Treatment of Rheumatoid Hand With Magnetotherapy

Brief Summary: Participants with rheumatoid arthritis with recommendation to physiotherapy. Created 2 study groups: Kinesiotherapy with static magnetic field Kinesiotherapy with low-frequency pulsed magnetic field Pulsed magnetic field give better effects then static magnetic field.

Participants with rheumatoid arthritis with recommendation to physiotherapy. All participants have dysfunction and pain of hand. Before entering the study, all patients were examined by a rheumatologist, who determined the degree of radiological and functional changes and measured blood pressure. Patients with II° and III° of radiological and functional changes were qualified for the study. All the patients gave their informed consent to participate in the study. The examination included an overall assessment of functional status. Patients were examined immediately before and after the intervention.

Assessor evaluating the patients' condition had no knowledge of the outcome of randomization of patients to the study groups.

Patients have kinesiotherapy of hand and static magnetic field. All patients without steroid anti-inflammatory drugs.

Patients have kinesiotherapy of hand and low-frequency pulsed magnetic field. All patients without steroid anti-inflammatory drugs.

Individual kinesiotherapy. Parameters of magnetic field: 7 mT, f= 10-20 Hz, type of impulse: bipolar, rectangular pulse

Pain severity rating scale. only one value. Minimum value is 0, maximum value is 10. The best is 0, the worst is 10.

Subjective assesment of level of disability. Value of each of 8 subsections: minimum value 0, maximum value 3. total score is averaged. The best total score is 0, the worst is 3.

Computerized measurement of the range of motion of the joints of the hand [mm]. A higher score value meant a greater range of motions.

Measurement of hand volume using the displacement method [mm3]. The higher score means less swelling.

Patient's subjective assessment of the duration of morning stiffness [min]. The longer durations means more hand dysfunction.

Assessing the severity of morning stiffness using a 100-point scale. The higher score means a greater severity of morning stiffness.

Inclusion Criteria: Informed voluntary consent to participate in the study II ° and III ° of advancement of radiological changes II ° and III ° of advancement of functional changes Remission, low or moderate RA activity: DAS28 Medical referral for physiotherapy treatment Exclusion Criteria: Additional physiotherapy treatments for the hands Contraindications for magnetotherapy treatments Lack of informed, voluntary consent to participate in the study

Laboratorium Czynników Fizykalnych w Rehabilitacji w Przyrodniczo-Medycznym Centrum Badań Innowacyjnych Uniwersytetu Rzeszowskiego

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