The Extent and Nature of Functional Limitations According to the Health Assessment Questionnaire Disability Index in Patients with Rheumatoid Arthritis and Severe Functional Disability.

Autor: Teuwen MMH; Department of Orthopaedics, Rehabilitation and Physical Therapy, Leiden University Medical Center, 2300 RC Leiden, The Netherlands., van Wissen MAT; Department of Orthopaedics, Rehabilitation and Physical Therapy, Leiden University Medical Center, 2300 RC Leiden, The Netherlands., Peter WF; Department of Orthopaedics, Rehabilitation and Physical Therapy, Leiden University Medical Center, 2300 RC Leiden, The Netherlands., van Schaardenburg D; Center for Rehabilitation and Rheumatology, Reade, 1056 AA Amsterdam, The Netherlands., van den Ende CHM; Department of Rheumatology, Radboud UMC, 6500 GM Nijmegen, The Netherlands.; Department of Research, Sint Maartenskliniek, 6500 GM Nijmegen, The Netherlands., Gademan MGJ; Department of Orthopaedics, Rehabilitation and Physical Therapy, Leiden University Medical Center, 2300 RC Leiden, The Netherlands.; Department of Clinical Epidemiology, Leiden University Medical Center, 2300 RC Leiden, The Netherlands., van Weely SFE; Department of Orthopaedics, Rehabilitation and Physical Therapy, Leiden University Medical Center, 2300 RC Leiden, The Netherlands.
Jazyk: angličtina
Zdroj: Journal of clinical medicine [J Clin Med] 2024 Jan 10; Vol. 13 (2). Date of Electronic Publication: 2024 Jan 10.
DOI: 10.3390/jcm13020379
Abstrakt: Background: For a subgroup of people with rheumatoid arthritis (RA) and severe disability, insight into their limitations is crucial for adequate treatment.
Aim: To describe the extent and nature of functional limitations in people with RA and severe disability and to explore the associations of the extent of the functional limitations with patient characteristics, disease characteristics, and outcome measures.
Methods: Baseline data of 215 participants in an RCT on the (cost-)effectiveness of longstanding physiotherapy were used. Functional limitations were assessed with the Health Assessment Questionnaire Disability Index (HAQ-DI). The total HAQ-DI including eight domain scores were calculated. Associations between high HAQ-DI scores (≥2, yes/no) and other variables were examined using the Student's t -test or Chi-squared test where appropriate.
Results: The participants (90% women, age 58.8 ± 12.8 years) had a mean HAQ-DI score of 1.7 ± 0.5. The majority (56%) showed a moderate-to-severe disability in all domains. Higher HAQ-DI scores seemed to be associated with advanced age, longer disease duration, unemployment, joint replacements, and outcomes for daily functioning and physical quality of life, but not with measures of disease activity.
Conclusions: Our findings indicate that a comprehensive assessment of all areas of daily activities in this subgroup is necessary in order to provide appropriate (non-)pharmacological care.
Databáze: MEDLINE
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