Characteristics of patients with rheumatoid arthritis presentingfor physiotherapy management:A multicentre study
| Autor: | Norelee Kennedy, Lorraine Wallace, Grainne Cussen, Martina Fitzpatrick, Fiona Keogan |
|---|---|
| Rok vydání: | 2007 |
| Předmět: |
Adult
Employment Male medicine.medical_specialty Nursing (miscellaneous) Activities of daily living Health Status Arthritis Observation Physical Therapy Sports Therapy and Rehabilitation Blood Sedimentation Arthritis Rheumatoid Rheumatology Acquired immunodeficiency syndrome (AIDS) Activities of Daily Living medicine Humans Orthopedics and Sports Medicine Disease management (health) Physical Therapy Modalities Aged Aged 80 and over medicine.diagnostic_test business.industry Rehabilitation Middle Aged Self-Help Devices medicine.disease Splints Antirheumatic Agents Rheumatoid arthritis Erythrocyte sedimentation rate Physical therapy Female Observational study Chiropractics business Ireland |
| Zdroj: | Musculoskeletal Care. 5:20-35 |
| ISSN: | 1557-0681 1478-2189 |
| Popis: | Objectives: To describe the characteristics of patients with rheumatoid arthritis (RA) attending for physiotherapy management in Ireland. Methods: Managers of physiotherapy departments in the 53 hospitals in Ireland were invited to participate in a multi-centre observational study over a 6-month period. Data on patients with RA the day of presentation for physiotherapy management were recorded. These data related to patient demographic details, disease management, aids and appliances, splint and orthoses usage and occupational issues. The Health Assessment Questionnaire was also recorded for each patient. Results: A total of 273 patients from eight physiotherapy departments participated in the survey (n = 199; 73% female). Mean age of the participants was 59.3 (SD 12.5) years with mean disease duration of 13.8 (SD 10.6) years. The majority of the patients were inpatients (n = 170, 62%). Sixty-eight per cent of patients had attended for previous physiotherapy treatment and 98% were under current rheumatologist care. Biologic therapies were prescribed to 11% of patients. Use of splint and foot orthoses was high with 133 patients (49%) wearing splints and 75 (31%) wearing foot orthoses. The majority of patients had moderate (n = 119, 44%) or severe (n = 94, 35%) disability as per Health Assessment Questionnaire (HAQ) score. Mean HAQ score was 1.5, with HAQ scores showing increasing disability with increasing age, disease duration and erythrocyte sedimentation rate (ESR) levels. Conclusions: Patients with RA attending for physiotherapy management present with varied profiles. This study provides valuable information on the characteristics of patients with RA attending for physiotherapy management which will contribute to physiotherapy service planning and delivery and will optimize patient care. Copyright © 2006 John Wiley & Sons, Ltd. |
| Databáze: | OpenAIRE |
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