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Id		621
Author		Khedekar S., Shimpi A.P., Shyam A., Sancheti P.
Title		Use of art as therapeutic intervention for enhancement of hand function in patients with rheumatoid arthritis: A pilot study
Reference		Khedekar S., Shimpi A.P., Shyam A., Sancheti P.; Use of art as therapeutic intervention for enhancement of hand function in patients with rheumatoid arthritis: A pilot study ;Indian Journal of Rheumatology vol:12 issue: 2 page:94.0
Keywords		Bimanual tasks; hand performance; intrinsic muscle strength; physical rehabilitation; quality of life; rheumatoid hand; self-perception
Link to article		https://www.scopus.com/inward/record.uri?eid=2-s2.0-85020161625&doi=10.4103%2f0973-3698.199130&partnerID=40&md5=391dfb8d3f829f450269a012e9e4435c
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. © 2017 Indian Journal of Rheumatology.
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