Hand and upper limb exercises

Suggested

1 studies · 1 recommendation

Last updated: January 30, 2026

Suggested1 studies

Structured hand exercises improve function in rheumatoid arthritis

An optimised exercise programme targeting hands and upper limbs, when added to standard care, can improve hand and wrist function in patients with rheumatoid arthritis. The programme includes both strengthening and stretching exercises that patients can perform at home after initial instruction.

Evidence

Authors: Abraham, Adams, Adams, Adams, Adams, Bandura, Borg, Brazier, Briggs, Brighton, Brooks, Brorsson, Buljina, Chung, Cima, Cooper, Curtis, de Jong, de la Mata Llord, Deighton, Dellhag, Dellhag, Dellhag, Dellhag, Dunn, Earnshaw, Egan, Ellis, Fess, Fiebig, Flatt, Flatt, Fuchs, Gollwitzer, Gollwitzer, Gullick, Hammond, Hammond, Hammond, Hammond, Hammond, Hammond, Hammond, Helliwell, Henderson, Hoch, Hoenig, Horsten, Hurkmans, Jenkinson, Jones, Kapandji, Kennedy, Kennedy, Kind, Kraemer, Lachin, Lamb, Lard, Law, Lemmey, Lineker, Lorig, Luqmani, Malcus-Johnson, Manca, Marcora, Massy-Westropp, Mathiowetz, McGuigan, McLaughlin, Meichenbaum, Michie, Moher, Moseley, Mugii, Norkin, Nurmohamed, Osborn, O’Brien, O’Brien, Parsons, Perneger, Rajbhandary, Ramsey, Rejeski, Rønningen, SARAH Trial Team, Adams, Shauver, Sheeran, Singh, Smith, Smith, Stern, Steultjens, Suarez-Almazor, Swardh, Symmons, Taleisnik, Underwood, Van den Ende, van der Giesen, Vliet Vlieland, Vliet Vlieland, Ware, Wehbé, Wessel, Westby, Willan, Williams, Yelin, Young

Published: January 1, 2015

The SARAH trial (ISRCTN 89936343) was a randomised controlled trial evaluating an optimised exercise programme for hands and upper limbs added to standard care in patients with rheumatoid arthritis. The study assessed clinical effectiveness and cost-effectiveness outcomes, with the intervention focusing on strengthening and stretching exercises specifically designed for RA patients. The trial was funded by the NIHR Health Technology Assessment programme and conducted with support from multiple NIHR research infrastructure organisations, indicating rigorous methodology and adequate sample size for detecting meaningful differences in hand function outcomes.