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Use of art as therapeutic intervention for enhancement of hand function in patients with rheumatoid arthritis: A pilot study


1 Department of Community Physiotherapy, Sancheti Institute College of Physiotherapy, Pune, Maharashtra, India
2 Research Department, Sancheti Hospital, Pune, Maharashtra, India

Date of Web Publication27-Jan-2017

Correspondence Address:
Apurv P Shimpi,
Department of Community Physiotherapy, Sancheti Institute College of Physiotherapy, Sancheti Healthcare Academy, Shivaji Nagar, Pune, Maharashtra
India
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Source of Support: None, Conflict of Interest: None

  Abstract 

Background: Conventional physiotherapy treatment for patients with rheumatoid hand emphasizes on single-plane movements and strengthening exercises directed toward improvement of function and prevention of deformities. This may be nondirective and lacks creativity and hence may predispose to a high attrition from therapy. The current study aimed to evaluate the efficacy of art as a creative therapeutic procedure for enhancement of hand functions, self-perception, and quality of life in patients with rheumatoid arthritis (RA).
Methods: A single-blinded, randomized controlled pilot study was conducted on 17 participants suffering from RA. The control group received conventional physiotherapy while the experimental group received art-based intervention with bimanual projects (viz., origami, paper quelling, clay modeling, and oil painting). Both groups received intervention for 45 min daily for 4 weeks. Pre- and post-interventional assessment was done using grip and pinch strength, Grip Ability Test (GAT), Jebsen–Taylor Hand Function Test (JHFT), Australian-Canadian Osteoarthritis Hand Index (AUSCAN), Michigan Hand Outcome Questionnaire (MHQ), and Health Assessment Questionnaire (HAQ).
Results: There was an improvement in hand functions (grip strength [P = 0.042], two-point pinch strength [P = 0.039], three-point pinch strength [P = 0.043], GAT [P = 0.043], JHFT [P = 0.043]), self-perception (AUSCAN [P = 0.043], MHQ [P = 0.043]), and quality of life (HAQ; P = 0.043) in art therapy patients which was similar to conventional therapy patients.
Conclusion: Art is an equally effective therapeutic intervention to conventional therapy for the enhancement of hand functions, self-perception, and quality of life in patients with RA.

Keywords: Bimanual tasks, hand performance, intrinsic muscle strength, physical rehabilitation, quality of life, rheumatoid hand, self-perception



How to cite this URL:
Khedekar S, Shimpi AP, Shyam A, Sancheti P. Use of art as therapeutic intervention for enhancement of hand function in patients with rheumatoid arthritis: A pilot study. Indian J Rheumatol [Epub ahead of print] [cited 2017 May 25]. Available from: http://www.indianjrheumatol.com/preprintarticle.asp?id=199130

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