{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T09:57:28Z","timestamp":1785491848243,"version":"3.56.0"},"reference-count":52,"publisher":"Akademiai Kiado Zrt.","issue":"40","license":[{"start":{"date-parts":[[2025,10,5]],"date-time":"2025-10-05T00:00:00Z","timestamp":1759622400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2025,10,5]]},"abstract":"<jats:p>A rheumatoid arthritis autoimmun eredet\u0171, kr\u00f3nikus, gyullad\u00e1sos \u00edz\u00fcleti\n                    megbeteged\u00e9s. A betegs\u00e9g gyakran progressz\u00edv, \u00e9s az \u00edz\u00fcleti strukt\u00far\u00e1k\n                    k\u00e1rosod\u00e1s\u00e1hoz, mozg\u00e1skorl\u00e1tozotts\u00e1ghoz, munkak\u00e9pess\u00e9g-cs\u00f6kken\u00e9shez, valamint\n                    \u00e9letmin\u0151s\u00e9g-roml\u00e1shoz vezethet. Jelent\u0151s terhet r\u00f3 az egy\u00e9nekre \u00e9s az\n                    eg\u00e9szs\u00e9g\u00fcgyi rendszerekre egyar\u00e1nt. A rheumatoid arthritis komplex kezel\u00e9se\n                    gy\u00f3gyszeres \u00e9s nem gy\u00f3gyszeres elemeket is mag\u00e1ban foglal. A mozg\u00e1ster\u00e1pia mint\n                    nem farmakol\u00f3giai intervenci\u00f3 egyre nagyobb figyelmet kap, k\u00fcl\u00f6n\u00f6sen a\n                    funkcion\u00e1lis \u00e1llapot, a f\u00e1jdalomcsillap\u00edt\u00e1s \u00e9s az \u00e9letmin\u0151s\u00e9g jav\u00edt\u00e1sa\n                    szempontj\u00e1b\u00f3l, \u00edgy a betegs\u00e9g kezel\u00e9s\u00e9nek elengedhetetlen r\u00e9sze. Az \u00f6sszefoglal\u00f3\n                    tanulm\u00e1ny c\u00e9lja annak \u00e1ttekint\u00e9se, hogy milyen hat\u00e1ssal van a mozg\u00e1ster\u00e1pia a\n                    rheumatoid arthritises betegek \u00e9letmin\u0151s\u00e9g\u00e9re, k\u00fcl\u00f6n\u00f6s tekintettel a fizikai\n                    funkci\u00f3kra, a pszichol\u00f3giai j\u00f3ll\u00e9tre, valamint a mozg\u00e1ster\u00e1pia digit\u00e1lis \u00e9s\n                    ergoter\u00e1pi\u00e1s lehet\u0151s\u00e9geire. Az \u00e1ttekintett evidenci\u00e1k alapj\u00e1n a szem\u00e9lyre\n                    szabott gy\u00f3gytorna rheumatoid arthritis eset\u00e9n biztons\u00e1gos, jav\u00edtja a fizikai\n                    funkci\u00f3kat \u00e9s az \u00e9letmin\u0151s\u00e9get, cs\u00f6kkenti a f\u00e1rad\u00e9konys\u00e1got, \u00e9s hozz\u00e1j\u00e1rul a\n                    gyullad\u00e1sos aktivit\u00e1s m\u00e9rs\u00e9kl\u00e9s\u00e9hez. A gy\u00f3gytorna mellett a rendszeres,\n                    megfelel\u0151en tervezett fizikai aktivit\u00e1s igazoltan kedvez\u0151 hat\u00e1ssal van a sz\u00edv-\n                    \u00e9s \u00e9rrendszeri funkci\u00f3kra. A mozg\u00e1ster\u00e1pi\u00e1t minden esetben a beteg aktu\u00e1lis\n                    eg\u00e9szs\u00e9gi \u00e1llapot\u00e1hoz, fizikai kapacit\u00e1s\u00e1hoz \u00e9s az alapbetegs\u00e9g aktivit\u00e1s\u00e1hoz\n                    igaz\u00edtva kell kialak\u00edtani. Orv Hetil. 2025; 166(40): 1574\u20131581.