This study is a single-blinded, randomized, parallel controlled trial.The purpose of this experiment is to confirm how "Yijinjing" treatment affects hand function, handgrip strength, pain, morning stiffness, and mood disorder in RA patients compared to routine care.
To compare the efficacy of Traditional Chinese Exercise Yijinjing and routine care on hand dysfunction,which is the clinical challenge in rheumatoid arthritis (RA), a single- centre,single-blinded, randomized controlled trial will be conducted. Sixty-six RA patients will be randomly allocated (1:1) to treatment with Yijinjing exercise or routine care. The primary outcome is a 10% improvement in the Michigan Hand Outcomes Questionnaire (MHQ) at week 12.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
SINGLE
Enrollment
66
Yi Jin Jing of The General Administration of Sport of China, which consists of twelve operational processes as the standard intervention
Guang'anmen Hospital, China Academy of Chinese Medical Sciences
Beijing, China
RECRUITINGThe Michigan Hand Outcomes Questionnaire (MHQ)
The Michigan Hand Outcomes Questionnaire(MHQ) consists of 37 questions about six categories:(1) overall hand function; (2) activities of daily living; (3) work performance; (4) pain; (5) aesthetics; and (6) patient satisfaction with hand function, measured individually for the left and right hands. Each item is given a value between 0 and 100, with higher scores indicating superior function and higher pain ratings denoting more intense pain.
Time frame: week 12
Pain Visual Analogue Scale
0 signifying "no pain" and 10 signifying "the worst intolerable agony"
Time frame: week 12
The number of swollen joints, painful joints, and deformed joints
Number of the following 28 joints: elbows, shoulders, elbow, wrists, metacarpal- phalangeal I-V, proximal interphalangeal I-V and knees which are swollen, painful or deformed.
Time frame: week 12
Morning stiffness duration
The time (minutes) of the patient's self-reported morning stiffness
Time frame: week 12
Handgrip strength
An electronic gripper will be used to assess handgrip strength (kg). Be carried out three times, the final result set by the average value.
Time frame: week 12
Range of motion(ROM)
Use a protractor to calculate the wrist flexion, dorsiflexion, ulnar deviation, radial deviation, MCP flexion, PIP flexion, and finger dorsiflexion angles(°).
Time frame: week 12
Health Assessment Questionnaire Disability Index(HAQ)
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Health Assessment Questionnaire Disability Index(HAQ) contains 20 questions about daily activities such as dressing, brushing, getting up, eating, strolling, maintaining personal hygiene, touching, and holding. For each question, there is a four level that is scored from 0 (without any difficulty) to 3 (unable to do).
Time frame: week 12
The Self-rating anxiety scale (SAS)
The Self-rating Anxiety Scale (SAS) mainly consists of 20 items rated on a 4-point scale that from 0(no or little time) to 3(most or all of time).
Time frame: week 12
The self-rating depression scale (SDS)
The Self-rating Anxiety Scale (SAS) mainly consists of 20 items rated on a 4-point scale that from 0(no or little time) to 3(most or all of time).
Time frame: week 12
Wrist joint ultrasonography Outcome Measures in Rheumatology (OMERACT) score
Using the EULAR-OMERACT to classify rheumatoid arthritis synovitis and tenosynovitis.
Time frame: week 12