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© 1994 British Society for Rheumatology

research-article

EFFECT OF ENERGY CONSERVATION AND JOINT PROTECTION EDUCATION EN RHEUMATOID ARTHRITIS

M. A. BARRY*,, J. PURSER{dagger}, R. HAZLEMAN{dagger}, A. MCLEAN{dagger} and B. L. HAZLEMAN*

*Rheumatology Research Unit, Addenbrooke's Hospital Hills Road, Cambridge CB2 2QQ
{dagger}Newmarket General Hospital Exning Road, Newmarket CB8 7JG

Correspondence to: Correspondence to: M. A. Barry, Department of Rheumatology, James Connolly Memorial Hospital, Blanchardstown, Dublin 15, Republic of Ireland.

As there is relatively little information about the effectiveness of occupational therapy (OT) in RA a questionnaire was devised to assess whether patient knowledge and performance of joint protection manoeuvres improved following OT intervention and, if improved, whether this was sustained over 6 months.

A photographic multiple choice questionnaire was devised covering major categories of activities of daily living. The study population consisted of 55 patients with RA attending a rheumatology clinic who had not previously had OT treatment. Patients had a single instruction/treatment session with an occupational therapist of 1-h duration. Prior to treatment the questionnaire was administered by an independent assessor who re-administered the questionnaire 1 month and 6 months after the OT session.

Following treatment there was a significant increase in scores at 1 month compared with pre-treatment (P <0.001). There was no significant change in score at 6 months compared with 1 month. Qualitative analysis of age and sex showed no significant effects. OT leads to sustained improvement in patient knowledge and probably performance of joint protection manoeuvres in RA.

KEY WORDS: Occupational therapy, Rheumatoid arthritis


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