PTOtherJournal of physical therapy science2017

Effects of individual and group exercise programs on pain, balance, mobility and perceived benefits in rheumatoid arthritis with pain and foot deformities.

Carolina Mendes do Carmo, Bruna Almeida da Rocha, Clarice Tanaka

PMID 29200618

WHAT IT FOUND

In RA with foot pain and deformities, four weeks of combined foot self-care and exercise programs improved pain and balance in both individual and group formats.

Mobility tests improved only in the individual group. Neither format was compared with no treatment or each other.

Key findings

01Both the individual and group programs improved foot pain and Berg Balance scores after the intervention.

02Mobility test scores improved only in the individual program.

03Self-reported foot-health scores improved in several domains in both programs.

STILL TO COME

How it was doneWhat they foundWhat it means for PTs

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What it does not show

Only 28 patients were studied, and the paper does not report how many completed the intervention or were analysed after dropout. Patients were allocated in sequence from a waiting list, and the group program patients were older and lighter at baseline. The results compare each group with its own baseline; there was no untreated control group and no direct comparison between individual and group programs. Both programs included several components together, so the study cannot tell whether self-care information, foot training, balance training or mobility training produced the changes. Follow-up was only about 30 days after the first assessment, and the authors say longer follow-up is needed to see whether gains persist. Participants had long-standing RA with foot deformities and stable medication; changes in medication would exclude a patient from the study, so results may not apply to patients whose drugs are changing.

Declared interests

The supplied text does not report funding or conflicts of interest.

The easy way to misread this

Do not conclude that the programs are proven effective or that one format is superior. The study had no untreated control group and did not compare the two formats directly; it only reported changes from each group's own baseline.

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