<\/jats:p>","DOI":"10.1556\/650.2025.33380","type":"journal-article","created":{"date-parts":[[2025,10,6]],"date-time":"2025-10-06T14:01:44Z","timestamp":1759759304000},"page":"1574-1581","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":2,"title":["A mozg\u00e1ster\u00e1pia szerepe a rheumatoid arthritises betegek komplex ell\u00e1t\u00e1s\u00e1ban"],"prefix":"10.1556","volume":"166","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-9320-7514","authenticated-orcid":true,"given":"T\u00fcnde Rita","family":"Kupovits","sequence":"first","affiliation":[{"name":"H\u00e9v\u00edzi Szent Andr\u00e1s Reumak\u00f3rh\u00e1z \u00e9s Gy\u00f3gyf\u00fcrd\u0151 H\u00e9v\u00edz, Dr. Schulhof Vilmos s\u00e9t\u00e1ny 1., 8380 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zsuzsanna","family":"M\u00e1nd\u00f3","sequence":"additional","affiliation":[{"name":"H\u00e9v\u00edzi Szent Andr\u00e1s Reumak\u00f3rh\u00e1z \u00e9s Gy\u00f3gyf\u00fcrd\u0151 H\u00e9v\u00edz, Dr. Schulhof Vilmos s\u00e9t\u00e1ny 1., 8380 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00c1gota","family":"Kulisch","sequence":"additional","affiliation":[{"name":"H\u00e9v\u00edzi Szent Andr\u00e1s Reumak\u00f3rh\u00e1z \u00e9s Gy\u00f3gyf\u00fcrd\u0151 H\u00e9v\u00edz, Dr. Schulhof Vilmos s\u00e9t\u00e1ny 1., 8380 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"425","reference":[{"key":"R1","doi-asserted-by":"crossref","unstructured":"Ol\u00e1h K, N\u00e9meth T. Discovering the pathogenesis of autoimmune\n                    inflammation. [Az autoimmun gyullad\u00e1s h\u00e1tter\u00e9ben \u00e1ll\u00f3 folyamatok megismer\u00e9s\u00e9nek\n                    lehet\u0151s\u00e9gei.] Orv Hetil. 2024; 165: 983\u2013996. [Hungarian]","DOI":"10.1556\/650.2024.33066"},{"key":"R2","unstructured":"Sur\u00e1nyi P. Rheumatoid arthritis. In: Szekanecz Z, Nagy Gy, Sz\u0171cs G.\n                    (eds.) Clinical immunology. [Rheumatoid arthritis. In: Szekanecz Z, Nagy Gy,\n                    Sz\u0171cs G. (szerk.) Klinikai immunol\u00f3gia.] Medicina K\u00f6nyvkiad\u00f3, Budapest, 2025;\n                    pp. 451\u2013461. [Hungarian]"},{"key":"R3","doi-asserted-by":"crossref","unstructured":"Szekanecz Z, Kerekes G, Kardos Zs, et al. Mechanisms of inflammatory\n                    atherosclerosis in rheumatoid arthritis. Curr Immunol Rev. 2016; 12:\n                    35\u201346.","DOI":"10.2174\/1573395511666150706181454"},{"key":"R4","doi-asserted-by":"crossref","unstructured":"Elmer D, Endrei D, Sebesty\u00e9n A, et al. Nationwide epidemiological\n                    and health insurance disease burden of rheumatoid arthritis in Hungary. [A\n                    rheumatoid arthritis okozta orsz\u00e1gos epidemiol\u00f3giai \u00e9s eg\u00e9szs\u00e9gbiztos\u00edt\u00e1si\n                    betegs\u00e9gteher Magyarorsz\u00e1gon.] Orv Hetil. 2021; 162: 30\u201337.","DOI":"10.1556\/650.2021.32157"},{"key":"R5","doi-asserted-by":"crossref","unstructured":"Smolen JS, Landew\u00e9 RB, Bergstra SA, et al. EULAR recommendations for\n                    the management of rheumatoid arthritis with synthetic and biological\n                    disease-modifying antirheumatic drugs: 2022 update. Ann Rheum Dis. 2023; 82:\n                    3\u201318. Erratum: Ann Rheum Dis. 2023; 82: e76.","DOI":"10.1136\/ard-2022-223356corr1"},{"key":"R6","unstructured":"Czirj\u00e1k L. Rheumatoid arthritis. In: Czirj\u00e1k L. (ed.) Rheumatology.\n                    [Rheumatoid arthritis. In: Czirj\u00e1k L. (szerk.) Reumatol\u00f3gia.] Czirj\u00e1k\n                    Eg\u00e9szs\u00e9g\u00fcgyi Bet\u00e9ti T\u00e1rsas\u00e1g, P\u00e9cs, 2022; pp. 133\u2013159.