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Motion analysis of the wrist joints in Chinese rheumatoid arthritis patients: a cross-sectional study

BACKGROUND: The wrist is often severely affected in rheumatoid arthritis (RA) patients; however, little is known about the potential risk factors of the reduced wrist range of motion. In this study, we explored a broad range of possible risk factors of wrist range of motion in RA patients. We also d...

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Autores principales: Zhang, Lijuan, Cao, Haixia, Zhang, Qiuxiang, Fu, Ting, Yin, Rulan, Xia, Yunfei, Li, Liren, Gu, Zhifeng
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6064110/
https://www.ncbi.nlm.nih.gov/pubmed/30055598
http://dx.doi.org/10.1186/s12891-018-2146-z
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author Zhang, Lijuan
Cao, Haixia
Zhang, Qiuxiang
Fu, Ting
Yin, Rulan
Xia, Yunfei
Li, Liren
Gu, Zhifeng
author_facet Zhang, Lijuan
Cao, Haixia
Zhang, Qiuxiang
Fu, Ting
Yin, Rulan
Xia, Yunfei
Li, Liren
Gu, Zhifeng
author_sort Zhang, Lijuan
collection PubMed
description BACKGROUND: The wrist is often severely affected in rheumatoid arthritis (RA) patients; however, little is known about the potential risk factors of the reduced wrist range of motion. In this study, we explored a broad range of possible risk factors of wrist range of motion in RA patients. We also determined whether measurements of wrist range of motion reflect Sharp score for the wrists. METHODS: Active wrist volar flexion, dorsal flexion, radial deviation and ulnar deviation were assessed using a goniometer. RA patients underwent standardized laboratory and radiographic examinations and completed several questionnaires. A linear regression model was used to study association between the wrist range of motion and independent variables. In addition, Spearman and Pearson correlation analysis were used to compare influence factors and outcome measurements between the measurements of wrist range of motion and Sharp score for the wrists. RESULTS: In this study, lower socioeconomic status, longer disease duration, severe pain, higher disease activity and drug treatments were associated with reduced wrist range of motion in RA patients (n = 102, 86.3% female, mean ± SD age, 55.0 ± 11.7 years, and mean ± SD disease duration, 8.4 ± 8.7 years). Furthermore, wrist range of motion was highly correlated with Sharp score for the wrists (P < 0.05). CONCLUSIONS: Socioeconomic status and disease-specific factors were significantly associated with wrist range of motion in RA patients. The results indicated that rheumatologists and nurses should note the measurements of wrist range of motion in RA patients, especially those with a low socioeconomic status, a long disease duration, severe pain, and high disease activity to develop strategies to improve their quality of life.
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spelling pubmed-60641102018-08-01 Motion analysis of the wrist joints in Chinese rheumatoid arthritis patients: a cross-sectional study Zhang, Lijuan Cao, Haixia Zhang, Qiuxiang Fu, Ting Yin, Rulan Xia, Yunfei Li, Liren Gu, Zhifeng BMC Musculoskelet Disord Research Article BACKGROUND: The wrist is often severely affected in rheumatoid arthritis (RA) patients; however, little is known about the potential risk factors of the reduced wrist range of motion. In this study, we explored a broad range of possible risk factors of wrist range of motion in RA patients. We also determined whether measurements of wrist range of motion reflect Sharp score for the wrists. METHODS: Active wrist volar flexion, dorsal flexion, radial deviation and ulnar deviation were assessed using a goniometer. RA patients underwent standardized laboratory and radiographic examinations and completed several questionnaires. A linear regression model was used to study association between the wrist range of motion and independent variables. In addition, Spearman and Pearson correlation analysis were used to compare influence factors and outcome measurements between the measurements of wrist range of motion and Sharp score for the wrists. RESULTS: In this study, lower socioeconomic status, longer disease duration, severe pain, higher disease activity and drug treatments were associated with reduced wrist range of motion in RA patients (n = 102, 86.3% female, mean ± SD age, 55.0 ± 11.7 years, and mean ± SD disease duration, 8.4 ± 8.7 years). Furthermore, wrist range of motion was highly correlated with Sharp score for the wrists (P < 0.05). CONCLUSIONS: Socioeconomic status and disease-specific factors were significantly associated with wrist range of motion in RA patients. The results indicated that rheumatologists and nurses should note the measurements of wrist range of motion in RA patients, especially those with a low socioeconomic status, a long disease duration, severe pain, and high disease activity to develop strategies to improve their quality of life. BioMed Central 2018-07-28 /pmc/articles/PMC6064110/ /pubmed/30055598 http://dx.doi.org/10.1186/s12891-018-2146-z Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Zhang, Lijuan
Cao, Haixia
Zhang, Qiuxiang
Fu, Ting
Yin, Rulan
Xia, Yunfei
Li, Liren
Gu, Zhifeng
Motion analysis of the wrist joints in Chinese rheumatoid arthritis patients: a cross-sectional study
title Motion analysis of the wrist joints in Chinese rheumatoid arthritis patients: a cross-sectional study
title_full Motion analysis of the wrist joints in Chinese rheumatoid arthritis patients: a cross-sectional study
title_fullStr Motion analysis of the wrist joints in Chinese rheumatoid arthritis patients: a cross-sectional study
title_full_unstemmed Motion analysis of the wrist joints in Chinese rheumatoid arthritis patients: a cross-sectional study
title_short Motion analysis of the wrist joints in Chinese rheumatoid arthritis patients: a cross-sectional study
title_sort motion analysis of the wrist joints in chinese rheumatoid arthritis patients: a cross-sectional study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6064110/
https://www.ncbi.nlm.nih.gov/pubmed/30055598
http://dx.doi.org/10.1186/s12891-018-2146-z
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