There are limited studies in the literature evaluating upper extremity functional exercise capacity, muscle functions and daily living activities in rheumatoid arthritis patients. In this context, the aim of this study was to investigate upper extremity exercise capacity, hand grip strength and daily living activities in rheumatoid arthritis patients.
Rheumatoid arthritis is an inflammatory autoimmune chronic and systemic disease of unknown etiology. In addition to musculoskeletal involvement, lung involvement can also be observed in patients. Lung involvement and accompanying symptoms cause deterioration of physical function, quality of life and functional capacity. In rheumatoid arthritis, dyspnea can be observed during exertion due to disease progression, drug toxicity and respiratory/cardiovascular morbidities. In patients, decreased respiratory muscle strength, respiratory functions, carbon monoxide diffusion capacity and oxygen consumption also cause decreased physical functions. It has been reported that upper extremity exercise capacity and functional performance are reduced in patients with interstitial lung disease. It is known that peripheral muscle strength is an independent determinant of exercise capacity in interstitial lung disease. Rheumatoid cachexia, characterized by decreased muscle mass and increased fat mass, is observed in rheumatoid arthritis patients. Since the patients' accessory respiratory muscles are also affected, it can negatively affect their daily life activities, especially those that use the upper extremities.
Study Type
OBSERVATIONAL
Enrollment
60
Kırşehir Ahi Evran University, Physical Therapy and Rehabilitation Center, Cardiopulmonary Unit
Kırşehir, Merkez, Turkey (Türkiye)
RECRUITINGEvaluation of Upper Extremity Exercise Capacity
The six minute peg board and ring test will be used to assess upper extremity exercise capacity.
Time frame: First day and second day
Glittre Activities of Daily Living
The Glittre activities of Daily Living test will be used to evaluate the daily living activities of individuals.
Time frame: Second day
Hand-grip strength
Hand-grip strength will be assessed using a hand dynamometer.
Time frame: First day
Evaluation of upper extremity functional status
The Arm, Shoulder and Hand Disabilities Questionnaire (DASH) will be used to evaluate the upper extremity functional status of individuals. The DASH evaluates the functional status of the upper extremity subjectively according to the Likert scale. It consists of 3 sections. The questionnaire scores between 0 (no disability) and 100 (severe disability).
Time frame: First day
Evaluation of arm and shoulder muscle strength and endurance
The Thirty-Second Push-Up Test will be used to evaluate arm and shoulder muscle strength and endurance.
Time frame: Second day
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