The short-term effect of gloving in combination with Traditional Thai Massage, heat, and stretching exercise to improve hand mobility in scleroderma patients.
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Date
2014-01
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Abstract
Background: Systemic sclerosis (SSc) is a chronic, multisystem connective tissue disorder characterized by
autoimmune activation, microvascular endothelium damage, and excessive collagen proliferation. The most affected
hand presents claw hand deformity and microvascular disease. Deformed hands can cause functional disability and
decrease the quality of life. A daily home program can improve mobility of scleroderma patients. Objective: We
sought to determine the effect of a daily home exercise program on hand mobility among scleroderma patients.
Materials and Methods: This was a randomized control trial. Twenty-eight participants were divided into two groups, both
of which received the same daily home treatment: Group 1 with gloves (n = 14) and Group 2 without gloves (n = 14).
The 2-week daily home program combined traditional Thai massage (TTM) with stretching exercises and heat. Hand
mobility was assessed using hand mobility in scleroderma (HAMIS). The study was conducted in patients who were
already on vasodilator drugs. Results: Both groups showed a signifi cant improvement in hand mobility after 2 weeks of
daily home exercise program (P < 0.05). Wearing the glove, however, resulted in better thumb mobility. Conclusions:
A daily home exercise program improved hand mobility among patients with scleroderma and wearing gloves may
improve thumb mobility.
Description
Keywords
Glove, systemic sclerosis, stretching exercises, traditional Thai massage, wearing gloves
Citation
Vannajak Kunavut, Boonaprakab Yodchai, Eungpinichapong Wichai, Ungpansattawong Supunnee, Nanagara Ratanavadee. The short-term effect of gloving in combination with Traditional Thai Massage, heat, and stretching exercise to improve hand mobility in scleroderma patients. Journal of Ayurveda and Integrative Medicine. 2014 Jan-Mar; 5(1): 50-55.