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Rehabilitation of the Patient with Rheumatoid Hand Involvement

C Philips, MA, OTR/L, is Manager, Stewart Hand Therapy Group, 245 Washington St, Wellesley Hills, MA 02181. She was Director of Occupational Therapy, Newton-Wellesley Hospital, 2014 Washington St, Newton, MA 02162, when this article was written.

The therapist working with patients with rheumatoid arthritis should consider that they are working with a person with a systemic, chronic disease who may require periodic, long-term treatment. A baseline evaluation helps to establish goals for individual treatment. Reassessment of the patient at various intervals allows the therapist to alter treatment as necessary. In this article, the therapist's role in evaluation and treatment at the various stages of the disease is discussed.

Key Words: Arthritis, rheumatoid arthritis • Hand injuries • Rehabilitation • Upper extremity, hand and wrist

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