\n                    [Hungarian]"},{"key":"R7","doi-asserted-by":"crossref","unstructured":"Smolen JS, Aletaha D, McInnes IB. Rheumatoid arthritis. Lancet 2016;\n                    388: 2023\u20132038. Erratum: Lancet. 2016; 388: 1984.","DOI":"10.1016\/S0140-6736(16)30173-8"},{"key":"R8","doi-asserted-by":"crossref","unstructured":"Smolen JS, Landew\u00e9 R, Bijlsma J, et al. EULAR recommendations for\n                    the management of rheumatoid arthritis with synthetic and biological\n                    disease-modifying antirheumatic drugs: 2019 update. Ann Rheum Dis. 2020; 79:\n                    685\u2013699.","DOI":"10.1136\/annrheumdis-2019-216655"},{"key":"R9","unstructured":"GBD 2021 Rheumatoid Arthritis Collaborators. Global, regional, and\n                    national burden of rheumatoid arthritis, 1990\u20132020, and projections to 2050: a\n                    systematic analysis of the Global Burden of Disease Study 2021. Lancet\n                    Rheumatol. 2023; 5: e594\u2013e610."},{"key":"R10","doi-asserted-by":"crossref","unstructured":"Zhang Z, Gao X, Liu S, et al. Global, regional, and national\n                    epidemiology of rheumatoid arthritis among people aged 20\u201354 years from 1990 to\n                    2021. Sci Rep. 2025; 15: 10736.","DOI":"10.1038\/s41598-025-92150-1"},{"key":"R11","doi-asserted-by":"crossref","unstructured":"Sallai JR, Hunka A, H\u00e9jj G, et al. Survey of quality of life of\n                    rheumatoid arthritis patients admitted to rehabilitation centers in Hungary.\n                    [Hazai k\u00f3rh\u00e1zakban rehabilit\u00e1lt rheumatoid arthritises betegek \u00e9letmin\u0151s\u00e9ge.]\n                    Orv Hetil. 2013; 154: 1381\u20131388. [Hungarian]","DOI":"10.1556\/OH.2013.29645"},{"key":"R12","doi-asserted-by":"crossref","unstructured":"P\u00e9ntek M, Szekanecz Z, Czirj\u00e1k L, et al. Impact of disease\n                    progression on health status, quality of life and costs in rheumatoid arthritis\n                    in Hungary. [A betegs\u00e9gprogresszi\u00f3 hat\u00e1sa az eg\u00e9szs\u00e9gi \u00e1llapotra, \u00e9letmin\u0151s\u00e9gre\n                    \u00e9s k\u00f6lts\u00e9gekre rheumatoid arthritisben Magyarorsz\u00e1gon.] Orv Hetil. 2008; 149:\n                    733\u2013741. [Hungarian]","DOI":"10.1556\/oh.2008.28294"},{"key":"R13","doi-asserted-by":"crossref","unstructured":"Cross M, Smith E, Hoy D, et al. The global burden of rheumatoid\n                    arthritis: estimates from the Global Burden of Disease 2010 study. Ann Rheum\n                    Dis. 2014; 73: 1316\u20131322.","DOI":"10.1136\/annrheumdis-2013-204627"},{"key":"R14","doi-asserted-by":"crossref","unstructured":"Kupovits TR. Treatment options for low back pain: the importance of\n                    patient education. [A der\u00e9kf\u00e1jdalom kezel\u00e9si lehet\u0151s\u00e9gei: a betegoktat\u00e1s\n                    jelent\u0151s\u00e9ge.] Orv Hetil. 