Effects of occupational therapy home service on patients with rheumatoid arthritis
Autor: | Charles H. Goldsmith, Peter Lee, Hugh A. Smythe, Helewa A, B. Hanes, Claire Bombardier, Peter Tugwell |
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Rok vydání: | 1991 |
Předmět: |
Adult
Occupational therapy medicine.medical_specialty Time Factors Activities of daily living medicine.medical_treatment Arthritis law.invention Arthritis Rheumatoid Occupational Therapy Randomized controlled trial law Internal medicine Activities of Daily Living medicine Humans Aged Ontario Rehabilitation business.industry General Medicine Middle Aged medicine.disease Home Care Services Clinical trial Regimen Outcome and Process Assessment Health Care Rheumatoid arthritis Physical therapy business Follow-Up Studies |
Zdroj: | The Lancet. 337:1453-1456 |
ISSN: | 0140-6736 |
DOI: | 10.1016/0140-6736(91)93138-y |
Popis: | Because there is little information about the efficacy of home occupational therapy, we decided to assess the effects of a home service on patients with rheumatoid arthritis. 105 patients aged 18-70 years, on stable medical therapy, were randomised to receive a 6-week comprehensive programme of occupational therapy (experimental group, 53 patients) or to receive no such treatment (control group, 52). At 6 weeks, control patients received the experimental regimen, and experimental patients were continued on treatment as needed up to 12 weeks. Outcomes were measured at baseline, 6, and 12 weeks with a global functional capacity score (functional score). At 6 weeks the functional score for the experimental group was significantly higher than that for the control group (mean difference = 8.1, 95% Cl 1.7 to 15.8, p = 0.012). Control patients at 12 weeks showed a similar improvement to experimental patients at 6 weeks, and between 6 and 12 weeks the experimental patients were stable. Occupational therapy leads to a statistically significant and clinically important improvement in function in patients with rheumatoid arthritis. |
Databáze: | OpenAIRE |
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