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Case Report

Effect of Prenatal Physiotherapy on Rheumatoid Arthritis

Nupur Shah

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Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

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Physiotherapy and Occupational Therapy Journal 15(4):p 189-192, October-December 2022. | DOI: https://doi.org/10.21088/potj.0974.5777.15422.6

How Cite This Article:

Nupur Shah/Effect of Prenatal Physiotherapy on Rheumatoid Arthritis/Physiotherapy and Occupational Therapy Journal. 2022;15(4): 189-192.

Timeline

Received : June 08, 2022         Accepted : August 05, 2022          Published : December 25, 2022

Abstract

Background and Purpose: Rheumatoid arthritis is a chronic progressive inflammatory joint disease that leads to irreversible damage to the joint. It often affects women of childbearing age. Based on the evidence, the disease activity is undercontrol during pregnancy in many cases. The purpose of this case study was to document the effect of physical therapy interventions (prenatal physiotherapy) on the disease severity in a pregnant lady with rheumatoid arthritis. RADAI 5 scale was used. Case description: The patient was a 32-year-old pregnant female who was enrolled for virtual prenatal physiotherapy sessions. The intervention of the client included upper and lower limb strengthening, breast lifting or chest toning exercises, pelvic floor muscle training, low impact cardio exercises, postural and flexibility exercises. The patient received physiotherapy thrice a week from her 23rd week of pregnancy to the 35th week.The patient’s RADAI 5 score improved from 28 to 15 by the end of the 35th week. There was a reduction in joint stiffness and pain after a few weeks of the sessions. Conclusion: This case report demonstrated the purpose of how prenatal physiotherapy sessions could be beneficial to help a pregnant lady with rheumatoid arthritis improve her quality of life. Further research should focus on the assessment of fatigue and functional activities in addition to the disease severity for pregnant patients with rheumatoid arthritis.


References

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  • 2.   Strońska A, Pluta WW, Lalko A, Lubkowska A. Diagnostics and physiotherapy in rheumatoid arthritis. Journal of Education, Health and Sport. 2021 May 10;11(5):26-32.
  • 3.   Jethwa H, Lam S, Smith C, Giles I. Does rheumatoid arthritis really improve during pregnancy? A systematic review and metaanalysis. The Journal of rheumatology. 2019 Mar 1;46(3):245-50.
  • 4.   Umoe DE, Esienumoh E, Regina EE, Nwakwue NC, Mathias A. Perception of prenatal exercise and its perceived outcome among pregnant women attending antenatal clinic at the University of Calabar Teaching Hospital. Global Journal of Health Science. 2020;12(8):157-65.
  • 5.   Leeb BF, Haindl PM, Brezinschek HP, Nothnagl T, Rintelen B. RADAI-5 to monitor rheumatoid arthritis. ClinExpRheumatol. 2014 Sep 1;32(5 Suppl 85):S55-8.

Data Sharing Statement

There are no additional data available. All raw data and code are available upon request.

Funding

This research received no funding.

Author Contributions

All authors contributed significantly to the work and approve its publication.

Ethics Declaration

This article does not involve any human or animal subjects, and therefore does not require ethics approval.

Acknowledgements

We would like to express our gratitude to the patients, their families, and all those who have contributed to this study.

Conflicts of Interest

No conflicts of interest in this work.


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Cite this article

Nupur Shah/Effect of Prenatal Physiotherapy on Rheumatoid Arthritis/Physiotherapy and Occupational Therapy Journal. 2022;15(4): 189-192.


Licence:

Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.


Received Accepted Published
June 08, 2022 August 05, 2022 December 25, 2022

DOI: https://doi.org/10.21088/potj.0974.5777.15422.6

Keywords

PrenatalphysiotherapyRheumatoidarthritispregnancyphysical activities

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Timeline


Received June 08, 2022
Accepted August 05, 2022
Published December 25, 2022

licence


Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.


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