[The Polish model of physiotherapeutic conduct in rheumatoid arthritis and recommendation of Ottawa Panel].
OBJECTIVE
The aim of the research was to evaluate how the suggestions of the Ottawa Panel are implemented with regard to the patents suffering from rheumatoid arthritis in Poland.


METHODS
in the research there was a test group of 41 people (33 women and 8 men) with rheumatoid arthritis. The criterion that was decisive in this study was the phase of reemission of the illness and whether the patient was taking part in physiotherapeutic treatment. The age of the subjects varied from 25 and 79 (the average age was 53.11). The average duration of the illness was 12.17 years. The research was conducted from November 2006 until September 2007 in Wiktor Dega Orthopedic-Rehabilitation Clinical Hospital (O-RSK4) in Poznan and in 22nd Military Rehabilitation Hospital in Ciechocinek.


RESULTS
It was shown in the tested group there was a deep correlation between the joints with movement restrictions and the ones that caused most pain (r = 0.6086 for sum of painful joints with those with movement restrictions). Any link between the presence of deformation within the lower limb and exercising the suggested elements of gait during rehabilitation has not been found. Similarly, there was no dependence between the presence of deformations in the upper limb and the appropriate physiotherapeutic treatment. However, only in one patient the physical treatment recommended by the Panel was not used at all.


CONCLUSIONS
The majority of the Ottawa Panel recommendations is implemented in the Polish model. A big part of patients has access to rehabilitation and usually the physical treatment techniques that proved to be the most beneficial are used. However, certain changes should be introduced to kinesis therapy, which tends to be focused more on joint deformation than on global work on the improvement of functionality and thus--the quality of patient's life.
Kuncewicz
Elzbieta
E
Katedra i Klinika Fizjoterapii, Reumatologii i Rehabilitacji, Uniwersytet Medyczny im. Karola Marcinkowskiego w Poznaniu. e.kuncewicz@interia.pl
Samborski
Paweł
P
Szpera
Agata
A
Krawczyk-Wasielewska
Agnieszka
A
Sobieska
Magdalena
M
Kalmus
Piotr
P
Samborski
Włodzimierz
W
D000328:Adult; D000368:Aged; D018771:Arthralgia / Q000209:etiology / Q000534:rehabilitation; D001172:Arthritis, Rheumatoid / Q000150:complications / Q000534:rehabilitation*; D015444:Exercise; D005081:Exercise Therapy / Q000145:classification; D005260:Female; D005684:Gait; D006801:Humans; D007596:Joints / Q000503:physiopathology; D008297:Male; D008875:Middle Aged; D010147:Pain Measurement; D026741:Physical Therapy Modalities / Q000592:standards*; D026761:Physical Therapy Specialty / Q000592:standards*; D011044:Poland; D017410:Practice Guidelines as Topic; D011788:Quality of Life; D016059:Range of Motion, Articular