2024; 165: 1562\u20131569. [Hungarian]","DOI":"10.1556\/650.2024.33135"},{"key":"R15","doi-asserted-by":"crossref","unstructured":"Matcham F, Rayner L, Steer S, et al. The prevalence of depression in\n                    rheumatoid arthritis: a systematic review and meta-analysis. Rheumatology\n                    (Oxford) 2013; 52: 2136\u20132148.","DOI":"10.1093\/rheumatology\/ket169"},{"key":"R16","doi-asserted-by":"crossref","unstructured":"Feng J, Yu L, Fang Y, et al. Correlation between disease activity\n                    and patient-reported health-related quality of life in rheumatoid arthritis: a\n                    cross-sectional study. BMJ Open 2024; 14: e082020.","DOI":"10.1136\/bmjopen-2023-082020"},{"key":"R17","doi-asserted-by":"crossref","unstructured":"Kojima M, Kojima T, Suzuki S, et al. Depression, inflammation, and\n                    pain in patients with rheumatoid arthritis. Arthritis Rheum. 2009; 61:\n                    1018\u20131024.","DOI":"10.1002\/art.24647"},{"key":"R18","doi-asserted-by":"crossref","unstructured":"Matcham F, Scott IC, Rayner L, et al. The impact of rheumatoid\n                    arthritis on quality-of-life assessed using the SF-36: a systematic review and\n                    meta-analysis. Semin Arthritis Rheum. 2014; 44: 123\u2013130.","DOI":"10.1016\/j.semarthrit.2014.05.001"},{"key":"R19","doi-asserted-by":"crossref","unstructured":"Poly\u00e1k \u00c9, M\u00fcller H, Figler M, et al. The role of dietary factors and\n                    nutrients in rheumatoid arthritis. [\u00c9trendi t\u00e9nyez\u0151k \u00e9s t\u00e1panyagok szerepe\n                    rheumatoid arthritisben.] Orv Hetil. 2023; 164: 1052\u20131061.\n                    [Hungarian]","DOI":"10.1556\/650.2023.32797"},{"key":"R20","doi-asserted-by":"crossref","unstructured":"Margaretten M, Julian L, Katz P, et al. Depression in patients with\n                    rheumatoid arthritis: description, causes and mechanisms. Int J Clin Rheumtol.\n                    2011; 6: 617\u2013623.","DOI":"10.2217\/ijr.11.62"},{"key":"R21","doi-asserted-by":"crossref","unstructured":"Pincus T, Sokka T. Quantitative measures and indices to assess\n                    rheumatoid arthritis in clinical trials and clinical care. Rheum Dis Clin North\n                    Am. 2004; 30: 725\u2013751.","DOI":"10.1016\/j.rdc.2004.08.001"},{"key":"R22","unstructured":"Czirj\u00e1k L. The fundamental characteristics of systemic autoimmune\n                    and inflammatory rheumatologic diseases. In: Czirj\u00e1k L. (ed.) Rheumatology. [A\n                    sziszt\u00e9m\u00e1s autoimmun \u00e9s gyullad\u00e1sos reumatol\u00f3giai k\u00f3rk\u00e9pek alapvet\u0151 jellemz\u0151i.\n                    In: Czirj\u00e1k L. (szerk.) Reumatol\u00f3gia.] Czirj\u00e1k Eg\u00e9szs\u00e9g\u00fcgyi Bet\u00e9ti T\u00e1rsas\u00e1g,\n                    P\u00e9cs, 2020; pp. 4\u2013153. [Hungarian]"},{"key":"R23","doi-asserted-by":"crossref","unstructured":"Jin Z, Xiang C, Cai Q, et al. Alcohol consumption as a preventive\n                    factor for developing rheumatoid arthritis: a dose-response meta-analysis of\n                    prospective studies. Ann Rheum Dis. 2014; 73: 1962\u20131967.","DOI":"10.1136\/annrheumdis-2013-203323"},{"key":"R24","doi-asserted-by":"crossref","unstructured":"Di Giuseppe D, Discacciati A, Orsini N, et al. Cigarette smoking and\n                    risk of rheumatoid arthritis: a dose-response meta-analysis. Arthritis Res Ther.\n                    2014; 16: R61.","DOI":"10.1186\/ar4498"},{"key":"R25","doi-asserted-by":"crossref","unstructured":"Di Giuseppe D, Orsini N, Alfredsson L, et al. Cigarette smoking and\n                    smoking cessation in relation to risk of rheumatoid arthritis in women.