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Development and delivery of an exercise intervention for rheumatoid arthritis: strengthening and stretching for rheumatoid arthritis of the hand (SARAH) trial

Development and delivery of an exercise intervention for rheumatoid arthritis: strengthening and stretching for rheumatoid arthritis of the hand (SARAH) trial
Development and delivery of an exercise intervention for rheumatoid arthritis: strengthening and stretching for rheumatoid arthritis of the hand (SARAH) trial
This paper describes the development and implementation of a hand exercise intervention for rheumatoid arthritis (RA) as part of a large multi-centred randomised controlled trial in a UK National Health Service (NHS) setting. Participants are eligible if diagnosed with RA according to American College of Rheumatology criteria, have a history of disease activity, functional deficit or impairment in the hand and/or wrist, and have been on a stable medication regime for at least 3 months. The intervention development was informed by the current evidence base, published guidelines, clinician and expert opinion, and a pilot study. The exercise programme targets known, potentially modifiable physical impairments of the hand with 5 exercise sessions and a home exercise component over a 12 week period. The intervention will be provided to 240 participants along with usual care. A further 240 will receive usual care only as part of the control arm. Specific details of the treatments delivered are described. [ISRCTN no: 89936343].
0031-9406
121-130
Heine, Peter
53141b60-a5d8-4280-8905-3737689f9a22
Williams, Mark
1d702937-6b71-4078-9027-281ad88a6d10
Williamson, Esther
8adb517c-ddbc-4474-ab04-2e6108d856a5
Bridle, Chris
f38e2a99-82fe-4172-b493-91d081f364db
Adams, Jo
6e38b8bb-9467-4585-86e4-14062b02bcba
O'Brien, Anne
bc2eb078-2257-4c7a-8e5c-ae2fbd2d7327
Evans, D
8ad13ebf-326c-4c1a-92ca-1a1cb29a4b76
Lamb, Sarah
ab6c6075-2b9e-4341-8343-491290a3d33e
Heine, Peter
53141b60-a5d8-4280-8905-3737689f9a22
Williams, Mark
1d702937-6b71-4078-9027-281ad88a6d10
Williamson, Esther
8adb517c-ddbc-4474-ab04-2e6108d856a5
Bridle, Chris
f38e2a99-82fe-4172-b493-91d081f364db
Adams, Jo
6e38b8bb-9467-4585-86e4-14062b02bcba
O'Brien, Anne
bc2eb078-2257-4c7a-8e5c-ae2fbd2d7327
Evans, D
8ad13ebf-326c-4c1a-92ca-1a1cb29a4b76
Lamb, Sarah
ab6c6075-2b9e-4341-8343-491290a3d33e

Heine, Peter, Williams, Mark, Williamson, Esther, Bridle, Chris, Adams, Jo, O'Brien, Anne, Evans, D and Lamb, Sarah (2012) Development and delivery of an exercise intervention for rheumatoid arthritis: strengthening and stretching for rheumatoid arthritis of the hand (SARAH) trial. Physiotherapy, 98 (2), 121-130. (doi:10.1016/j.physio.2011.03.001).

Record type: Article

Abstract

This paper describes the development and implementation of a hand exercise intervention for rheumatoid arthritis (RA) as part of a large multi-centred randomised controlled trial in a UK National Health Service (NHS) setting. Participants are eligible if diagnosed with RA according to American College of Rheumatology criteria, have a history of disease activity, functional deficit or impairment in the hand and/or wrist, and have been on a stable medication regime for at least 3 months. The intervention development was informed by the current evidence base, published guidelines, clinician and expert opinion, and a pilot study. The exercise programme targets known, potentially modifiable physical impairments of the hand with 5 exercise sessions and a home exercise component over a 12 week period. The intervention will be provided to 240 participants along with usual care. A further 240 will receive usual care only as part of the control arm. Specific details of the treatments delivered are described. [ISRCTN no: 89936343].

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Published date: 2012
Organisations: Physical & Rehabilitation Health

Identifiers

Local EPrints ID: 347422
URI: https://eprints.soton.ac.uk/id/eprint/347422
ISSN: 0031-9406
PURE UUID: b9a8c822-0414-49a6-8e66-12bf87a8d8bf
ORCID for Jo Adams: ORCID iD orcid.org/0000-0003-1765-7060

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Date deposited: 28 Jan 2013 14:20
Last modified: 18 May 2019 00:38

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