Article Text

PDF
AB1173-HPR Relationship between Patient-Reported and Objective Measurements of Function in Patients with Rheumatoid Arthritis: A Pilot Study
  1. S.M. Günay1,
  2. Z. Tuna2,
  3. D. Oskay2
  1. 1Physical Therapy and Rehabilitation, Faculty of Medicine, Bursa
  2. 2Physiotherapy and Rehabilitation, Faculty of Health Sciences, Ankara, Turkey

Abstract

Background Rheumatoid arthritis (RA) is a chronic, inflammatory, and systemic disease often results in impairments in upper extremities and therefore, limitations in activities of daily living, Cinically, it is observed that patients' complaints about their disabilities do not always match with their actual physical performance.

Objectives The aim of this pilot study is to investigate the relationship between patient self-reported functional levels of hands and objective functional performance in RA patients.

Methods Twenty-six patients (51±13 years) with RA diagnosis participated in the study. Hand-grip and pinch (lateral, bipod, tripod) strengths were measured and Nine-Hole Peg Test and Jebsen Hand Function Test (JHFT) were performed for objective functional performance. Michigan Hand Outcome Questionnaire (MHOQ)and Duruöz Hand Index were completed by patients.

Results Grip and all three pinch strength results were significantly correlated with Duruöz Hand Index scores (p<0,05). JHFT results except the sentence writing were also correlated with the Duruöz scores (p<0,05). MHOQ scores were related to the grip strength, JHFT and Nine-Hole Peg Test results (p<0,05).

Conclusions Our results showed that self-reported outcome scales may be used for determining functional level of hand in patients with RA in rheumatology practice.Objective quantitative functional tests are the best methods in evaluating functional level of hand, however it requires valid and reliable equipments with accurate calibration. Therefore, in case of inavailablity of objective assessment tools, patient-reported scales may be used instead.

References

  1. Shin SY, Katz P, Julian L.Relationship Between Perceived Cognitive Dysfunction And Objective Neuropsychological Performance İn Persons With Rheumatoid Arthritis. Arthritis Care Res (Hoboken). 2013 Mar;65(3):481-6

  2. Eurenius E, Stenström CH.Physical Activity, Physical Fitness, And General Health Perception Among İndividuals With Rheumatoid Arthritis. Arthritis Rheum. 2005 Feb 15;53(1):48-55

  3. Tuominen R, Tuominen S, Suominen C, Möttönen T, Azbel M, Hemmilä J.Perceived Functional Disabilities Among Rheumatoid Arthritis Patients. Rheumatol Int. 2010 Mar;30(5):643-9.

Disclosure of Interest None declared

DOI 10.1136/annrheumdis-2014-eular.2333

Statistics from Altmetric.com

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.