Avaliação funcional em mulheres com artrite reumatoide durante o teste de AVD-Glittre

Abstract

Rheumatoid arthritis (RA) is a chronic autoimmune inflammatory disease characterized by symmetric peripheral polyarthritis that leads to deformity and destruction of the joints. Since RA affects the joints of both the upper and lower limbs, it is essential to assess the functional capacity of these individuals through dynamic tests that largely require the performance of the locomotor system. In this sense, the Glittre Activities of Daily Living (ADLs) test was developed for a more objective and representative assessment of functionality by involving multitasking that simulates ADLs in a field test. The aim of this study was to evaluate the functional capacity in women with AR using Glittre-ADL test and, secondarily, correlate these findings with physical function, muscle strength and hand function. This is a cross-sectional study in which 30 women with RA and 25 controls underwent Glittre-ADL test. In addition, the participants underwent to the following assessments: measurement of physical function through the Health Assessment Questionnaire Disability Index (HAQ-DI); measurement of muscle function using quadriceps strength (QS) and handgrip strength (HGS); and hand function evaluation using the Cochin Hand Functional Scale (CHFS). The median of the Glittre-ADL test team was higher in women with RA compared to controls [300 (295–420) vs. 180 (155–203) s], P 􏰀 0.0001), with squatting to accomplish shelving tasks being the greatest difficulty reported by patients at the end of Glittre-ADL test. The Glittre-ADL test time correlated positively with HAQ-DI (rs = 0.668, P 􏰀 0.0001) and CHFS (rs = 0.586, P = 0.0007) and negatively with QS (rs = -0.429, P = 0.037). In conclusion, this study showed that women with RA need more time to multitask Glittre-ADL test. Furthermore, the total time of Glittre-ADL test is associated with physical function, manual skill and QS. Thus, the Glittre-ADL test shows potential for use in laboratories and clinical practice to evaluate the performance of ADLs by individuals with RA, although there is a need for information about the long-term importance of its results.