Occupational therapy for rheumatoid arthritis
John Wiley & Sons, Ltd, 2004
academicJournal
Zugriff:
BACKGROUND: For persons with rheumatoid arthritis (RA) the physical, personal, familial, social and vocational consequences are extensive. Occupational therapy (OT), with the aim to facilitate task performance and to decrease the consequences of rheumatoid arthritis for daily life activities, is considered to be a cornerstone in the management of rheumatoid arthritis. Till now the efficacy of occupational therapy for patients with rheumatoid arthritis on functional performance and social participation has not been systematically reviewed. OBJECTIVES: To determine whether OT interventions (classified as comprehensive therapy, training of motor function, training of skills, instruction on joint protection and energy conservation, counseling, instruction about assistive devices and provision of splints) for rheumatoid arthritis patients improve outcome on functional ability, social participation and/or health related quality of life. SEARCH METHODS: Relevant full length articles were identified by electronic searches in Medline, Cinahl, Embase, Amed, Scisearch and the Cochrane Musculoskeletal group Specialised Register. The reference list of identified studies and reviews were examined for additional references. Date of last search: December 2002. SELECTION CRITERIA: Controlled (randomized and non‐randomized) and other than controlled studies (OD) addressing OT for RA patients were eligible for inclusion. DATA COLLECTION AND ANALYSIS: The methodological quality of the included trials was independently assessed by two reviewers. Disagreements were resolved by discussion. A list proposed by Van Tulder et al. () was used to assess the methodological quality. For outcome measures, standardized mean differences were calculated. The results were analysed using a best evidence synthesis based on type of design, methodological quality and the significant findings of outcome and/or process measures. MAIN RESULTS: Thirty‐eight out of 58 identified occupational therapy studies fulfilled all inclusion criteria. Six controlled ...
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Occupational therapy for rheumatoid arthritis
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Autor/in / Beteiligte Person: | Steultjens, Esther EMJ ; Dekker, Joost J ; Bouter, Lex M ; Schaardenburg, Dirk ; Jan, D ; Kuyk, Marie‐Antoinette MAH ; Van den Ende, Els CHM |
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Veröffentlichung: | John Wiley & Sons, Ltd, 2004 |
Medientyp: | academicJournal |
DOI: | 10.1002/14651858.CD003114.pub2 |
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