EFFECT OF THE P.A.R.Q.V.E ON RHIZARTHRITIS

Fabio Mazetti Reaes, Mauricio Menezes Aben Athar Ivo, Daniele Dos Santos Scarcella, Ligia Cortez Almeida, Rosana Mayumi Suzuki, Marcia Uchoa DE Rezende, Fabio Mazetti Reaes, Mauricio Menezes Aben Athar Ivo, Daniele Dos Santos Scarcella, Ligia Cortez Almeida, Rosana Mayumi Suzuki, Marcia Uchoa DE Rezende

Abstract

Objective: To evaluate the effect of a clinical management program involving education on hand function in patients with rhizarthritis.

Methods: One hundred and eight patients with rhizarthritis and multiple arthritis (191 hands with clinical and radiographic rhizarthritis) followed for two years as part of an educational program on osteoarthritis were administered the SF-36, DASH, and HAQ questionnaires and measured for the strength of their palmar grip, pulp to pulp pinch, key (lateral) pinch, and tripod pinch at the time of inclusion and after 24 months. Age, race, level and frequency of physical activity, sex, body mass index, percentage of body fat, and degree of osteoarthritis were correlated to the test outcomes.

Results: Women improved less than men on the HAQ (p=0.037). Each 1% reduction in fat percentage increased the chance of HAQ score improvement by 9.2% (p=0.038). Physical activity did not influence improvement in the parameters evaluated (p>0.05). Palmar grip improvement was affected by age and presence of rhizarthritis (p<0.05); patients with unilateral rhizarthritis improved 5.3 times more than patients without the disease (p=0.015), while improvement in palmar grip strength decreased 6.8% per year (p=0.004). Pulp pinch grip strength improved more in women than in men (p=0.018).

Conclusion: Patients with rhizarthritis and multiple arthritis improved quality of life and grip strength through clinical treatment, an educational program, and fat loss. Level of Evidence II; Retrospective study.

Keywords: Fat body; Hand deformities, acquired; Hand strength; Health education; Knee; Osteoarthritis.

Conflict of interest statement

All authors declare no potential conflict of interest related to this article.

Figures

Figure 1. Flow of study participants.
Figure 1. Flow of study participants.

References

    1. Lawrence RC, Felson DT, Helmick CG, Arnold LM, Choi H, Deyo RA. Estimates of the prevalence of arthritis and other rheumatic conditions in the United States Part II. Arthritis Rheum. 2008;58(1):26–35.
    1. Mathers C. World Health Organization . The Global Burden of Disease: 2004 Update. World Health Organization; 2008.
    1. Arden N, Nevitt MC. Osteoarthritis epidemiology. Best Pract Res Clin Rheumatol. 2006;20(1):3–25.
    1. Brandt KD, Radin EL, Dieppe PA, van de Putte L. Yet more evidence that osteoarthritis is not a cartilage disease. Ann Rheum Dis. 2006;65(10):1261–1264.
    1. Brandt KD, Dieppe P, Radin EL. Etiopathogenesis of osteoarthritis. Rheum Dis Clin North Am. 2008;34(3):531–559.
    1. Lane NE, Brandt K, Hawker G, Peeva E, Schreyer E, Tsuji W. OARSI-FDA initiative defining the disease state of osteoarthritis. Osteoarthritis Cartilage. 2011;19(5):478–482.
    1. Martel-Pelletier J, Boileau C, Pelletier J-P, Roughley PJ. Cartilage in normal and osteoarthritis conditions. Best Pract Res Clin Rheumatol. 2008;22(2):351–384.
    1. Litwic A, Edwards MH, Dennison EM, Cooper C. Epidemiology and burden of osteoarthritis. Br Med Bull. 2013;105:185–199.
    1. Jamshidi AR. Clinical Hand Osteoarthritis in Tehran Prevalence, Signs, Symptoms, and Pattern - COPCORD Stage I, Iran Study. J Rheumatol. 2008;35(7):1467–1468.
    1. Zeng QY, Chen R, Darmawan J, Xiao ZY, Chen SB, Wigley R. Rheumatic diseases in China. Arthritis Res Ther. 2008;10(1):R17–R17.
    1. Rezende MU, Campos GC, Pailo AF, Frucchi R, Pasqualin T, Camargo OP. PARQVE - Project Arthritis Recovering Quality of Life by means of Education short-term outcome in a randomized clinical trial. J Arthritis. 2013;2:2–2.
    1. Kuhn VC, Scarcella DS, Suzuki RM, Almeida LC, Brito NL, Rezende MU. Prevalence and incidence of hand osteoarthritis and upper limb complaints in patients with knee osteoarthritis Correlations among functionality grip strength, changes in body mass index and symptoms among patients in an educational osteoarthritis program. Open J Orthop. 2016;6:1–9.
    1. Rezende MU, Hissadomi MI, Campos GC, Frucchi R, Pailo AF, Pasqualin T. One-year results of on educational program on osteoarthritis a prospective randomized controlled trial in Brazil. Geriatr Orthop Surg Rehabil. 2016;7(2):86–94.
    1. Kirihara RA, Catelan FB, Farias FE, Silva CA, Cernigoy CH, Rezende MU. Intensidade, duração e tipo de atividade física para melhora da função na gonartrite. Acta Ortop Bras. 2017;25(1):25–29.
    1. Rezende MU, Frucchi R, Pailo AF, Campos GC, Pasqualin T, Hissadomi MI. PARQVE projeto artrose recuperando qualidade de vida pela educação: resultados em dois anos. Acta Ortop Bras. 2017;25(1):18–24.
    1. Eaton RG, Lane LB, Littler JW, Keyser JJ. Ligament reconstruction for the painful thumb carpometacarpal joint A long-term assessment. J Hand Surg Am. 1984;9:692–699.
    1. Rezende MU, Pailo AF, Strutz CG, Cernigoy CHA, Silva CAC, Scarcella DS. Tratamento multiprofissional da artrose. Rio de Janeiro: Revinter; 2015.
    1. Ciconelli RM, Ferraz MB, Santos W, Meinão I, Quaresma MR. Tradução para a língua portuguesa e validação do questionário genérico de ava- liação de qualidade de vida SF-36 (Brasil SF-36) Rev Bras Reumatol. 1999;39(3):143–150.
    1. Orfale AG, Araújo PM, Ferraz MB, Natour J. Translation into Brazilian Portuguese, cultural adaptation and evaluation of the reliability of the Disabilities of the Arm, Shoulder and Hand Questionnaire. Braz J Med Biol Res. 2005;38(2):293–302.
    1. Hudak PL, Amadio PC, Bombardier C. Development of an upper extremity outcome measure the DASH (disabilities of the arm, shoulder and hand) [corrected]. The Upper Extremity Collaborative Group (UECG) Am J Ind Med. 1996;29(6):602–608.

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