Aerobic and resistance exercise in systemic sclerosis: State of the art

Oliveira, Natália Cristina de; Portes, Leslie Andrews; Pettersson, Henrik; Alexanderson, Helene; Boström, Carina

doi:10.1002/msc.1185

Cited by 32 publications

(41 citation statements)

References 66 publications

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“…In line with earlier exercise studies in SSc (de Oliveira et al, ; Rannou et al, ), our participants experienced that PA/exercise reduced pain and improved physical and aerobic capacity, muscle strength and quality of life. Our participants experienced how PA/exercises improved blood circulation and that they could have the potential to reduce the risk of digital ulcers and even the need of amputation.…”

Section: Essential For Life and Healthsupporting

confidence: 90%

“…Functional muscle endurance in shoulder‐ and hip flexion and muscle strength in the lower extremity is reduced in SSc, regardless of subtype (Lima et al, ; Pettersson et al, ). Further, individuals with SSc often suffer from dyspnea (Willems et al, ), reduced aerobic capacity (de Oliveira et al, ) and reduced capacity for walking and running (de Oliveira, Portes, Pettersson, Alexanderson, & Bostrom, ; Pettersson et al, ). A majority of individuals with SSc (de Oliveira et al, ; Liem et al, ; Pettersson et al, ) do not meet the World Health Organization's (WHO's) recommendations of health‐enhancing physical activities (PA) (World Health Organization, ).…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…Exercise is safe and beneficial to improve the physical capacity and health‐related quality of lives (HRQoL) in individuals with SSc with no or mild lung disease (de Oliveira et al, ). Few studies have evaluated the effects of exercise in SSc with moderate to severe lung disease (de Oliveira et al, ). In patients with interstitial lung disease without SSc, exercise can improve exercise capacities, HRQoL and reduce dyspnea (Dowman et al, ; Perez‐Bogerd et al, ).…”

Section: Introductionmentioning

confidence: 99%

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Experiences of physical activity and exercise in individuals with systemic sclerosis: A qualitative study

Pettersson

Nordin

Svenungsson

et al. 2020

Musculoskeletal Care

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Introduction: Exercise is emerging as an important part of the treatment in systemic sclerosis-patients with no-mild lung involvement. However, it has not been studied how patients experience physical activity and exercises. We thus explored and described experiences of physical activity/exercises in systemic sclerosis-individuals.Method: Sixteen systemic sclerosis-patients were purposefully recruited to represent variation in gender, age, and lung disease. Semi-structured individual interviews were performed, transcribed and analyzed with qualitative content analysis.Results: Three themes (categories) emerged: 1) Essential for life and health (An effective treatment, Reduces fear of deterioration, and Feeling healthy and satisfied with oneself); 2) Disease-related hinders and other barriers (Disease consequences, Risk of worsening, and Non-disease related barriers); and 3) Self-care and/or support (Self-confidence in physical activity/exercise, and, Education and support from healthcare and other).Conclusions: Physical activity/exercises were experienced as essential for life and health and as an effective treatment. It reduced fear of deterioration and made the participants feel healthy and satisfied with oneself. However, participants also experienced disease-related barriers like shortness of breath and pain, and they expressed a risk of worsening. Participants felt confidence in their physical activity/exercises and expressed that education and support from healthcare could be facilitating. Our findings add new knowledge about how systemic sclerosis-patients perceive physical activity/exercise and can contribute to the development of patient education and PA/exercise programs. K E Y W O R D S exercise, interview, qualitative research

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Section: Essential For Life and Healthsupporting

confidence: 90%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Experiences of physical activity and exercise in individuals with systemic sclerosis: A qualitative study

Pettersson

Nordin

Svenungsson

et al. 2020

Musculoskeletal Care

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“…BeianderenErkrankungenähnlicherSchwerekanneinindividuell angepasstes körperliches Training, das vor allem auf die Verbesse-rungderAusdauerausgerichtetist,denKrankheitsfolgenentgegenwirken. Dass dies auch bei der Sklerodermie möglich ist, zeigen verschiedene, allerdings nicht randomisiert-kontrollierte Studien [35].EingeschränktgiltdieswohlauchfürPatientenmiteinerpul-monalenBeteiligung,LungenfibrosemitpulmonalerHypertonie, wobei mehr noch als bei Sklerodermie-Patienten ohne Lungenbeteiligung auf die reduzierte kardiopulmonale Belastbarkeit zu achtenist,diebeischwererAusprägungeineTrainingseignungauch ausschließenkann. AerobesTrainingistbeidersystemischenSkleroseabernoch auseinemanderenGrundinteressant.AusUntersuchungenmit PatientenmitperiphererAVKweißmanseitlangem,dasseinAusdauertraining auf dem Ergometer oder Laufband die periphere Mikrozirkulation in den Beinen verbessern und die schmerzfreie Gehstreckeverlängernkann [36].Einerandomisiert-kontrollierteStudie zeigte nun, dass auch bei Sklerodermie-Patienten ein gezieltes 12-wöchigesAusdauertraininginsbesonderemitHandergometern, wenigermitFahrradergometern,indenHändenzueinerverbesser-tenperipherenSauerstoffaufnahmeundvermindertenSchmerzen imRahmenderRaynaud-Symptomatikführte [37].Angabenzuobjektivierbaren Parametern der körperlichen Leistung wurden allerdingsnichtgeliefert.DieUntersuchungdeutetdaraufhin,dassein gezieltesAusdauertrainingderbetroffenenExtremitätenalternativ oder im Wechsel mit CO 2 -BädernzurnachhaltigenVerbesserung der Mikrozirkulation eingesetzt werden kann.…”

Section: Medizinische Trainingstherapieunclassified

Physikalische Therapie bei systemischer Sklerose (Sklerodermie)

Küther¹

2020

Arthritis und Rheuma

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ZUSAMMENFASSUNGDie Physikalische Therapie bietet verschiedene Verfahren zur Behandlung unterschiedlicher Symptome der systemischen Sklerose (Sklerodermie) an. Einzelne randomisiert-kontrollierte Studien konnten zeigen, dass mit der manuellen Lymphdrainage eine Ödemreduktion und verbesserte Handfunktion zu erzielen war und mit der Bindegewebsmassage in Verbindung mit Techniken der manuellen Therapie eine verbesserte Gelenkbeweglichkeit und Handfunktion. Sogar mit Selbstübungsprogrammen für Dehnübungen konnte eine verbesserte Beweglichkeit im Finger- und orofazialen Bereich erreicht werden. Widersprüchliche Befunde liegen zur Wirkung von Paraffinbädern vor. Keine randomisiert-kontrollierten Studien sind bisher zur Wirkung von CO2-Bädern bei der Sklerodermie bekannt, obwohl eine verbesserte kapilläre Perfusion in den Extremitäten auch bei dieser Erkrankung nachweisbar war. Vielversprechend sind erste Befunde zur Wirkung eines aeroben Trainings auf die periphere Mikrozirkulation, die auf die Möglichkeit einer nicht nur symptomatischen, sondern auch in den Pathomechanismus der Vaskulopathie eingreifenden Therapie bei der systemischen Sklerose hinweisen.

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Large Variability of Frequency and Type of Physical Therapy in Patients in the German Network for Systemic Sclerosis

Belz

Moinzadeh

Riemekasten³

et al. 2020

Arthritis Care & Research

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Objective. To determine the type and frequency of physical therapy (PT) prescribed by physicians for patients in the registry of the German Network for Systemic Sclerosis.Methods. The data for 4,252 patients were analyzed using descriptive statistics, chi-square tests, and odds ratios (ORs).Results. Overall, 37.4% of patients (1,590 of 4,252) received PT at the end of a yearly follow-up. The most frequently used type of PT was lymphatic drainage (n = 1,061, 36.8%), followed by exercise therapy (n = 1,047, 36.3%) and heat therapy (n = 689, 23.9%). More than three-fourths of treated patients (82%) received 1 or 2 different forms of PT simultaneously. The prescription of PT was associated with the extent of skin fibrosis as measured by the modified Rodnan skin thickness score (<10 [41.8% of patients], 11-20 [55.8% of patients], and >21 [63.9% of patients]; P < 0.001). Patients with musculoskeletal involvement (e.g., arthritis, muscle weakness, joint contractures, tendon friction rubs) had a higher chance of receiving PT than patients without these symptoms, with corresponding ORs ranging from 1.96 (95% confidence interval [95% CI] 1.69-2.28) for joint contractures to 3.83 (95% CI 2.89-5.08) for arthritis. When comparing the type of PT prescription across the initial and all follow-up visits from 2003 to 2017, significant alterations with a decreasing frequency of patients receiving PT could be observed (P = 0.001).Conclusion. To our knowledge, this is the first study reporting the use of PT in patients with systemic sclerosis (SSc) in a large cohort. Although SSc is characterized by considerable disability and restriction of motion, <40% of patients received PT.

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Aerobic and resistance exercise in systemic sclerosis: State of the art

Cited by 32 publications

References 66 publications

Experiences of physical activity and exercise in individuals with systemic sclerosis: A qualitative study

Experiences of physical activity and exercise in individuals with systemic sclerosis: A qualitative study

Physikalische Therapie bei systemischer Sklerose (Sklerodermie)

Large Variability of Frequency and Type of Physical Therapy in Patients in the German Network for Systemic Sclerosis

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