9b3e4327fefb0941e14200988b9aaca6c86d8723</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.physio.2011.03.001$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,777,781,3537,27905,27906,30981,45976</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22507362$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Heine, P.J</creatorcontrib><creatorcontrib>Williams, M.A</creatorcontrib><creatorcontrib>Williamson, E</creatorcontrib><creatorcontrib>Bridle, C</creatorcontrib><creatorcontrib>Adams, J</creatorcontrib><creatorcontrib>O’Brien, A</creatorcontrib><creatorcontrib>Evans, D</creatorcontrib><creatorcontrib>Lamb, S.E</creatorcontrib><creatorcontrib>on behalf of the SARAH team</creatorcontrib><creatorcontrib>SARAH Team</creatorcontrib><title>Development and delivery of an exercise intervention for rheumatoid arthritis: Strengthening and stretching for rheumatoid arthritis of the hand (SARAH) trial</title><title>Physiotherapy</title><addtitle>Physiotherapy</addtitle><description>Abstract This paper describes the development and implementation of a hand exercise intervention for rheumatoid arthritis (RA) as part of a large multi-centred randomised controlled trial in a UK National Health Service (NHS) setting. Participants are eligible if diagnosed with RA according to American College of Rheumatology criteria, have a history of disease activity, functional deficit or impairment in the hand and/or wrist, and have been on a stable medication regime for at least 3 months. The intervention development was informed by the current evidence base, published guidelines, clinician and expert opinion, and a pilot study. The exercise programme targets known, potentially modifiable physical impairments of the hand with 5 exercise sessions and a home exercise component over a 12 week period. The intervention will be provided to 240 participants along with usual care. A further 240 will receive usual care only as part of the control arm. Specific details of the treatments delivered are described. [ISRCTN no: 89936343].</description><subject>Arthritis</subject><subject>Arthritis, Rheumatoid - rehabilitation</subject><subject>Exercise</subject><subject>Exercise (programs)</subject><subject>Exercise Therapy - methods</subject><subject>Hand</subject><subject>Hand Strength</subject><subject>Hands</subject><subject>Health (services)</subject><subject>Home</subject><subject>Humans</subject><subject>Medications</subject><subject>Muscle Stretching Exercises - methods</subject><subject>National health services</subject><subject>Patient Compliance</subject><subject>Physical Medicine and Rehabilitation</subject><subject>Pilot studies</subject><subject>Randomised control trial</subject><subject>Research Design</subject><subject>Rheumatoid arthritis</subject><subject>Rheumatology</subject><subject>Stretching</subject><subject>Therapy</subject><subject>Wrists</subject><issn>0031-9406</issn><issn>1873-1465</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqNkl-LEzEUxQdR3Lr6DUTyuD605ub_-CCU9c8KC4LV5zDN3NlJnWZqkhb7ZfysZuzqgyC7Lwk3_M45gXuq6jnQBVBQrzaLXX9MflwwCrCgfEEpPKhmYDSfg1DyYTWjlMO8FlSdVU9S2lDKJGh4XJ0xJqnmis2qn2_xgMO422LIpAktaXHwB4xHMnZlJvgDo_MJiQ8Z46FQfgykGyOJPe63TR59S5qY--izT6_JKkcMN7nH4MPNb8NUXrLrp_F_simrSEg_8Rer5efl1UuSo2-Gp9WjrhkSPru9z6uv7999ubyaX3_68PFyeT13mkOeI9dadNKwteiAI1Wu1iANb-s1R8GZ7rBb01oAgmCU1sas66ZxjXJGtUYzfl5dnHx3cfy-x5Tt1ieHw9AEHPfJglagJFMS7kYlF4YL0OZulIIpPy-m90GlllxzcR8UGAgwsqDihLo4phSxs7vot008FmjilN3YU4vs1CJLuS0tKrIXtwn79Rbbv6I_tSnAmxOAZScHj9Em5zE4bH1El207-rsS_jVwgw_eNcM3PGLajPsYyr4t2MQstaupyVORASgtp-a_AJro74o</recordid><startdate>20120601</startdate><enddate>20120601</enddate><creator>Heine, P.J</creator><creator>Williams, M.A</creator><creator>Williamson, E</creator><creator>Bridle, C</creator><creator>Adams, J</creator><creator>O’Brien, A</creator><creator>Evans, D</creator><creator>Lamb, S.E</creator><general>Elsevier Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TS</scope><scope>7X8</scope><scope>7QJ</scope></search><sort><creationdate>20120601</creationdate><title>Development and delivery of an exercise intervention for rheumatoid arthritis: Strengthening and stretching for rheumatoid arthritis of the hand (SARAH) trial</title><author>Heine, P.J ; 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| subjects | Arthritis Arthritis, Rheumatoid - rehabilitation Exercise Exercise (programs) Exercise Therapy - methods Hand Hand Strength Hands Health (services) Home Humans Medications Muscle Stretching Exercises - methods National health services Patient Compliance Physical Medicine and Rehabilitation Pilot studies Randomised control trial Research Design Rheumatoid arthritis Rheumatology Stretching Therapy Wrists |
| title | Development and delivery of an exercise intervention for rheumatoid arthritis: Strengthening and stretching for rheumatoid arthritis of the hand (SARAH) trial |
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