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Indian Journal of Physiotherapy and Occupational Therapy - An International Journal
Year : 2018, Volume : 12, Issue : 3
First page : ( 48) Last page : ( 53)
Print ISSN : 0973-5666. Online ISSN : 0973-5674.
Article DOI : 10.5958/0973-5674.2018.00055.2

Comparing the Effect of Proprioceptive Retraining Technique against Home Exercise Programme on Hand Functions in Patients with Rheumatoid Arthritis

Mohanty Bikash1, Padhan Prasanta2,*, Singh Pragyan3

1Department of Occupational Therapy, Swami Vivekananda National Institute of Rehabilitation Training and Research (SVNIRTAR), Olatpur, Bairoi, Cuttack

2Associate Professor, Department of Rheumatology, Kalinga Institute of Medical Sciences, KIIT University, Bhubaneswar

3Lecturer, Occupational Therapy, Department of Occupational Therapy, Swami Vivekananda National Institute of Rehabilitation Training and Research (SVNIRTAR), Olatpur, Bairoi, Cuttack, Odisha, India

*Corresponding Author: Dr. Prasanta Padhan Associate Professor, Department of Rheumatology, Kalinga Institute of Medical Sciences, KIIT University, Bhubaneswar-751024, Odisha, India Phone: 9778940630 Email: prasanta.padhan@gmail.com

Online published on 21 July, 2018.

Abstract

Introduction

Rheumatoid Arthritis (RA) is an autoimmune, inflammatory disease that causes progressive destruction in the joints with the hands and wrists being the most frequent actively involved joint. Hand involvement significantly affects daily living activities in RA with decreased mobility. Aim of the study was to compare the effect of Proprioceptive retraining (PRT) technique over home exercise (HE) program on hand functions in RA.

Method

After obtaining written informed consent, forty patients with rheumatoid arthritis for more than one year duration fulfilling the inclusion criteria were randomly assigned to two groups with 20 subjects each. One group received proprioceptive retraining and the other group received the home exercise programme for 8 weeks.

Result

Data was analyzed using SPSS version 21.0 software. the hand functions in the PRt group improved significantly as compared to the HE group. Patients under both the programs showed significant improvement of hand functions after 8 weeks of intervention.

Conclusion

The proprioceptive retraining technique is more effective than home exercise programme in improving hand functions in RA patients.

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Keywords

Rheumatoid arthritis, proprioceptive retraining, Hand function, Home exercise, ADL.

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