Evaluation of manual dexterity in individuals with rheumatoid arthritis
DOI:
https://doi.org/10.5935/0104-7795.20150032Keywords:
Rheumatoid Arthritis, Motor Skills, HandsAbstract
Objective: To analyze the manual dexterity of patients with RA based on the level of disease activity. Methods: The study evaluated twenty-three individuals with RA, of both sexes, aged 54.78 (± 12.54) years. All participants underwent an interview for data collection for identification and medical history, blood collection for dosage of C-reactive protein (CRP), determination of disease activity level through the Disease Activity Score-28 (DAS-28), and evaluation of manual dexterity with the Moberg Pickup Test (MPUT). The Semmes-Weinstein Monofilaments were applied to discard any problems of tactile sensitivity. Results: It was observed that the group ranked as having moderate disease activity took longer to perform the MPUT with the dominant hand and open eyes, in comparison with the group ranked as having low disease activity. The group ranked as having high disease activity also took longer to perform the MPUT with the dominant hand and closed eyes, in comparison with the group ranked as having low disease activity. In addition, there was a positive correlation between the DAS-28 and the time to perform the MPUT with the dominant hand and closed eyes. Conclusion: Manual dexterity can be impaired by the level of disease activity in individuals with RA, generating difficulties in performing activities of daily living. These results can contribute to identifying better treatment strategies in order to improve the quality of life of these patients.
Downloads
References
Angha O. Epidemiology of rheumatic diseases. Rheumatology (Oxford). 2000;39 Suppl 2:3-12. DOI: http://dx.doi.org/10.1093/rheumatology/39.suppl_2.3
Brandao L, Ferraz MB, Zerbini CAF. Avaliaçao da qualidade de vida na artrite reumatoide: revisao atualizada. Rev Bras Reumatol. 1997;37(5):275-81.
Bodur H, Yilmaz O, Keskin D. Hand disability and related variables in patients with rheumatoid arthritis. Rheumatol Int. 2006;26(6):541-4. DOI: http://dx.doi.org/10.1007/s00296-005-0023-1
Laurindo IEM, Pinheiro GRC, Ximenes AC, Xavier RM, Giorgi RDN, Ciconelli RM, et al. Consenso brasileiro para o diagnóstico e tratamento da artrite reumatoide. Rev Bras Reumatol. 2002;42(6):355-61.
Magee DJ. Avaliaçao musculoesquelética. 4 ed. Barueri: Manole; 2005.
van de Ven-Stevens LA1, Munneke M, Terwee CB, Spauwen PH, van der Linde H. Clinimetric properties of instruments to assess activities in patients with hand injury: a systematic review of the literature. Arch Phys Med Rehabil. 2009;90(1):151-69. DOI: http://dx.doi.org/10.1016/j.apmr.2008.06.024
Dellhag B, Hosseini N, Bremell T, Ingvarsson PE. Disturbed grip function in women with rheumatoid arthritis. J Rheumatol. 2001;28(12):2624-33.
Carmeli E, Patish H, Coleman R. The aging hand. J Gerontol A Biol Sci Med Sci. 2003;58(2):146-52. DOI: http://dx.doi.org/10.1093/gerona/58.2.M146
Stucki G, Sigl T. Assessment of the impact of disease on the individual. Best Pract Res Clin Rheumatol. 2003;17(3):451-73. DOI: http://dx.doi.org/10.1016/S1521-6942(03)00025-1
Sokka T. How should rheumatoid arthritis disease activity be measured today and in the future in clinical care? Rheum Dis Clin North Am. 2010;36(2):243-57.
Cima SR, Barone A, Porto JM, de Abreu DC. Strengthening exercises to improve hand strength and functionality in rheumatoid arthritis with hand deformities: a randomized, controlled trial. Rheumatol Int. 2013;33(3):725-32. DOI: http://dx.doi.org/10.1007/s00296-012-2447-8
Stamm TA, Ploner A, Machold KP, Smolen J. Moberg picking-up test in patients with inflammatory joint diseases: a survey of suitability in comparison with button test and measures of disease activity. Arthritis Rheum. 2003;49(5):626-32. DOI: http://dx.doi.org/10.1002/art.11378
Chiari-Grisar C, Koller U, Stamm TA, Wanivenhaus A, Trieb K. Performance of the disabilities of the arm, shoulder and hand outcome questionnaire and the Moberg picking up test in patients with finger joint arthroplasty. Arch Phys Med Rehabil. 2006;87(2):203-6. DOI: http://dx.doi.org/10.1016/j.apmr.2005.10.007
Chakr R, Brusch LRF, Brenol CV, Krug BC, Gonçalves CBT, Amaral KM, et al. Protocolo clínico e diretrizes terapêuticas - artrite reumatóide. In: Picon PD, Gadelha MIP, Alexandre RF (editores). Protocolos clínicos e diretrizes terapêuticas: volume 3. Brasília (DF): Ministério da Saúde; 2014. p. 81-130.
Arnett FC, Edworthy SM, Bloch DA, McShane DJ, Fries JF, Cooper NS. The American Rheumatism Association 1987 revised criteria for the classification of Rheumatoid Arthritis. Arthritis Rheum. 1988;31(3):315-24. DOI: http://dx.doi.org/10.1002/art.1780310302
Carvalho GA, Chierichetti HSI. Avaliaçao da sensibilidade cutânea palmar nas aplicaçoes de crioterapia por bolsa de gelo e bolsa de gel. Rev Bras Cien Mov. 2006;14(1):23-30.
Prevoo ML, van't Hof MA, Kuper HH, van Leeuwen MA, van de Putte LB, van Riel PL. Modified disease activity scores that include twenty-eight-joint counts. Development and validation in a prospective longitudinal study of patients with rheumatoid arthritis. Arthritis Rheum. 1995;38(1):44-8. DOI: http://dx.doi.org/10.1002/art.1780380107
van Gestel AM, Haagsma CJ, van Riel PLCM. Validation of rheumatoid arthritis improvement criteria that include simplified joint counts. Arthritis Rheum. 1998;41(10):1845-50.
Amirjani N, Ashworth NL, Gordon T, Edwards DC, Chan KM. Normative values and the effects of age, gender, and handedness on the Moberg Pick-Up Test. Muscle Nerve. 2007;35(6):788-92. DOI: http://dx.doi.org/10.1002/mus.20750
Lankveld WGJM, van't Pad Bosch P, van De Putte L. Predictors of changes in observed dexterity during one year in patients with rheumatoid arthritis. Br J Rheumatol. 1998;37(7):733-9. DOI: http://dx.doi.org/10.1093/rheumatology/37.7.733
Eberhardt K, Sandqvist G, Geborek P. Hand function tests are important and sensitive tools for assessment of treatment response in patients with rheumatoid arthritis. Scand J Rheumatol. 2008;37(2):109-12. DOI: http://dx.doi.org/10.1080/03009740701747129
Adams J, Burridge J, Hammond A, Cooper C. The effects of early rheumatoid arthritis on dominant and non-dominant hand impairment and function. Br J Hand Ther. 2005;10:93-9.
Stamm TA, Ploner A, Machold KP, Smolen J. Moberg picking-up test in patients with inflammatory joint diseases: a survey of suitability in comparison with button test and measures of disease activity. Arthritis Rheum. 2003;49(5):626-32. DOI: http://dx.doi.org/10.1002/art.11378
Downloads
Published
Issue
Section
License
Copyright (c) 2015 Acta Fisiátrica
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.