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ABSTRACT
Introduction: Rheumatic diseases are nonsurgical diseases of the locomotor system and connective tissue. Rheumatoid arthritis (RA) is a systemic inflammatory disease of connective tissue of unknown cause,
with progressive chronic or subacute course. The aim of the research is to determine whether stationary
spa treatment leads to improvement of the functional status in patients with rheumatoid arthritis.
Methods: We included 35patients with diagnosis of rheumatoid arthritis, referred for treatment at the
spa Ilida Gradaac from February to April 2014. Patients not adhering to treatment protocols were
excluded. We used Visual analogue pain scale (VAS), HAQ questionnaire and assessment of the clinical
condition before and after the treatment based on the scores 1-5.
Results: There were 32female and 3male patients. The average age was 62.288.31years. Based on
the HAQ, 12patients had no difficulties, 9 of them perform activities with little difficulties, 10 with many
difficulties, and 4patients cannot perform certain activities. Before treatment VAS was 6.632.36, and
after treatment the 2.512.27. Ratings of clinical condition before treatment was 2.380.74, and after
the treatment 3.640.98. The most frequently used therapies were kinesitherapy, magnetotherapy and
interferential electricity.
Conclusions: Stationary treatment at the spa Ilida Gradaac leads to an improvement of the functional status in patients with rheumatoid arthritis.
Keywords: rheumatoid arthritis; rehabilitation treatment
INTRODUCTION
2015 Amila Jaganjac et al.; licensee University of Sarajevo- Faculty of Health Studies. This
is an Open Access article distributed under the terms of the Creative Commons Attribution
License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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The measurement of pain is performed with a numerical rating scale (NRS) with ratings from 0-no pain,
to 10-the worst possible pain, and between are ratings of gradation of pain: mild pain, moderate pain,
moderately severe pain, and severe pain.
Statistical analysis
RESULTS
In the Table1 gender and age structure of respondents included in this research was analyzed.
From the 35 patients included in this research,
32 (91.4%) were female, while only 3 (8.6%)
were male. The average age of respondents was
62.28 8.31 years. Female respondents had on
average 62.28 7.96 years, and male respondents
had 74 2years.
By analyzing the employment status of respondents
(Table2) included in this research it was established
that in the total sample there were mostly retirees
(n = 20), followed by housewives (n = 12), and the
SD
SE
Female
Male
Total
32
3
35
62.28
74.00
63.28
7.96
2.00
8.31
1.40
1.15
1.40
Lower
59.40
69.03
60.42
27
95% CI
Upper
65.15
78.96
66.14
Minimum
Maximum
46.00
72.00
46.00
74.00
76.00
76.00
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DISCUSSION
N
3
12
20
35
%
8.6
34.3
57.1
100.0
Without any
difficulties
With some
difficulties
With many
difficulties
Cannot
possibly
10
12
13
11
10
9
2
3
9
9
7
8
13
14
6
4
15
20
9
11
11
4
0
0
14
10
9
8
8
4
4
13
10
9
10
9
8
8
9
10
12
7
8
5
9
9
10
12
13
13
3
1
17
15
17
9
10
14
9
9
4
0
1
0
13
13
7
12
7
5
8
9
7
11
11
10
8
6
9
4
TABLE4. Average values of obtained answers from the HAQ questionnaire based on a numerical scale
Questions
Minimum
Maximum
X
1. Dressing and grooming: Are you able to:
Get dressed, buckle buttons, lace up a tie, shoelaces?
0.00
3.00
1.11
Shampoo and wash the hair
0.00
3.00
1.08
2. Getting up: Can you
Get up from a chair without using backrest?
0.00
3.00
1.45
Lie down and get out of bed?
0.00
3.00
1.37
3. Food: Are you able to
Cut the meat into small pieces?
0.00
2.00
0.88
Can you pick up a full glass up to your mouth?
0.00
2.00
0.54
4. Walking: Can you
Walk outside on a flat surface
0.00
3.00
1.05
Climb up 5 stairs
0.00
3.00
1.57
5. Hygiene: Are you able to?
Take a bathe and dry entire body?
0.00
3.00
1.32
Use the bathtub?
0.00
3.00
1.48
Sit and raise up from the toilet?
0.00
3.00
1.34
6. Reaching up: Are you able to
Lower the burden of 3kg located a little above the head?
0.00
3.00
1.28
Bend down and pick up clothes from the floor?
0.00
3.00
1.17
7. Squeeze: Can you
Open the lock on the car door?
0.00
2.00
0.77
Open a jar that had already been opened?
0.00
3.00
0.88
Open and close the water tap?
0.00
2.00
0.62
8. Activity: Can you
Go to the store?
0.00
3.00
1.28
Get in and out of the car
0.00
3.00
1.28
Do tasks around the house, like vacuuming, home work, work in the garden
0.00
3.00
1.62
The average number of incidence of responses
0
3
1.16
00.5 without difficulties; 0.511.50 with some difficulties; 1.512.50 with many difficulties; 2.51300 cannot possibly do
SD
0.90
0.98
1.06
1.00
0.86
0.70
1.05
1.26
1.09
1.12
1.05
0.95
0.85
0.84
0.90
0.68
1.20
1.15
1.08
0.99
62.28 8.31years. By analysis of the age of respondents in relation to the gender structure of respondents, it was found that female respondents had on
average 62.28 7.96 years, and male respondents
74 2years. In the study by Obradovic-Tomasevic B.
an average age of patients was 62.9 10years (9).
29
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improvement of functional status of people suffering from rheumatoid arthritis (p <0.01), as well as
their quality of life in all monitored segments of the
applied questionnaire (p <0.01) (14).
N
35
10
5
18
35
35
25
9
2
9
6
3
3
Yes
%
100.00
28.57
14.29
51.43
100.00
100.00
71.43
25.71
N
0
25
30
17
0
0
10
26
5.71
25.71
17.14
8.57
8.57
33
26
29
32
32
No
%
0.00
71.43
85.71
48.57
0.00
0.00
28.57
74.29
CONCLUSION
94.29
74.29
82.86
91.43
91.43
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http://dx.doi.org/10.1007/s00393-012-1093-6.
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