Efficacy of Flexibility Exercises on Joints' Pain, Stiffness And Physical Dysfunction In Patients With Systemic Lupus Versus Rheumatoid Arthritis
Journal Title: IOSR Journal of Nursing and health Science - Year 2018, Vol 7, Issue 5
Abstract
Background: Joints' pain, stiffness and physical dysfunction are the main distressing symptoms for both rheumatoid arthritis and systemic lupus patients, which affect their ability of doing daily living activities. The aim of the current study was to evaluate efficacy of flexibility exercises on joints' pain, stiffness and physical dysfunction in patients with systemic lupus versus rheumatoid arthritis. Design: A Quasi-experimental research design was utilized. Setting: The current study was conducted at the rheumatology and rehabilitation outpatient clinics of Menoufia university hospital, Menoufia Governorate, Egypt. Subjects: A convenience sample consisted of 80 Adult patients with systemic lupus and rheumatoid arthritis divided equally into two groups who agreed to participate in the study and fulfilled the inclusion criteria. Tools: 1. Participants' characteristics questionnaire consisted of socio-demographic data and medical history. 2. The Western Ontario Mac Master Scale had been adapted to quantify the magnitude of joints' pain, stiffness and physical dysfunction. The main results of this study revealed a high significant post-intervention improvement in different joint movement aspects especially among systemic lupus patients than in rheumatoid arthritis patients. Additionally, the Western Ontario Mac Master Scale mean total scores concerning joints' pain, stiffness and physical dysfunction subscales revealed a high significant improvement post intervention than pre among systemic lupus patients than rheumatoid arthritis patients. Conclusion: There was a negative correlation between flexibility exercises and joints' pain, stiffness and physical dysfunction as the daily application of flexibility exercises resulted in decreased joints' pain, stiffness and physical dysfunction. Recommendations: Flexibility exercise is simple and inexpensive therapy and must be included in the daily treatment regimen for all rheumatoid arthritis and systemic lupus patients to decrease joints' pain, stifnss, and improving physical dysfunction unless there is severe inflammation or swelling of joints. In addition, a training program must be implemented for rheumatology and rehabilitation nurses and patients with rheumatoid arthritis and systemic lupus as all are in a great need to know about the importance of proper daily application of flexibility exercises for those patients.
Authors and Affiliations
Engy Elsayed Esmaeel El Doushy
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