Moderately intensive exercise in a temperate pool for patients with rheumatoid arthritis: a randomized controlled study

Bilberg, Annelie; Ahlmén, Monica; Mannerkorpi, Kaisa

doi:10.1093/rheumatology/keh528

Cited by 84 publications

(84 citation statements)

References 33 publications

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“…Several studies have reported that grip force increases as a result of interventions (30,(37)(38)(39)(40)(41)(42). The results in the present study also indicate that increasing the grip force may result in reduced activity limitations.…”

supporting

confidence: 79%

Activity limitation in rheumatoid arthritis correlates with reduced grip force regardless of sex: The Swedish TIRA project

Thyberg¹,

Hass²,

Nordenskiöld³

et al. 2005

Arthritis & Rheumatism

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Objective. To evaluate activity limitations 3 years after diagnosis of early rheumatoid arthritis (RA) in relation to grip force and sex. Methods. A total of 217 patients, 153 women and 64 men, with recent-onset RA were included. Activity limitations were reported using the Health Assessment Questionnaire (HAQ) and the Evaluation of Daily Activities Questionnaire (EDAQ). The relationships between activity limitations versus grip force (measured by the Grippit), walking speed, functional impairment, grip ability, pain, plasma C-reactive protein, the 28-joint disease activity score and its components, the physician's global assessment of disease activity, and sex were analyzed by partial least squares (PLS). Results. Women had significantly lower grip force and more activity limitations (HAQ and EDAQ) than men. The PLS analyses demonstrated that grip force was the strongest regressor of activity limitation, closely followed by walking speed. However, within subgroups based on grip force (group 1 ‫؍‬ grip force <114 N, group 2 ‫؍‬ 116 -206 N, group 3 ‫؍‬ 214 -321 N, group 4 ‫؍‬ grip force >328 N) and including sexes, women and men had corresponding degrees of activity limitation as reported by the HAQ and EDAQ. Conclusion. Our results indicate that the more pronounced activity limitations seen in women with RA, as compared with men, may be explained by lower grip force rather than sex.

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supporting

confidence: 79%

Activity limitation in rheumatoid arthritis correlates with reduced grip force regardless of sex: The Swedish TIRA project

Thyberg¹,

Hass²,

Nordenskiöld³

et al. 2005

Arthritis & Rheumatism

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“…Similarly, Neuberger et al showed that patients taking part in a 12-week class exercise program experienced significant amelioration in disease-related parameters, whereas home-based exercise did not have that result, probably because patients in this group exercised at a lower intensity (29). Indeed, most of the studies reporting positive effects of exercises on quality of life were supervised intervention trials (3,20,24), whereas most of the studies in which this outcome was not modified were home-based exercises (25). It is likely that supervised exercises result in higher adherence to the exercise program and positive group enthusiasm, explaining the trend of higher SMDs in subsets of trials with supervised intervention.…”

Section: Discussionmentioning

confidence: 99%

“…Among the 14 trials with cardiorespiratory aerobic exercise conditioning, the intervention fulfilled the dynamic exercise program criteria in 5 studies (5,8,20 -22). The control group underwent range of motion exercises in 3 studies (5,22,23), non-aerobic exercises in 1 study (24), education programs in 2 studies (3,25), and usual care in 8 studies (8,20,21,26 -30).…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Data on quality of life were available for 5 studies, including 298 patients in the intervention group and 288 in the control group. This outcome was measured by the AIMS (26), the NHP (3), the RAQol (25), the SF-36 (24), or the MACTAR (20) (see Supplementary Table 3, available in the online version of this article at http:// www3.interscience.wiley.com/journal/77005015/home). A small beneficial effect of aerobic intervention on the quality of life of RA patients was shown (SMD 0.39 [95% CI 0.23, 0.56], P Ͻ 0.0001) (Figure 1).…”

Section: Study Characteristicsmentioning

confidence: 99%

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Efficacy of cardiorespiratory aerobic exercise in rheumatoid arthritis: Meta‐analysis of randomized controlled trials

Baillet

Zeboulon

Gossec

et al. 2010

Arthritis Care & Research

177

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Objective. Several lines of evidence have emphasized an improvement in aerobic capacity and muscle strength after physical exercise programs in rheumatoid arthritis (RA) patients. Our objective was to evaluate the efficacy of aerobic exercises in RA on quality of life, function, and clinical and radiologic outcomes by a systematic literature review and a meta-analysis. Methods. A systematic literature search was performed in the Medline, EMBase, and Cochrane databases up to July 2009 and in the abstracts presented at rheumatology scientific meetings during the last 5 years. Randomized controlled trials (RCTs) comparing aerobic exercises with non-aerobic interventions in RA patients were included. Outcomes studied were postintervention quality of life, function assessed by the Health Assessment Questionnaire (HAQ), a pain visual analog scale (VAS), joint count, the Disease Activity Score in 28 joints (DAS28), and radiologic damage. Efficacy was assessed by standardized mean differences (SMDs; difference between groups of mean outcome variation from baseline/SD at baseline) of aerobic exercises versus non-aerobic rehabilitation. Heterogeneity was tested. SMDs were pooled by a meta-analysis using the inverse of variance model. Results. Fourteen RCTs, including 1,040 patients, met the inclusion criteria. Exercise improved the postintervention quality of life (SMD 0.39, P < 0.0001), HAQ score (SMD 0.24, P ‫؍‬ 0.0009), and pain VAS (SMD 0.31, P ‫؍‬ 0.02). Exercise in this RA population appeared safe, since global compliance, DAS28, and joint count were similar in both groups. Conclusion. Cardiorespiratory aerobic conditioning in stable RA appears to be safe and improves some of the most important outcome measures. However, the degree of the effect of aerobic exercise on the abovementioned parameters is small.