\n                    Arthritis Res Ther. 2013; 15: R56.","DOI":"10.1186\/ar4218"},{"key":"R26","doi-asserted-by":"crossref","unstructured":"Cerasola D, Argano C, Chiovaro V, et al. Physical exercise and\n                    occupational therapy at home to improve the quality of life in subjects affected\n                    by rheumatoid arthritis: a randomized controlled trial. Healthcare (Basel) 2023;\n                    11: 2123.","DOI":"10.3390\/healthcare11152123"},{"key":"R27","unstructured":"Kavuncu V, Evcik D. Physiotherapy in rheumatoid arthritis. Med Gen\n                    Med. 2004; 6: 3."},{"key":"R28","doi-asserted-by":"crossref","unstructured":"Cooney JK, Law RJ, Matschke V, et al. Benefits of exercise in\n                    rheumatoid arthritis. J Aging Res. 2011; 2011: 681640.","DOI":"10.4061\/2011\/681640"},{"key":"R29","doi-asserted-by":"crossref","unstructured":"Teuwen MM, van Weely SF, Vliet Vlieland TP, et al. Effectiveness of\n                    longstanding exercise therapy compared with usual care for people with\n                    rheumatoid arthritis and severe functional limitations: a randomised controlled\n                    trial. Ann Rheum Dis. 2024; 83: 437\u2013445.","DOI":"10.1136\/ard-2023-224912"},{"key":"R30","doi-asserted-by":"crossref","unstructured":"Medrado LN, Mendon\u00e7a ML, Budib MB, et al. Effectiveness of aquatic\n                    exercise in the treatment of inflammatory arthritis: systematic review.\n                    Rheumatol Int. 2022; 42: 1681\u20131691.","DOI":"10.1007\/s00296-022-05145-w"},{"key":"R31","doi-asserted-by":"crossref","unstructured":"Modarresi Chahardehi AM, Masoumi SA, Bigdeloo M, et al. The effect\n                    of exercise on patients with rheumatoid arthritis on the modulation of\n                    inflammation. Clin Exp Rheumatol. 2022; 40: 1420\u20131431.","DOI":"10.55563\/clinexprheumatol\/fohyoy"},{"key":"R32","doi-asserted-by":"crossref","unstructured":"Metsios GS, Kitas GD. Physical activity, exercise and rheumatoid\n                    arthritis: effectiveness, mechanisms and implementation. Best Pract Res Clin\n                    Rheumatol. 2018; 32: 669\u2013682.","DOI":"10.1016\/j.berh.2019.03.013"},{"key":"R33","doi-asserted-by":"crossref","unstructured":"Avi\u00f1a-Zubieta JA, Choi HK, Sadatsafavi M, et al. Risk of\n                    cardiovascular mortality in patients with rheumatoid arthritis: a meta-analysis\n                    of observational studies. Arthritis Rheum. 2008; 59: 1690\u20131697.","DOI":"10.1002\/art.24092"},{"key":"R34","doi-asserted-by":"crossref","unstructured":"Allameen NA, Lai YW, Lian G, et al. Physiotherapy and occupational\n                    therapy in rheumatoid arthritis: bridging functional and comorbidity gaps. Best\n                    Pract Res Clin Rheumatol. 