title: Occupational therapy interventions for adults with rheumatoid arthritis: an appraisal of the evidence.
abstract: This article identifies and critically appraises six systematic reviews published from 2007 to 2013 that assessed the efficacy of interventions used by occupational therapists for adults with rheumatoid arthritis. Results suggest there is sufficient evidence to support the use of therapeutic exercise, patient education through joint protection, and splinting for pain, inflammation, and grip strength but insufficient evidence to support the use of Tai Chi. To help guide clinical practice, future studies need to focus on the appropriate levels of intensity and combinations of therapeutic exercise, effective use of splinting, efficacy of specific education programs, and the use of Tai Chi as these relate to important patient outcomes.
authors.affiliation: 1Master of Occupational Therapy Program, School of Health Sciences, Cleveland State University, Cleveland, OH, USA.
authors.forename: Beth A
authors.initials: BA
authors.lastname: Ekelman
authors.forename: Lisa
authors.initials: L
authors.lastname: Hooker
authors.forename: Alex
authors.initials: A
authors.lastname: Davis
authors.forename: Jessica
authors.initials: J
authors.lastname: Klan
authors.forename: Deirdre
authors.initials: D
authors.lastname: Newburn
authors.forename: Katie
authors.initials: K
authors.lastname: Detwiler
authors.forename: Nick
authors.initials: N
authors.lastname: Ricchino
mesh_terms: D000328:Adult; D001172:Arthritis, Rheumatoid / Q000628:therapy*; D005081:Exercise Therapy; D006801:Humans; D009788:Occupational Therapy / Q000379:methods*; D017063:Outcome Assessment, Health Care; D010353:Patient Education as Topic; D013165:Splints; D026302:Tai Ji
keywords: Evidence-based; Intervention; Occupational therapy; Rheumatoid arthritis