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“…A associação de AR com outras doenças reumáticas, como LES, pode implicar em alterações na capacidade física, em virtude da presença de dor, da diminuição da força muscular, da propriocepção e da estabilidade mecânica, agravando o quadro de déficit do equilíbrio postural 12 . Ainda, outro estudo verificou que mulheres com FM, se comparadas a indivíduos sem a doença, apresentam déficit de equilíbrio postural e da autoconfiança por conta da dor e dos agravos causados pela patologia 13 .…”

Section: Pós-intervençãounclassified

Atuação fisioterapêutica em um indivíduo com lúpus eritematoso sistêmico associado à artrite reumatoide e à fibromialgia

et al. 2017

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Introdução:As doenças reumáticas podem manifestar-se de forma isolada ou concomitante, como, por exemplo, o lúpus eritematoso sistêmico, que pode associar-se à artrite reumatoide e à fibromialgia, comprometendo a funcionalidade e a qualidade de vida. O objetivo deste estudo foi verificar os efeitos da fisioterapia na dor, na força de preensão palmar, no equilíbrio postural, no nível de incapacidade e na qualidade de vida de um indivíduo com lúpus eritematoso sistêmico associado à artrite reumatoide e à fibromialgia. Relato de caso: Mulher, 56 anos, diagnosticada com lúpus eritematoso sistêmico, artrite reumatoide e fibromialgia há 14 anos. Sua queixa principal era dor generalizada e intensa em diversos pontos do corpo. Foram avaliados a dor, a força de preensão palmar, o equilíbrio postural, o nível de incapacidade e a qualidade de vida. O indivíduo realizou 30 sessões de fisioterapia (cinesioterapia e hidrocinesioterapia), duas vezes por semana, entre os meses de agosto e novembro de 2015, na Clínica de Fisioterapia da Universidade de Passo Fundo. Após a intervenção, houve diminuição da dor em 5 pontos e da incapacidade em 30%; aumento da força de preensão palmar em 2,2 kgf (mão direita) e 1,2 kgf (mão esquerda); e do equilíbrio postural em 6 pontos. Como consequência, a qualidade de vida do indivíduo melhorou. Conclusão: A fisioterapia demonstrou-se eficaz na diminuição da dor e da incapacidade, no aumento da força de preensão palmar bilateral e do equilíbrio postural e na melhora da qualidade de vida em um indivíduo com lúpus eritematoso sistêmico associado à artrite reumatoide e à fibromialgia.Palavras-chave: lúpus eritematoso sistêmico; artrite reumatoide; fibromialgia; exercício; fisioterapia; hidroterapia. ABSTRACTIntroduction: Rheumatic diseases may occur singularly or in concomitant way, such as systemic lupus erythematosus, that may be associated with rheumatoid arthritis and fibromyalgia, compromising the functionality and quality of life. The aim of this study was to investigate the effects of physiotherapy on pain, handgrip strength, postural balance, incapacity level and quality of life in an individual with systemic lupus erythematosus associated with rheumatoid arthritis and fibromyalgia. Case report: Woman, 56 years old, diagnosed with systemic lupus erythematosus, rheumatoid arthritis and fibromyalgia for 14 years. Her main complaint was widespread and intense pain in several points of the body. We evaluated pain, handgrip strength, postural balance, incapacity level and quality of life. The individual performed 30 sessions of physiotherapy (kinesiotherapy and hydrokinesiotherapy), twice a week, between August and November 2015, at Physiotherapy Clinic of the University of Passo Fundo. After the intervention, there was reduction of pain by 5 points and incapacity by 30%, increased handgrip strength in 2,2 kgf (right hand) and 1,2 kgf (left hand) and postural balance in 6 points. As a consequence, the individual's quality of life improved. Conclusion: The physiotherapy proved to be effective in ...

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Moderately intensive exercise in a temperate pool for patients with rheumatoid arthritis: a randomized controlled study

Cited by 84 publications

References 33 publications

Activity limitation in rheumatoid arthritis correlates with reduced grip force regardless of sex: The Swedish TIRA project

Activity limitation in rheumatoid arthritis correlates with reduced grip force regardless of sex: The Swedish TIRA project

Efficacy of cardiorespiratory aerobic exercise in rheumatoid arthritis: Meta‐analysis of randomized controlled trials

Atuação fisioterapêutica em um indivíduo com lúpus eritematoso sistêmico associado à artrite reumatoide e à fibromialgia

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