2025; 39: 102032.","DOI":"10.1016\/j.berh.2024.102032"},{"key":"R35","doi-asserted-by":"crossref","unstructured":"Lyu Q, Ma L, Liu H, et al. Meta-analysis of risk factors for\n                    cardiovascular disease in patients with rheumatoid arthritis. Medicine\n                    (Baltimore) 2023; 102: e35912.","DOI":"10.1097\/MD.0000000000035912"},{"key":"R36","doi-asserted-by":"crossref","unstructured":"England BR, Smith BJ, Baker NA, et al. 2022 American College of\n                    Rheumatology Guideline for exercise, rehabilitation, diet, and additional\n                    integrative interventions for rheumatoid arthritis. Arthritis Care Res (Hoboken)\n                    2023; 75: 1603\u20131615.","DOI":"10.1002\/acr.25124"},{"key":"R37","doi-asserted-by":"crossref","unstructured":"Metsios GS, Moe RH, van der Esch M, et al. The effects of exercise\n                    on cardiovascular disease risk factors and cardiovascular physiology in\n                    rheumatoid arthritis. Rheumatol Int. 2020; 40: 347\u2013357.","DOI":"10.1007\/s00296-019-04483-6"},{"key":"R38","doi-asserted-by":"crossref","unstructured":"Sveaas SH, Smedslund G, Hagen KB, et al. Effect of cardiorespiratory\n                    and strength exercises on disease activity in patients with inflammatory\n                    rheumatic diseases: a systematic review and meta-analysis. Br J Sports Med.\n                    2017; 51: 1065\u20131072.","DOI":"10.1136\/bjsports-2016-097149"},{"key":"R39","doi-asserted-by":"crossref","unstructured":"Wen Z, Chai Y. Effectiveness of resistance exercises in the\n                    treatment of rheumatoid arthritis: a meta-analysis. Medicine (Baltimore) 2021;\n                    100: e25019.","DOI":"10.1097\/MD.0000000000025019"},{"key":"R40","doi-asserted-by":"crossref","unstructured":"Lange E, Kucharski D, Svedlund S, et al. Effects of aerobic and\n                    resistance exercise in older adults with rheumatoid arthritis: a randomized\n                    controlled trial. Arthritis Care Res (Hoboken) 2019; 71: 61\u201370.","DOI":"10.1002\/acr.23589"},{"key":"R41","doi-asserted-by":"crossref","unstructured":"Azeez M, Clancy C, O\u2019Dwyer T, et al. Benefits of exercise in\n                    patients with rheumatoid arthritis: a randomized controlled trial of a\n                    patient-specific exercise programme. Clin Rheumatol. 2020; 39:\n                    1783\u20131792.","DOI":"10.1007\/s10067-020-04937-4"},{"key":"R42","doi-asserted-by":"crossref","unstructured":"Athanasiou A, Papazachou O, Rovina N, et al. The effects of exercise\n                    training on functional capacity and quality of life in patients with rheumatoid\n                    arthritis: a systematic J Cardiovasc Dev Dis. 2024; 11: 161.","DOI":"10.3390\/jcdd11060161"},{"key":"R43","doi-asserted-by":"crossref","unstructured":"Li C, Huang J, Wu H, et al. Management of rheumatoid arthritis with\n                    a digital health application: a multicenter, pragmatic randomized clinical\n                    trial. JAMA Netw Open 2023; 6: e238343.","DOI":"10.1001\/jamanetworkopen.2023.8343"},{"key":"R44","doi-asserted-by":"crossref","unstructured":"Rodr\u00edguez S\u00e1nchez-Laulh\u00e9 P, Luque-Romero LG, Barrero-Garc\u00eda FJ, et\n                    al. An exercise and educational and self-management program delivered with a\n                    smartphone App (CareHand) in adults with rheumatoid arthritis of the hands:\n                    randomized controlled trial. JMIR Mhealth Uhealth 2022; 10:\n                    e35462.","DOI":"10.2196\/35462"},{"key":"R45","doi-asserted-by":"crossref","unstructured":"Li LC, Xie H, Feehan LM, et al. Effect of digital monitoring and\n                    counselling on self-management