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Is a Standard Hand Rehabilitation Program Sufficient in Rheumatoid Arthritis Patients With Central Sensitization

Active Not RecruitingNA

Sponsor: Fulya Coşkun

Conditions: Hand Exercises for Rheumatoid Arthritis

Interventions: Exercise1, Exercise2, Exercise3

Countries: Turkey (Türkiye)

The presence of central sensitization leads to overestimation of pain sensitivity and disease activity in rheumatoid arthritis (RA) patients. Central sensitization should not be overlooked in RA patients to avoid over-treatment for inflammation and to determine the need for treatment of nociplastic pain. While literature contains no studies comparing alternative programs with the standard hand rehabilitation program in the presence of central sensitization in rheumatoid arthritis patients, the objective of this study is to investigate whether desensitization exercises provide additional benefit in this patient group.

Eligibility overview

Sex: ALL

Age: 18 Years to 75 Years

Healthy volunteers: No

Study type: INTERVENTIONAL

Eligibility criteria

Inclusion \*Rheumatoid Arthritis Group Without Central Sensitization (Group 1):

* Being between 18-75 years of age
* Not having had upper extremity surgery within the last 1 year
* Patients without active arthritis
* No change in medical treatment in the last 3 months
* Having mild-moderate disease activity according to DAS28

  \*Rheumatoid Arthritis Group with Central Sensitization (Group 2):
* Being between 18-75 years of age
* Not having had upper extremity surgery within the last 1 year
* Patients without active arthritis
* No change in medical treatment in the last 3 months
* Having mild-moderate disease activity according to DAS28

  \*Rheumatoid Arthritis Group with Central Sensitization (Group 3):
* Being between 18-75 years of age
* Not having had upper extremity surgery within the last 1 year
* Patients without active arthritis
* No change in medical treatment in the last 3 months
* Having mild-moderate disease activity according to DAS28

Criteria:

\-

Exclusion Criteria:

* Having had surgery on the extremity to be treated within the last 6 months
* Patients with active arthritis
* Patients with cognitive deficit
* Patients who do not consent to participate in the study

Locations (1)

Istanbul, ÜSKÜDAR, Turkey (Türkiye)