Perceived functional disabilities among rheumatoid arthritis patients

Tuominen, Risto; Tuominen, Sini; Suominen, Carita; Möttönen, Timo; Azbel, Michael; Hemmilä, Joonas
March 2010
Rheumatology International;Mar2010, Vol. 30 Issue 5, p643
Academic Journal
The aim of this study was to determine from patient perspective the most relevant physical functions when estimating the functional disabilities, and to estimate the perceived relative influence of them. Structured telephone interviews were conducted among 143 RA patients. The subjects were asked to name functions and activities in their everyday life, which were affected by RA. After this, they were asked to score each of the named item with a scale from 0 to 100. These were combined with earlier collected data on sociodemographic background and clinical status. Listed activities were grouped to functional disabilities and further categorized according to joints, limbs and body areas. One or more functional disabilities affecting everyday life because of RA was mentioned by 87.4%, altogether 354 mentions. The most commonly mentioned disabilities were walking and opening jars. However, the most commonly mentioned disabilities were not those with highest perceived disabilities. Of the 59 different types of disabilities mentioned, 25 were connected with movements of the shoulder, 30 with elbow, 40 with wrist, and 37 with fingers. Movements of the back were involved in 20 mentioned disabilities, hip and knee both in 8, and ankles in 6. Disabilities related to lower extremity functions were considered most disabling. In conclusion, to describe RA patients’ functional disability, the measured functions should be those which the patients themselves consider relevant and causing disability. Furthermore, the studied functional measures ought to be weighted according to the relative influence of each function to the patients.


Related Articles

  • Short- and medium-term results of the thrust plate prosthesis in patients with polyarthritis. Fink, Bernd; Siegmüller, Claas; Schneider, Thomas; Conrad, Silke; Schmielau, Gudrun; Rüther, Wolfgang // Archives of Orthopaedic & Trauma Surgery;May2000, Vol. 120 Issue 5/6, p294 

    The thrust plate prosthesis is an implant with metaphyseal fixation to the proximal femur, which leaves the diaphyseal bone untouched. Therefore, this implant is preferred in younger patients. It is dependent on good bone quality in the proximal femur. Because the bone quality is reduced in...

  • Report of Two Cases of Seronegative Rheumatoid Arthritis. Salesi, Mansour // Journal of Isfahan Medical School;3/21/2011, Vol. 28 Issue 123, p1 

    Background: About 10% of rheumatoid arthritis patients are seronegative, (rheumatoid factor is negative). These patients may be resistant to conventional anti-rheumatic drugs (DMARDs). Pamidronate is one of the drugs of the bisphosphonate group, which can control bone resorption by effect on...

  • A noncontact footpad thickness assay to evaluate rheumatoid disease. Wei-Tso Chia; Chien-Fu Jeff Lin; Li-Tzu Yeh; Huey-Kang Sytwu // Rheumatology International;Feb2010, Vol. 30 Issue 4, p547 

    Measuring soft tissue thickness is an important step in rheumatoid disease research. The severity of mouse footpad swelling can be used as an indicator of disease progression. A noncontact footpad thickness assay, simplified geometry measurement system (SGMS), was developed that was able to...

  • A Rare Case of Primary Ovarian Lymphoma in Patients With Rheumatoid Arthritis: Can We Attribute This to Tumor Necrosis Factor Inhibitors? Thota, Swapna; Manda, Sudhir; Dahbar, Mazen; Daw, Hameed // Clinical Ovarian Cancer;Nov2009, Vol. 2 Issue 2, p121 

    Ovarian involvement as an initial manifestation of lymphoma is a rare occurrence. A literature search reveals that the current knowledge is limited to few case reports. Recently it has been suggested that the use of tumor necrosis factor inhibitors (TNFIs) is associated with increased incidence...

  • Radiologic mimics of juvenile rheumatoid arthritis. Wihlborg, Christel; Babyn, P.; Ranson, Marilyn; Laxer, Ron // Pediatric Radiology;Apr2001, Vol. 31 Issue 5, p315 

    Established criteria for diagnosis of juvenile rheumatoid arthritis require consideration of a number of other joint arthropathies and arthritides. In this pictorial essay, we present an approach to those common and uncommon disorders that should be considered and may be mistaken for juventile...

  • CITATIONS AND CLINICIANS' NOTES: RHEUMATOID ARTHRITIS.  // Current Medical Literature: Rheumatology;2005, Vol. 24 Issue 1, p14 

    Presents citations and clinician's notes on rheumatoid arthritis. Inducement of anticardiolipin antibodies in treating patients with rheumatoid arthritis with tumor necrosis factor alpha antagonists; Discussion on the prolonged efficacy of etanercept in refractory enthesitis-related arthritis;...

  • Rheumatoid Arthritis. Emery, Paul; Suarez-Almazor, Maria E. // American Family Physician;11/1/2003, Vol. 68 Issue 9, p1821 

    Presents information about rheumatoid arthritis. Effects of treatments; Definition; Incidence and prevalence; Prognosis.

  • Treatment of early rheumatoid arthritis. Fleischmann, Roy M.; Stern, Richard L.; Iqbal, Imran // Modern Rheumatology (Springer Science & Business Media B.V.);Jul2005, Vol. 15 Issue 3, p153 

    Recent advances in the understanding of the pathophysiology, aggressive treatment, and early detection of rheumatoid arthritis (RA) have changed the clinical, pathologic, and functional outcomes in patients with RA. Early aggressive treatment of RA has now become the norm in clinical practice...

  • Bilateral Tibia and Fibula Fractures in a Patient with Rheumatoid Arthritis. Lloyd, M. E.; Davitt, S.; Hall, J. R. W. // Clinical Rheumatology;Jul2001, Vol. 20 Issue 4, p270 

    : A 52-year-old woman with rheumatoid arthritis treated with low-dose steroids developed bilateral distal tibia and fibula fractures over a 15-month period. Her bone density was within osteopenic levels. Such fractures are an unusual but increasingly recognised complication of rheumatoid disease...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics