Advertisement

Rehabilitation of Patients with Rheumatic Diseases

  • Thomas D. Beardmore

Abstract

  • In the care of disabled individuals, the current system of health care delivery and education largely focuses on a disease-centered medical model that fails to consider the role of society and the interaction of the disabled individual in that society over a lifespan.

  • A more holistic approach to the care of disabled individuals considers the impact of environmental factors on the patient and provides a biopsychosocial orientation rather than a purely medical one.

  • Holistic health approaches promote optimal function of the disabled person by considering not only the underlying rheumatic disease but the individual as a whole functioning person. Central to this health promotion is involvement of patient responsibility for his or her health and well being, including physical, psychological, social, and societal aspects.

  • ■ Multidisciplinary efforts are important to effective rehabilitation of patients disabled by rheumatic disease. Critical members of the multidisciplinary team are the rheumatologist, orthopedist, physical and occupational therapists, rehabilitation nurse, psychologist, social worker, and vocational rehabilitation specialist.

Keywords

Rheumatoid Arthritis Rheumatic Disease Carpal Tunnel Syndrome Vocational Rehabilitation Transcutaneous Electrical Nerve Stimulation 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    World Health Organization (WHO). International classifi cation of functioning, disability and health: ICF. Geneva: WHO; 2001.Google Scholar
  2. 2.
    Vliet Vlieland TP, Breedveld FC, Hazes JM. The twoyear follow-up of a randomized comparison of in-patient multidisciplinary team care and routine outpatient care for active rheumatoid arthritis. Br J Rheumatol 1997;36:82–85.PubMedCrossRefGoogle Scholar
  3. 3.
    Vliet Vlieland TP. Multidisciplinary team care and outcomes in rheumatoid arthritis. Curr Opin Rheum 2004;16:153–156.CrossRefGoogle Scholar
  4. 4.
    Band DA, Jones SD, Kennedy LG, et al. Which patients with ankylosing spondylitis benefit from an inpatient management program? J Rheumatol 1997;24:2381–2384.PubMedGoogle Scholar
  5. 5.
    Oosterveld FG, Rasker JJ. Treating arthritis with locally applied heat or cold. Semin Arthritis Rheum 1994;24: 82–90.PubMedCrossRefGoogle Scholar
  6. 6.
    Sluka KA, Christy MR, Peterson WL, Rudd SL, Troy SM. Reduction of pain-related behaviors with either cold or heat treatment in an animal model of acute arthritis. Arch Phys Med Rehab 1999;80:313–317.CrossRefGoogle Scholar
  7. 7.
    Robinson VA, Brosseau L, Casimiro L, et al. Thermotherapy for treating rheumatoid arthritis (Cochrane Review). Cochrane Database Syst Rev 2006:1.Google Scholar
  8. 8.
    Osiri M, Welch V, Brosseau, L, et al. Transcutaneous electrical nerve stimulation for knee osteoarthritis. Cochrane Database Syst Rev 2000:CD002823.Google Scholar
  9. 9.
    Hall J, Skevington SM, Maddison PJ, Chapman K. A randomized trial of hydrotherapy in rheumatoid arthritis. Arthritis Care Res 1996;9:206–215.PubMedCrossRefGoogle Scholar
  10. 10.
    Verhagen AP, Bierma-Zeinstra SMA, Cardosa JR, de Bie RA, Boers M, de Vet HC. Balneotherapy for rheumatoid arthritis. Cochrane Database Syst Rev 2003:CD000518.Google Scholar
  11. 11.
    Veldhuizen JW, Verstappen FT, Vroemen JP, Kuipers H, Greep JM. Functional and morphological adaptations following four weeks of knee immobilization. Int J Sports Med 1993;14:283–287.PubMedGoogle Scholar
  12. 12.
    Alexander GJ, Hortas C, Bacon PA. Bed rest, activity and the inflammation of rheumatoid arthritis. Br J Rheumatol 1983;22:134–140.PubMedCrossRefGoogle Scholar
  13. 13.
    Allen C, Glasziou P, Del Mar C. Bed rest: a potentially harmful treatment needing more careful evaluation. Lancet 1999;354:1229–1233.PubMedCrossRefGoogle Scholar
  14. 14.
    Ettinger WH Jr, Burns R, Messier SP, et al. A randomized trial comparing aerobic exercise and resistive exercise with a health education program in older adults with knee osteoarthritis. The Fitness Arthritis and Seniors Trial. JAMA 1997;277:25–31.PubMedCrossRefGoogle Scholar
  15. 15.
    Van Baar ME, Assendelft WJJ, Dekker J, Oostendorp RAB, Bijlsma JWJ. Effectiveness of exercise therapy in patients with osteoarthritis of the hip or knee: a systematic review of randomized clinical trials. Arthritis Rheum 1999;42:1361–1369.PubMedCrossRefGoogle Scholar
  16. 16.
    Van den Ende CH, Vliet Vlieland TP, Munneke M, Hayes JM. Dynamic exercise therapy in rheumatoid arthritis: a systematic review. Br J Rheumatol 1998;37:677–687.PubMedCrossRefGoogle Scholar
  17. 17.
    Uhrin Z, Kuzis S, Ward MM. Exercise and changes in health status in patients with ankylosing spondylitis. Arch Intern Med 2000;160:2969–2975.PubMedCrossRefGoogle Scholar
  18. 18.
    Ramsey-Goldman R, Schilling EM, Dunlop D, et al. A pilot study on the effects of exercise in patients with systemic lupus erythematosus. Arthritis Care Res 2000;13: 262–269.PubMedCrossRefGoogle Scholar
  19. 19.
    Egan M, Brosseau L, Farmer M, et al. Splints/orthoses in the treatment of rheumatoid arthritis. Cochrane Database Syst Rev 2003:CD004018.Google Scholar
  20. 20.
    Cushnaghan J, McCarthy C, Dieppe P. Taping the patella medially: a new treatment for osteoarthritis of the knee joint? BMJ 1994;308:753–755.PubMedGoogle Scholar
  21. 21.
    Farrow SJ, Kingsley GH, Scott DL. Interventions for food disease in rheumatoid arthritis: a systematic review. Arthritis Rheum 2005;53:593–602.PubMedCrossRefGoogle Scholar
  22. 22.
    Calvez A, Blanchet M. Disability trends in the United States population 1966-76: analysis of reported causes. Am J Public Health 1981;71:464–471.CrossRefGoogle Scholar
  23. 23.
    Yelin E, Meenan R, Nevitt M, Epstein W. Work disability in rheumatoid arthritis: effects of disease, social, and work factors. Ann Intern Med 1980;93:551–556.PubMedGoogle Scholar
  24. 24.
    Partridge AJ, Karlson EW, Daltroy LH, et al. Risk factors for early work disability in systemic erythematosus: results from a multicenter study. Arthritis Rheum 1991;40:2199–2206.CrossRefGoogle Scholar
  25. 25.
    de Buck PD, le Cessie S, van den Hout WB, et al. Randomized comparison of a multidisciplinary job-retention vocational rehabilitation program with usual care in patients with chronic arthritis at risk for job loss. Arthritis Care Res 2005;53:682–690.CrossRefGoogle Scholar
  26. 26.
    Straaton KV, Maisiak R, Wrigley JM, Fine PR. Musculoskeletal disability, employment, and rehabilitation. J Rheumatol 1995;22:505–513.PubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC. 2008

Authors and Affiliations

  • Thomas D. Beardmore
    • 2
    • 1
  1. 1.Department of Medicine, Keck School of MedicineThe University of Southern CaliforniaLos AngelesUSA
  2. 2.Department of RheumatologyRancho Los Amigos National Rehabilitation CenterDowneyUSA

Personalised recommendations