The effect of a physical therapy programme on the condition of upper limb muscles in patients with rheumatoid arthritis

Igor Grygus
ID
Email src
Anzhela Nogas
ID
Department of Medical and Biological Disciplines, Institute of Health, National University of Water and Environmental Engineering, Rivne, Ukraine
Department of Medical and Biological Disciplines, Institute of Health, National University of Water and Environmental Engineering, Rivne, Ukraine
Received: 18 April 2023 / Revised: 15 May 2023 / Accepted: 30 May 2023 / Published: 30 September 2023

Abstract

Introduction and aim. Rheumatoid arthritis is a chronic progressive systemic disease of the connective tissue affecting the joints, mainly small, of the erosive-destructive polyarthritis type, and frequent systemic inflammatory damage to internal organs. The purpose of the research is to evaluate the effectiveness of physical therapy on the muscles of upper limbs in patients with rheumatoid arthritis by the dynamics of muscle strength and strength index.

Material and methods. To determine the strength of the muscles of the affected upper limbs were used dynamometry, calculated strength index as a percentage to assess the functional ability of the affected limb. All patients were divided into control (n=92) and main (n=96) groups, taking into account the functional insufficiency of the joints.

Results. After 6 months of physical therapy, muscle strength indicators in the main group of patients with 1st degree of functional joints insufficiency (FJI) in the affected right limb increased by 3.1 kg, in the left by 3 kg; with 2nd degree FJI – in the right limb by 4.2 kg, in the left – by 3.7 kg, significantly exceeded the same indicators in patients of the control group (р<0.05). Similarly, there was an increase in the strength index in the patients of the main group.

Conclusion. Physical therapy technology has been developed and implemented effectively influenced the increase in muscle strength and strength index of affected upper limbs of the main group of patients with rheumatoid arthritis.

 

Cite

Grygus I, Nogas A. The effect of a physical therapy programme on the condition of upper limb muscles in patients with rheumatoid arthritis. Eur J Clin Exp Med. 2023;21(4):723–729. doi: 10.15584/ejcem.2023.4.10.

This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited