аЯрЁБс>ўџ %'ўџџџ$џџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџьЅСq ПY bjbjt+t+ AAY џџџџџџ]ФФФФФФФиииии фиyЖ>@@@@@@$/є#VdФdДФФДДДFФФ>ииФФФФ>ДŠД>ФФ>ј `рІ”ГТииJj> Foreword The initial proposal of this project was posed during one of the clinical affiliation periods we had in the fourth year as students at Fontys. All members of this project group had one of their affiliation periods at Reumasol Centre in Alfas Del Pi, Spain. Reumasol Centre is run by the Norwegian Rheumatics Association (NRF). Aquatic therapy is one of the main therapeutic means offered by Reumasol, for the treatment of the people attending the centre. Our initial proposal for our graduation project was two fold: First, we wanted to design a tool helping the physiotherapists working at Reumasol Centre to assess the functional levels of their patients. Second, we wanted to conduct a literature review regarding the effectiveness of aquatic therapy for people with rheumatic conditions. The physiotherapy department at Fontys University of Professional Education suggested that it would be more feasible to focus on the literature review, considering the limited amount of time allocated for this project. We finally chose to do a literature review on the effects of aquatic for people with rheumatoid arthritis, osteoarthritis and ankylosing spondylitis on pain, ADL-functioning and Health Related Quality of Life ( HRQL). To limit bias, reduce chance effects and provide reliable results we decided to conduct this review in a systematic way according to the methods described in the Cochrane collaborations reviewers’ handbook.. We decided to focus on the three mentioned disorders, as the three conditions represent a large percentage of the patient population at Reumasol. Pain, ADL-functioning and Health-Related Quality of Life were chosen as the three outcome measures to be investigated. This decision was made on basis of what the World Health Organisation (WHO) and the International League Against Rheumatism (ILAR) have determined to be the most important endpoints in clinical trials concerning patients with chronic rheumatic disease: Pain, Patient Global Assessment and physical disability. We would like to thank Monica Veeger and David deLouw for their continuous support during this project. Furthermore we would like to thank Peter Ardon, Dr. Arianne Verhagen, Dr. Maria Judd and Prof.Jefferson Cardoso for their interest and advice regarding this project. Gilles R.E. Jarret Kim Grana Kristian M. Kulvik Eindhoven 30.05.02    S T X Y њѕячснйB*mH B*mH  B*CJmH 5B*CJmH  5CJmH CJ,mH  5B*mH    зистE F ѓ є       & R S T U ќњѕ№ъъъъъъъъъъъъњњњњњњњњњњњ$&d&d&d$Y ўU V W X Y §§§§А‚. АЦA!А"А# $ %А [$@ёџ$NormalmH<A@ђџЁ<Default Paragraph Font0>@ђ0Title $&d5CJ4Y џџџџY U Y  Y ”šш№—ŸЙ: [ TWтЏБВFƒНє]X [ џџRCzalenA:\2.Foreword.docRCzalenC:\WIN95\Desktop\2.Foreword.docџ@€Tj~ьY P@GTimes New Roman5€Symbol3& Arial"0ˆаh™ђe†™ђe†ZЕЉЅРДД€0v џџForewordRCzalenRCzalenўџр…ŸђљOhЋ‘+'Гй0l˜ЌИШдр№   ( 4 @LT\dф Foreword oreRCzalenCzaCzaNormalRCzalen2zaMicrosoft Word 8.0@@V&}ГТ@V&}ГТZЕўџеЭеœ.“—+,љЎDеЭеœ.“—+,љЎ@ќ hpˆ˜  ЈАИР Ш нф TU Eindhovenewov 1  Foreword Title˜ 6> _PID_GUIDфAN{939D25C1-73B6-11D6-9E60-00609709ED87} ўџџџ ўџџџўџџџ !"#ўџџџ§џџџ&ўџџџўџџџўџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџRoot Entryџџџџџџџџ РF`Ћš”ГТ@ЉЗ”ГТ(€1Tableџџџџџџџџџџџџ WordDocumentџџџџџџџџSummaryInformation(џџџџDocumentSummaryInformation8џџџџџџџџџџџџCompObjџџџџjObjectPoolџџџџџџџџџџџџ@ЉЗ”ГТ@ЉЗ”ГТџџџџџџџџџџџџўџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџўџ џџџџ РFMicrosoft Word Document MSWordDocWord.Document.8є9Вq