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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 |
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| 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 |
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| 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. |
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. An alternative to this can be sought by using bimanual components in fine arts as a therapeutic tool because when people are provided with an opportunity to work with creative and artistic processes they are able to create congruence between their illness and conceptual sense. Thus the current study aimed to evaluate the efficacy of art as a therapeutic procedure for enhancement of hand functions self-perception and quality of life in patients with RA. The pre- and post-interventional assessments were assessed by an independent blinded trained physiotherapist and were based on three hand function outcome measures namely Grip strength two-point and three-point pinch strength Grip Ability Test and Jebsen-Taylor Hand Function Test ; two tests for self-perception of hand functions namely Australian-Canadian OA Hand Index and Michigan Hand Outcomes Questionnaire and one test for the quality of life in patients ie Health Assessment Questionnaire. The control group received conventional physiotherapy while the experimental group received art-based intervention with bimanual projects Figure for min daily for weeks.
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