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Clinical Rheumatology

, Volume 1, Issue 2, pp 117–125 | Cite as

Prognosis of functional capacity and work capacity in rheumatoid arthritis

  • G. L. Mäkisara
  • P. Mäkisara
Originals

Summary

In the study functional capacity and work capacity were investigated in a series of 405 hospital patients suffering from rheumatoid arthritis. One-third of the patients had had the disease for 5 years, one-third for 10 years and one-third for 15 years. The functional capacity index presented by Lee et al. (1973) was used. Half of the patients in the 5 and 10-year groups and one-third of those in the 15-year group had good functional capacity. One-fourth in the 5 and 10-year groups and one-third of those in the 15-year group had poor functional capacity. Sixty per cent of the 5-year group, 50 per cent of the 10-year group and 33 per cent of the 15-year group were able to work. The prognosis of functional capacity and work capacity was better for young persons than for older ones. No differences were found between the prognoses for men and women. High ESR, a positive blood rheumatoid factor and joint erosion seemed to be linked with an unfavourable prognosis of functional capacity. Light work was favoured for the prognosis of functional capacity and work capacity and extensive general education and vocational training for work capacity. The results indicate that starting vocational rehabilitation at an early stage of the disease could improve the prognosis of functional capacity and work capacity.

Key words

Rheumatoid arthritis Prognosis Functional capacity 

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References

  1. 1.
    Buckley C.W.: Prognosis in arthritis. Lancet 1936, 1, 1023–1025.Google Scholar
  2. 2.
    Ragan C.: The general management of rheumatoid arthritis. J.A.M.A. 1949, 41, 124–127.Google Scholar
  3. 3.
    Duthie J.J.R., Thompson M., Weir M.M., Fletcher W.B.: Medical and social aspect of the treatment of rheumatoid arthritis. Ann.Rheum.Dis 1955, 14, 133–149.Google Scholar
  4. 4.
    Duthie J.J.R., Brown P.E., Knox J.D.E., Thompson M.: Course of prognosis in rheumatoid arthritis. Ann.Rheum.Dis. 1957, 16, 411–423.Google Scholar
  5. 5.
    Duthie J.J.R., Brown P.E., Truelove L.H., Baragar F.D., Lawrie A.J.: Course and prognosis in rheumatoid arthritis. Ann.Rheum.Dis. 1964, 23, 193–202.Google Scholar
  6. 6.
    Jacoby R.K., Jayson M.I.V., Cosh J.A.: Onset, early stages, and prognosis of rheumatoid arthritis: A clinical study of 100 patients with 11-year follow-up 1973, Br.Med.J. 2, 96–100.Google Scholar
  7. 7.
    Fleming A., Crown J.M., Corbett M.: Prognostic value of early features in rheumatoid arthritis. Br.Med.J. 1976, 1, 1243–1245.Google Scholar
  8. 8.
    Lowman E.W: Rehabilitation of the rheumatoid cripple. A five year study. Arthritis Rheum 1958, 1, 38–43.Google Scholar
  9. 9.
    Harris R.: Results of rehabilitation and resettlement in rheumatoid arthritis. Ann.Phys.Med. 1960, 5, 194–202.Google Scholar
  10. 10.
    Robinson H.S., Walters K.: Return to work after treatment of rheumatoid arthritis Can.Med.Assoc. 1971, 105, 166–169.Google Scholar
  11. 11.
    Robinson H.S., Walters K.: Patterns of work -rheumatoid arthritis. Int Rehabil Med 1979, 1, 121–125.Google Scholar
  12. 12.
    Lee P., Jasani M.K., Dick W. Carson, Buchanan W.W.: Evaluation of a functional index in rheumatoid arthritis. Scand.J. Rheumatol. 1973, 2, 71–77.Google Scholar
  13. 13.
    Bywaters E.G.L., Curwen M., Dresner E., Dixon A.St.J.: Ten-year follow-up of rheumatoid arthritis. Lancet. 1960, 2, 1381.Google Scholar

Copyright information

© Springer-Verlag 1982

Authors and Affiliations

  • G. L. Mäkisara
    • 1
  • P. Mäkisara
    • 1
  1. 1.Rheumatism Foundation HospitalHeinolaFinland

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