Effects of occupational therapy home service on patients with rheumatoid arthritis.
Because there is little information about the efficacy of home occupational therapy, we decided to assess the effects of a home service on patients with rheumatoid arthritis. 105 patients aged 18-70 years, on stable medical therapy, were randomised to receive a 6-week comprehensive programme of occupational therapy (experimental group, 53 patients) or to receive no such treatment (control group, 52). At 6 weeks, control patients received the experimental regimen, and experimental patients were continued on treatment as needed up to 12 weeks. Outcomes were measured at baseline, 6, and 12 weeks with a global functional capacity score (functional score). At 6 weeks the functional score for the experimental group was significantly higher than that for the control group (mean difference = 8.1, 95% Cl 1.7 to 15.8, p = 0.012). Control patients at 12 weeks showed a similar improvement to experimental patients at 6 weeks, and between 6 and 12 weeks the experimental patients were stable. Occupational therapy leads to a statistically significant and clinically important improvement in function in patients with rheumatoid arthritis.
Department of Physical Therapy, University of Western Ontario, London, Canada.
A
A
Helewa
C H
CH
Goldsmith
P
P
Lee
C
C
Bombardier
B
B
Hanes
H A
HA
Smythe
P
P
Tugwell
D000203:Activities of Daily Living; D000328:Adult; D000368:Aged; D001172:Arthritis, Rheumatoid / Q000534:rehabilitation*; D005500:Follow-Up Studies; D006699:Home Care Services; D006801:Humans; D008875:Middle Aged; D009788:Occupational Therapy / Q000379:methods* / Q000592:standards; D009864:Ontario; D010043:Outcome and Process Assessment, Health Care / Q000379:methods; D013997:Time Factors