Skip to main content
×
×
Home

Evaluation of Assistive Devices after a Course in Joint Protection

  • Ulla Nordenskiöld (a1)
Abstract

This study assessed a joint protection education program and investigated the costs and effects of assistive devices. Fifty-three women with seropositive rheumatoid arthritis, whose ages ranged from 29 to 65 years, attended a standardized joint protection course (13 hours). A self-report questionnaire was constructed listing the most common devices, and the subjects were asked to check which devices they had received, which ones they used and did not use, and why. Pain during activities of daily living and when using assistive devices was measured using the visual analogue scale. Results show that the subjects reported great benefits from the joint protection course, assistive devices, and wrist orthosis. The women had tried 663 devices, 91 % of which were still being used. Pain decreased significantly (p < .001) when using assistive devices. The utility of 11 devices at a cost of SEK 1,683 per person can be described as increased capacity and ability to work at home, work outside the home, and perform leisure activities with less pain.

Copyright
References
Hide All
1.Althoff, B., & Nordenskiold, U.Joint protection — An alleviating and active way of living, 5th revised ed.Course booklet and 2 slide series. (In Swedish.) Stockholm: The Swedish Association Against Rheumatism, 1991.
2.Benktzon, M.Designing for our future selves: The Swedish experience. Applied Ergonomics, 1993, 24, 1927.
3.Berglund, K.Inflammatoriska reumatiska sjukdomar. (In Swedish.) Lund: Studentlitteratur, 1979.
4.Berglund, K., & Persson, L. O.Dimensions of psychological adjustment to illness in rheumatoid arthritis. Scandinavian Journal of Rheumatology, 1990, 19, 311–15.
5.Berglund, K., Persson, L. O., & Brattström, M. Effects of group counselling for rheumatoid arthritis patients on measures of psychological adjustment to illness. InBalint, G., et al. (eds.), Rheumatology, State of the Art. Amsterdam: Elsevier Science Publishers, 1992, 432–35.
6.Brattström, M. The patient, her disease, and her environment. How to make life easier for the rheumatic patient. In Balint, G., et al. (eds.), Rheumatology, State of the Art. Amsterdam: Elsevier Science Publishers, 1992, 7076.
7.Chamberlain, A., & Thornley, G.Evaluation of aids and equipment for the bath. Rheumatology and Rehabilitation, 1981, 20, 3843.
8.Cordery, J. C.Joint protection — A responsibility of the occupational therapist. American Journal of Occupational Therapy, 1965, 19, 243–48.
9.Dequeker, J., & Abbott, J. R.Allied health professionals in rheumatology—Patient education in arthritis and musculoskeletal diseases. Clinical Rheumatology, 1990, 9, 165–67.
10.Donovan, J. L., Blake, D. R., & Fleming, W. G.The patient is not a blank sheet: Lay beliefs and their relevance to patient education. British Journal of Rheumatology, 1989, 28, 5861.
11.Hollings, E. M., & Haworth, R. J. Supply and use of aids and appliances. British Journal of Occupational Therapy, 1978, 10, 336–39.
12.Huskisson, E. C. Measurement of pain. Lancet, 1974, 11 9, 1127–31.
13.Kielhofner, G.A model of human occupation. Baltimore, MD: Williams & Wilkins, 1985.
14.Lindroth, Y., Bauman, A., Barnes, C., et al. A controlled evaluation of arthritis education. British Journal of Rheumatology, 1989, 28, 712.
15.Lorig, K., & Fries, J. F.The arthritis helpbook. A tested self-management program for coping with your arthritis. Reading, MA: Addison-Wesley Publishing, 1988.
16.Meyer, A.The philosophy of occupational therapy. Archives of Occupational Therapy, 1922, 1, 110.
17.Nordenskiöld, U.Elastic wrist orthoses —Reduction of pain and increase in grip force for women with rheumatoid arthritis. Arthritis Care and Research, 1990, 3, 158–62.
18.Nordenskiöld, U., & Grimby, G.Grip force in patients with rheumatoid arthritis and fibromyalgia and in healthy subjects. A study with Grippit instrument. Scandinavian Journal of Rheumatology, 1993, 22, 1419.
19.Nordenskiöld, U., Althoff, B., & Hansen, A. M.Joint protection—An alleviating and active way of living, 4th ed.Manual. Stockholm: The Swedish Association Against Rheumatism, 1993.
20.Nya hälso-och sjukvårdslagen (for Sweden), 1982.
21.Palmer, P., & Simons, J.Joint protection. A critical review. British Journal of Occupational Therapy, 1991, 54, 453–58.
22.Robinson, I.The rehabilitation of patients with long-term physical impairments: the social context of professional roles. Clinical Rehabilitation, 1988, 2, 339–47.
23.Smith, E. M., et al. Role of the finger flexors in rheumatoid deformities of the metacarpophalangeal joints. Arthritis and Rheumatism, 1964, 7, 467–80.
24.Steinbrocker, O., Traeger, C. H., & Batterman, R. C.Therapeutic criteria in rheumatoid arthritis. JAMA, 1949, 140, 659–62.
25.World Health Organization: International classification of impairment, disabilities and handicaps. A manual of classification relating to the consequences of disease (ICIDH). Geneva, Switzerland: WHO, 1980.
26.Yerxa, E.Seeking a relevent, ethical, and realistic way of knowing for occupational therapy. American Journal of Occupational Therapy, 1991, 3, 199204.
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

International Journal of Technology Assessment in Health Care
  • ISSN: 0266-4623
  • EISSN: 1471-6348
  • URL: /core/journals/international-journal-of-technology-assessment-in-health-care
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Metrics

Altmetric attention score

Full text views

Total number of HTML views: 1
Total number of PDF views: 76 *
Loading metrics...

Abstract views

Total abstract views: 370 *
Loading metrics...

* Views captured on Cambridge Core between September 2016 - 13th June 2018. This data will be updated every 24 hours.