ability in patients with rheumatoid arthritis: a\n                    randomised controlled trial. Rheumatology (Oxford) 2025; 64:\n                    310\u2013320.","DOI":"10.1093\/rheumatology\/kead709"},{"key":"R46","doi-asserted-by":"crossref","unstructured":"Shao JH, Yu KH, Kao YC, et al. Effects of a smartphone app-based\n                    intervention on rheumatoid arthritis self-management efficacy: a randomized\n                    controlled trial. J Nurs Res. 2024; 32: e349.","DOI":"10.1097\/jnr.0000000000000638"},{"key":"R47","unstructured":"V\u00e1mosn\u00e9 Fazekas A. Characteristics of the rheumatoid hand and its\n                    physiotherapeutic treatment. [A reumatoid k\u00e9z jellemz\u0151i \u00e9s fizioter\u00e1pi\u00e1s\n                    kezel\u00e9se.] Eg\u00e9szs\u00e9gtud K\u00f6zl. 2017; 7: 78\u201384. [Hungarian]"},{"key":"R48","doi-asserted-by":"crossref","unstructured":"Lamb SE, Williamson EM, Heine PJ, et al. Strengthening and\n                    stretching for rheumatoid arthritis of the hand trial (SARAH) trial team.\n                    Exercises to improve function of the rheumatoid hand (SARAH): a randomised\n                    controlled trial. Lancet 2015; 385: 421\u2013429.","DOI":"10.1016\/S0140-6736(14)60998-3"},{"key":"R49","doi-asserted-by":"crossref","unstructured":"Williams MA, Srikesavan C, Heine PJ, et al. Exercise for rheumatoid\n                    arthritis of the hand. Cochrane Database Syst Rev. 2018; 7:\n                    CD003832.","DOI":"10.1002\/14651858.CD003832.pub3"},{"key":"R50","doi-asserted-by":"crossref","unstructured":"Steultjens EM, Dekker J, Bouter LM, et al. Occupational therapy for\n                    rheumatoid arthritis. Cochrane Database Syst Rev. 2004; 2004:\n                    CD003114.","DOI":"10.1002\/14651858.CD003114.pub2"},{"key":"R51","unstructured":"Rapoliene J, Krisci\u016bnas A. The effectiveness of occupational therapy\n                    in restoring the functional state of hands in rheumatoid arthritis patients.\n                    Medicina (Kaunas) 2006; 42: 823\u2013828."},{"key":"R52","doi-asserted-by":"crossref","unstructured":"Marengo MF, Suarez-Almazor ME. Improving treatment adherence in\n                    patients with rheumatoid arthritis: what are the options? Int J Clin Rheumtol.\n                    2015; 10: 345\u2013356.","DOI":"10.2217\/ijr.15.39"}],"container-title":["Orvosi Hetilap"],"original-title":[],"link":[{"URL":"https:\/\/www.akjournals.com\/view\/journals\/650\/166\/40\/article-p1574.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.akjournals.com\/downloadpdf\/journals\/650\/166\/40\/article-p1574.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/www.akjournals.com\/downloadpdf\/journals\/650\/166\/40\/article-p1574.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T08:58:12Z","timestamp":1785488292000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.akjournals.com\/view\/journals\/650\/166\/40\/article-p1574.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,5]]},"references-count":52,"journal-issue":{"issue":"40"},"URL":"https:\/\/doi.org\/10.1556\/650.2025.33380","relation":{},"ISSN":["0030-6002","1788-6120"],"issn-type":[{"value":"0030-6002","type":"print"},{"value":"1788-6120","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10,5]]}}}