Magnetotherapy in Rheumatoid Arthritis Treatment

Study Overview
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Brief Summary
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Participants with rheumatoid arthritis with recommendation to physiotherapy. Created 3 study groups: Only kinesiotherapy Kinesiotherapy with unipolar magnetic field Kinesiotherapy with bipolar magnetic field Kinesiotherapy with magnetic field give better effects than only kinesiotherapy.

Detailed Description
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Participants with rheumatoid arthritis with recommendation to physiotherapy. All participants have dysfunction and pain of hand. Inclusion criteria: II ° and III ° of advancement of radiological changes II ° and III ° of advancement of functional changes Remission, low or moderate RA activity: DAS28 Medical order Magnetotherapy and kinesiotherapy Kinesiotherapy Consent to participate in the study Completion of the research program Exclusion criteria: Additional physiotherapy treatments for the hands Change in type or dose of pharmacotherapy used Taking steroid anti-inflammatory drugs Malaise and side effects in the subject Outcome Measures: Duration of morning stiffness The degree of severity of morning stiffness Pain intensity assessment (VAS) Test Box & Blocks Measurement of the palmar surface of the hand Measuring the range of motion in the joints of the hand Measurement of compression force in a cylindrical grip Time to maintain maximum pressure during cylindrical grip Hand volume measurement HAQ-20 test Intervention: Group 1: Only kinesiotherapy Group 2: Kinesiotherapy with bipolar magnetic field Group 3: Kinesiotherapy with unipolar magnetic field Assessment: Immediately before start therapy Immediately after therapy (10 treatments in 2 weeks)

Official Title
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Type of Magnetic Field and the Effects of Rheumatoid Arthritis Treatment

Conditions
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Hand Rheumatism, Rheumatoid Arthritis

Intervention / Treatment
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* Other: Kinesiotherapy with magnetotherapy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: II ° and III ° of advancement of radiological changes II ° and III ° of advancement of functional changes Remission, low or moderate RA activity: DAS28 Medical order Magnetotherapy and kinesiotherapy Kinesiotherapy Consent to participate in the study Completion of the research program Exclusion Criteria: Additional physiotherapy treatments for the hands Change in type or dose of pharmacotherapy used Taking steroid anti-inflammatory drugs Malaise and side effects in the subject

Ages Eligible for Study
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Minimum Age: 35 Years
Maximum Age: 80 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Only kinesiotherapy<br>Patients have only kinesiotherapy of hand without steroid anti-inflammatory drugs and magnetotherapy. | Other: Kinesiotherapy with magnetotherapy<br>* Individual kinesiotherapy. Parameters of magnetic field: 7 mT, f= 0-50 Hz, type of impulse: unipolar or bipolar, rectangular pulse<br>|
| Experimental: Kinesiotherapy with bipolar magnetic field<br>Patients have kinesiotherapy of hand and bipolar magnetic field. All patients without steroid anti-inflammatory drugs. | Other: Kinesiotherapy with magnetotherapy<br>* Individual kinesiotherapy. Parameters of magnetic field: 7 mT, f= 0-50 Hz, type of impulse: unipolar or bipolar, rectangular pulse<br>|
| Experimental: Kinesiotherapy with unipolar magnetic field<br>Patients have kinesiotherapy of hand and unipolar magnetic field. All patients without steroid anti-inflammatory drugs. | Other: Kinesiotherapy with magnetotherapy<br>* Individual kinesiotherapy. Parameters of magnetic field: 7 mT, f= 0-50 Hz, type of impulse: unipolar or bipolar, rectangular pulse<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Visual Analogue Scale (VAS) | Pain severity rating scale. only one value. Minimum value is 0, maximum value is 10. The best is 0, the worst is 10. | Change from baseline VAS value immediately after therapy | 
| Health Assesment Questionaire (HAQ) | Subjective assesment of level of disability. Value of each of 8 subsections: minimum value 0, maximum value 3. total score is averaged. The best total score is 0, the worst is 3. | Change from baseline HAQ value immediately after therapy | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Test Box&Blocks | Objective assessment of level of disability of hand. Number of blocks transfer from box 1 to box 2 during 1 minute. | Change from baseline number of blocks immediately after therapy. | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Magnetotherapy, Rheumatoid arthritis, Hand function