CELERIER Sylvain, ISEL Micheline, MERLE Michel
Abstract: Given the complexity of wrist and digital deformities, rehabilitation and re-adaptation, in complement with medical and surgical therapies, play an integral part in the multi-disciplinary approach to the treatment of rheumatoid arthritis. Regardless of the evolutionary stage of disease, the objective is to limit the many consequences of the disease felt in the patient’s daily life, preserving comfort, increasing functional autonomy, and limiting aesthetic embarrassment thus allowing patients to lead a normal life, in both their social and professional spheres.
The importance of rehabilitation varies according to the evolution of the disease, from the beginning inflammatory phases, to the deformation phase, and eventually the medical and surgical stages. The latest innovations in digital arthroplasty increase the chance of early mobilization thus helping to limit the fatigability of these multi-operated patients. Specific bracing and rehabilitation protocols remain indissociable to this strategy.
Keywords: rheumatoid arthritis, physical therapy, splint, hand, wrist, self rehabilitation, digital arthroplasty
EMC (Elsevier Masson SAS, Paris)
Kinésithérapie-Médecine physique-Réadaptation, 26-220-B30,2008