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Stenström, Birgitta
Publications (5 of 5) Show all publications
Thyberg, I., Dahlström, Ö., Björk, M., Stenström, B. & Adams, J. (2017). Hand pains in women and men in early rheumatoid arthritis, a one year follow-up after diagnosis. The Swedish TIRA project. Disability and Rehabilitation, 39(3), 291-300
Open this publication in new window or tab >>Hand pains in women and men in early rheumatoid arthritis, a one year follow-up after diagnosis. The Swedish TIRA project
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2017 (English)In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 39, no 3, p. 291-300Article in journal (Refereed) Published
Abstract [en]

Purpose: This research analysed general pain intensity, hand pain at rest and hand pain during activity in women and men in early rheumatoid arhtritis (RA).

Method: Out of the 454 patients that were recruited into the Swedish early RA project "TIRA" the 373 patients (67% women) that remained at 12 months follow-up are reported here. Disease activity 28 joint score (DAS-28), disability (Health Assessment Questionnaire = HAQ) and pain (VAS) were recorded at inclusion and after 3 (M3), 6 (M6) and 12 (M12) months. General pain, hand pain during rest, hand pain during test of grip force as assessed by Grippit™, prescribed disease-modifying anti-inflammatory drugs (DMARDs) and hand dominance were recorded.

Results: DAS-28 and HAQ scores were high at inclusion and improved thereafter in both women and men. There were no significant differences between sexes at inclusion but women had higher DAS-28 and HAQ at all follow-ups. Women were more often prescribed DMARDs than were men. In both women and men all pain types were significantly lower at follow-up compared to at inclusion and women reported higher pain than men at follow-ups. The pain types differed significantly from each other at inclusion into TIRA, general pain was highest and hand pain during rest was lowest. There were no significant differences in hand pain related to hand dominance or between right and left hands.

Conclusions: Disease activity, disability and pain were high at inclusion and reduced over the first year. Despite more DMARDs prescribed in women than in men, women were more affected than were men. General pain was highest and not surprisingly hand pain during active grip testing was higher than hand pain during rest that was lowest in both sexes. Although our cohort was well controlled, it was evident that hand pain remains a problem. This has implications for rehabilitation and suggests potential ongoing activity limitations that should continue to receive attention from a multi-professional team.

  • Implications for Rehabilitation
  • General pain and hand pain remain a problem in RA despite today's early intervention and effective disease control with new era biologics.
  • The extent of hand pain evidenced in our work gives a more detailed and comprehensive account of pain status.
  • Higher hand pain during active grip testing than that during rest indicates a potential relationship to ongoing activity limitation.
  • Hand pain assessment can help guiding multi-professional interventions directed to reduce hand pain and thereby probably reduce activity limitations.
Place, publisher, year, edition, pages
Taylor & Francis, 2017
Keywords
Disability, grip force, hand function, pain, rehabilitation, sex
National Category
Occupational Therapy
Identifiers
urn:nbn:se:liu:diva-126437 (URN)10.3109/09638288.2016.1140835 (DOI)000392480400009 ()26965161 (PubMedID)
Note

Funding agencies: Swedish Rheumatism Association

Available from: 2016-03-24 Created: 2016-03-24 Last updated: 2018-04-07Bibliographically approved
Östlund, G., Sverker, A., Björk, M., Thyberg, I., Thyberg, M., Valtersson, E. & Stenström, B. (2014). Känslor relaterade till delaktighet begränsningar – erfarenheter från patienter med reumatoid artrit,en kvalitativ intervjustudie. Reumatologi (18)
Open this publication in new window or tab >>Känslor relaterade till delaktighet begränsningar – erfarenheter från patienter med reumatoid artrit,en kvalitativ intervjustudie
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2014 (Swedish)In: Reumatologi, no 18Article in journal (Other academic) Published
National Category
Clinical Medicine
Identifiers
urn:nbn:se:liu:diva-114369 (URN)
Available from: 2015-02-19 Created: 2015-02-19 Last updated: 2015-03-02
Thyberg, I., Dahlström, Ö., Björk, M., Stenström, B. & Adams, J. (2013). Hand pains and general pain in women and men in early RA: a one year follow up after diagnosis in the TIRA-2 cohort. Paper presented at Annual European Congress of Rheumatology (EULAR 2013), Madrid, Spain, 12-15 June 2013.
Open this publication in new window or tab >>Hand pains and general pain in women and men in early RA: a one year follow up after diagnosis in the TIRA-2 cohort
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2013 (English)Conference paper, Poster (with or without abstract) (Other academic)
National Category
Occupational Therapy
Identifiers
urn:nbn:se:liu:diva-91383 (URN)
Conference
Annual European Congress of Rheumatology (EULAR 2013), Madrid, Spain, 12-15 June 2013
Available from: 2013-04-23 Created: 2013-04-23 Last updated: 2018-04-07
Ordell, S. & Stenström, B. (2002). Aspects of the quality of the information contained in radiological referrals. Swedish Dental Journal, 26(3), 135-140
Open this publication in new window or tab >>Aspects of the quality of the information contained in radiological referrals
2002 (English)In: Swedish Dental Journal, ISSN 0347-9994, Vol. 26, no 3, p. 135-140Article in journal (Refereed) Published
Abstract [en]

A referral letter is an important carrier of information, and it is important that it contains what both the recipient and the referrers expect. Based on the concept of perceived quality of service, 126 consecutive referrals from the General Dental Service (GDS) and their associated replies from the Department of Oral Radiology (OR) were mutually evaluated. OR judged that necessary information about the patient was specified in over 80% of the cases, and that information pertinent to the issue and the proposed examination was included in over 90% of the cases. The referrers were very satisfied with the replies they received. Only 1% reported that the information contained in the reply was not satisfactory for the continued care of the patient. Ninety-one per cent reported that they felt the reply to their referral was adequately long. A mutual questionnaire is a practicable tool to ensure quality in the referral process.

Place, publisher, year, edition, pages
Stockholm, Sverige: Sveriges Tandläkarförbund, 2002
Keywords
radiography; dental; referral and consultations; interprofessional relations
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-27152 (URN)000178706900005 ()11800 (Local ID)11800 (Archive number)11800 (OAI)
Available from: 2009-10-08 Created: 2009-10-08 Last updated: 2017-12-13Bibliographically approved
Lundström, Å., Jendel, J., Stenström, B., Toss, G. & Ravald, N. (2001). Periodontal conditions in 70-year-old women with osteoporosis.. Swedish Dental Journal, 25, 89-96
Open this publication in new window or tab >>Periodontal conditions in 70-year-old women with osteoporosis.
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2001 (English)In: Swedish Dental Journal, ISSN 0347-9994, Vol. 25, p. 89-96Article in journal (Refereed) Published
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-25437 (URN)9883 (Local ID)9883 (Archive number)9883 (OAI)
Available from: 2009-10-07 Created: 2009-10-07 Last updated: 2017-12-13
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