Effectiveness of Stretching and Strengthening Exercises of Hands on Functional Ability among Patients with Rheumatoid Arthritis

The present study investigated the effectiveness of stretching and strengthening exercises of hands-on functional ability among patients with rheumatoid arthritis attending a tertiary care Hospital, Kottayam. A quantitative research approach with quasi experimental pre test post test control group design was used for the study. The study was theoretically supported by Betty Neuman's system model. A total of 70 patients with rheumatoid arthritis, 35 each in control and experimental group were selected for the study by using purposive sampling technique. The data were collected using socio personal and clinical data sheet, Modified Michigan's Hand outcome Questionnaire and Modified rheumatoid arthritis quality of life questionnaire. After the pre test, the subjects in the control group receive routine care and subjects in the experimental group received stretching and strengthening exercises of hands supplemented with information leaflet and video regarding the exercises along with routine care. Adherence to the exercises was ensured by telephonic call and they were also asked to maintain a diary of schedule of exercises performed and it was verified during post test. Post -test was conducted for control group and experimental group after 4 weeks using the same tool. The results of the study revealed that the stretching and strengthening exercises of hands had a statistically significant effect on functional ability (p<0.01).