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Effect of Modified Therapeutic Work Program (MTWP) on Work status in Chronic Rheumatoid Arthritis (RA)

Jeetendra Mohapatra , Jeetendra Mohapatra

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Physiotherapy and Occupational Therapy Journal 3(4):p 149-159, October-December 2010. | DOI:

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OBJECTIVE: 1. To study whether MTWP addressed to enhance the work skills in RA., 2. To evaluate if the program is successful for the client return to work, level of work satisfaction & self-performance level., METHODS: Design- Single group pre test post test experimental design followed by descriptive analysis with questionnaire., A different subject prospective, experimental, flexible design has been used for the purpose of this study. MTWP has 6 phases with treatment plan based on client capabilities, deficits, interest, work history and goals., Setting- Out-patient and in-patient based clinical services at NIOH., Outcome Measure- 1 Minnesota Manual Dexterity Test, 2, Hand Dynamometer, 3,Pinch gauge, 4, Short Form-36(version 1) – subjective outcome assessment for functional/ work status., RESULTS: The result which was analyzed by using paired t-test, found to be significant (p=<0.05) improve in work skill post MTWP., CONCLUSION: The MTWP addresses the range of needs demonstrated by RA clients, from traditional therapy to prevocational and vocational intervention. The evaluation of the program indicates that the program was successful with RA working age adult. 72% clients who completed the program returned to work and switched over to different position and different type of work.44%clients return to competitive employment with same work type, work situation, having work satisfaction and 80-100% work skills in compare to pre-MTWP work situation.

Keywords –Therapeutic Work Program, Work status, Rheumatoid Arthritis.

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