Dr. Kaleb Michaud, researcher on rehabilitation dose in adults with Rheumatoid Arthritis, discusses a study examining the association between rehabilitation dose and clinical outcomes. The podcast explores advancements in Rheumatoid Arthritis therapy, collecting data for the rehabilitation study, the speaker's life outside of work, handling boredom and personal limitations, and volunteering and mentoring in rheumatology.
Higher rehabilitation doses, measured by the number of visits, lead to greater improvement in physical function for adults with rheumatoid arthritis.
The study highlights the importance of considering rehabilitation therapy, such as physical or occupational therapy, as a necessary component of treatment plans for rheumatoid arthritis.
Deep dives
Rehabilitation Dose and Rheumatoid Arthritis
The podcast episode discusses a recent study on rehabilitation dose in adults with rheumatoid arthritis (RA) and its association with clinical outcomes. The study aimed to address the need for a comprehensive treatment plan that includes rehabilitation alongside medication. The researchers used data from the Forward Data Bank, a longitudinal data source that collects patient-reported outcomes and safety information every six months. The results showed that a higher rehabilitation dose, measured by the number of visits to physical or occupational therapists, was associated with greater improvement in physical function. The study highlights the importance of considering rehabilitation as a vital treatment modality for RA patients.
The Forward Data Bank and the Study Design
The podcast episode provides details about the Forward Data Bank, a national data bank for rheumatic diseases, used in the study. The data bank collects comprehensive information directly from patients every six months, including treatments received and patient-reported outcomes. For this study, the researchers analyzed a cohort of approximately 1300 RA patients who had no rehabilitation in the first year and then reported rehabilitation in the following six months. The researchers examined the association between rehabilitation dose and clinical outcomes, such as pain, fatigue, and physical function, measured by the health assessment questionnaire. Although the study had some limitations, including self-reported data and the lack of between-session exercise monitoring, the findings emphasize the importance of considering an optimal rehabilitation dose for RA patients.
Implications for Clinicians and Future Research
The podcast episode concludes with discussions on the implications of the study for clinicians and the need for further research. The study highlights the importance of not overlooking rehabilitation as a necessary component of RA treatment, especially for improving physical function. Clinicians should consider incorporating rehabilitation therapy, such as physical or occupational therapy, into the treatment plans for their RA patients. The episode also suggests the need for future studies, particularly in the RA population, to explore optimal dosing of rehabilitation and investigate its effectiveness in targeting specific areas of pain or physical limitations. The episode ends with an interesting conversation about the guest's unique board game cafe and library and their passion for board games as a brain-burning relaxation activity.
Patients with Rheumatoid Arthritis (RA) need rehabilitation to improve functional limitations and slow disability. But in what doses? Using the FORWARD databank, our next guest Dr. Kaleb Michaud, PhD, identified a cohort and gathered data on rehabilitation dose and their functional outcomes. His study’s objective (titled: “Examining Rehabilitation Dose in Adults With Rheumatoid Arthritis: Association With Baseline Factors and Change in Clinical Outcomes“) determine if there was a meaningful change in physical function, pain and fatigue over a six-month period when evaluating baseline factors and rehabilitation dose. This study, recently published in Arthritis Care & Research is the subject of our discussion today.
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