Comparison of Joint Mobilization and Energy Conservation Technique in Rheumatoid Arthritis Patients in Hand Joints

Abstract

Background: Rheumatoid arthritis is an auto-immune inflammatory condition that affects the hand, wrist,and
knee joints.Joint mobilization is frequently used in RA patients. This study was to find the effectiveness of Joint
mobilization and Energy conservation technique using range of motion measurement and Sollerman hand
function test in hand joints.
Purpose: This study is to find the effect of Joint mobilization and Energy conservation technique which is a noninvasive
procedure on Rheumatoid arthritis patients.
Materials and Methods: A group of 60 Rheumatoid arthritis patients were selected according to inclusion and
exclusion criteria from Saveetha medical college and hospital and SAGA Rehabilitation centre.they were divided
into Joint mobilization group: (n=30) the subjects were treated with Joint mobilization and taught exercises to gain
strength and mobility for 3 days a week for 4 weeks for 15-30 minutes and Energy conservation group: (n=30) the
subjects are taught pacing the activities, prescribing assistive devices, foam-covered handles, wide grip handles
using large joints to lift objects, teaching Proper body mechanics and Ergonomic considerations to be followed for
4 weeks.Study period: November 2022 to April 2023.
Result: A statistically significant difference between Joint Mobilization and Energy conservation technique groups
reveals that Joint mobilization has significant effects in lowering stiffness and pain and improving ROM of hand
joints.
Conclusion: Joint mobilization worked more effectively than energy conservation techniques in RA patients.