Vliet Vlieland TP Research Articles

AB1125 A Comparison of the Effects of Kinesiotherapy and Post-Isometric Relaxation on Knee Pain in Patients with Rheumatoid Arthritis

BackgroundRheumatoid arthritis (RA) is a chronic, systemic inflammatory disease of unknown etiology that produces a progressive degeneration of the musculoskeletal system [1].The management of RA rests on drug treatment and...

THU0204 Factors Associated with the Setting and Content of Care in Patients with Osteoarthritis of the Hip or Knee

BackgroundStudies determining factors associated with the setting and content of care in patients with hip/knee osteoarthritis (OA) are mainly confined to patient demographics or disease-related factors associated with total joint...

THU0466-HPR Maintenance of physical activity in patients with rheumatoid arthritis: A qualitative interview study

BackgroundSeveral exercise trials indicate that physical activity (PA) may improve physical function and quality of life, and reduce pain in patients with rheumatoid arthritis (RA).1,2 Few of these studies have...

OP0201-PC Agreement of General Practitioners with the Guideline-Based Stepped-Care Strategy for Patients with Osteoarthritis of the Hip or Knee: A Cross-Sectional Study

BackgroundTo improve the management of hip or knee osteoarthritis (OA), a multidisciplinary guideline-based stepped-care strategy (SCS) with recommendations regarding the appropriate non-surgical treatment modalities and optimal sequence for treatment has...

SP0175 Beating Osteoarthritis (BART): The Evaluation of a Stepped Care Strategy

BackgroundTo improve the management of hip or knee osteoarthritis (OA), a patient-centred stepped-care strategy (SCS) has been developed that presents the optimal sequence for care in three steps. At each...

AB0950 Management of osteoarthritis in general practice in the netherlands

BackgroundRecently, a stepped care strategy presenting the optimal order of conservative treatment options for osteoarthritis (OA) of the hip or knee has been developed.1 It suggests in three steps that...

AB1461-HPR Cognitive testing of physical activity questions in a population of patients with rheumatoid arthritis: A validation study

BackgroundResearch has documented that physical activity (PA) may lead to health benefits for both the general population as for individuals with rheumatoid arthritis (RA)1. Such studies often use self-administered questionnaires...

Responsiveness of the Michigan Hand Outcomes Questionnaire–Dutch Language Version in Patients With Rheumatoid Arthritis

van der Giesen FJ, Nelissen RG, Arendzen JH, de Jong Z, Wolterbeek R, Vliet Vlieland TP. Responsiveness of the Michigan Hand Outcomes Questionnaire–Dutch language version in patients with rheumatoid arthritis. Objective To investigate the responsiveness of the Michigan Hand Outcomes Questionnaire (MHQ) in patients with rheumatoid arthritis (RA) who were treated in a multidisciplinary hand clinic. Design Observational study comparing the responsiveness of the MHQ with that of various other outcome measures for hand function. Setting Multidisciplinary hand clinic within a tertiary referral center for rheumatologic care. Participants Twenty-eight patients with problems in hand function due to RA were assessed before and 3 months after conservative and/or surgical treatment. Interventions Not applicable. Main Outcome Measures Assessments included, apart from a previously validated Dutch language version of the MHQ, a visual analog scale for pain, grip strength, the Sequential Occupational Dexterity Assessment, the Arthritis Impact Measurement Scales (AIMS) hand and finger function scale, and each patient's rating of subjective change in hand function. Measurements of responsiveness included the standardized response mean (SRM), effect size, and responsiveness ratio. In addition, the Spearman rank correlations (ρ) between the change scores of the MHQ and those of other measures of hand function were calculated. Results The mean MHQ total score improved significantly between baseline (mean ± standard deviation, 48.3±12.2) and follow-up (mean, 54.7±16.9) (change score, −7.2; 95% confidence interval, −11.1 to −3.3). The SRM, effect size, and responsiveness ratio of the MHQ total score were −0.72, −0.52, and −1.99, respectively. Significant associations were found between the changes of the MHQ total score and each patient's rating of subjective change in hand function (ρ=.64, P=.001) and the change score of the AIMS hand function scale (ρ=−.24, P=.260). Conclusions The MHQ proved to be a responsive measure of hand function in patients with RA who were treated in connection with a multidisciplinary hand clinic.

Review: dynamic exercise increases aerobic capacity and muscle strength in rheumatoid arthritis

(1998) Br J Rheumatol 37, 677; van den Ende CH, Vliet Vlieland TP, Munneke M . , et al. . Dynamic exercise therapy in rheumatoid arthritis: a systematic review. ....