Physical Performance in Patients with Rheumatoid Arthritis

Ekblom, Björn; Lövgren, Olle; Alderin, Marna; Fridström, Marie; Sätterström, Gun

doi:10.3109/03009747409097136

Cited by 121 publications

(49 citation statements)

References 4 publications

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“…One reason for these findings might be that older women, also those with RA, are satisfied with an inactive lifestyle and are not motivated to become more physically active (45), which represents a challenge to society and health professionals. Also as regards aerobic fitness, our classification of the majority of the patients as having low, fair, or average aerobic fitness is in accordance with the results from a previous Swedish population-based survey (29) and previous descriptions of individuals with RA (5,6,21,22). However, the absence of correlation between physical activity and physical fitness in our study was surprising because it contradicts results of population-based studies (13,29).…”

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confidence: 75%

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Physical activity, physical fitness, and general health perception among individuals with rheumatoid arthritis

Eurenius

Stenström

2005

Arthritis & Rheumatism

140

121

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Objective. To describe self-reported physical activity and physical fitness and to identify correlates of physical activity and general health perception. Methods. Data on self-reported physical activity, physical fitness, activity performance, and disease activity were collected from a sample of 298 patients with rheumatoid arthritis (RA). Results. Forty-seven percent of our sample reported physical activity behaviors that did not comply with public health recommendations. A majority of the patients had decreased lower-limb muscle function (72%), grip force (94%), joint motion (94%), and functional balance (68%). Correlations between self-reported physical activity and other variables were r s ‫؍‬ 0.25 or less. Variation in general health perception was explained (total adjusted R 2 ‫؍‬ 0.65) by pain and activity performance. Conclusion. Our findings indicate that there is a case for recommendations on and support for healthy physical activity behaviors among people with RA.

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supporting

confidence: 75%

“…Poor aerobic fitness is a significant risk factor for all-cause mortality (19,20). Reduced aerobic fitness has been found in studies involving individuals with RA (5,6,(21)(22)(23), as have decreased muscular strength (6,21,22,24,25) and endurance (6), limited flexibility (5,26), and poor standing balance (27,28).…”

Section: Introductionmentioning

confidence: 99%

Physical activity, physical fitness, and general health perception among individuals with rheumatoid arthritis

Eurenius

Stenström

2005

Arthritis & Rheumatism

140

121

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“…Patients with RA have low physical performance capacity, as shown in tests measuring aerobic capacity, muscle strength, and endurance or range of motion (ROM) of individual joints (13,18,19). In contrast, aerobic and dynamic exercises have shown positive influence on the physical function of patients (20 -22).…”

Section: Introductionmentioning

confidence: 99%

Effects of dynamic strength training on physical function, Valpar 9 work sample test, and working capacity in patients with recent‐onset rheumatoid arthritis

Häkkinen¹,

Sokka²,

Lietsalmi³

et al. 2003

Arthritis & Rheumatism

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Objective. To study the impact of 24 months of strength training on the physical function of patients with early rheumatoid arthritis (RA). Methods. Seventy patients were assigned to either the strength training (experimental) group (n ‫؍‬ 35) or the control group (n ‫؍‬ 35). Patients in the experimental group performed strength training for 24 months, and control patients were instructed to perform range of motion exercises. Maximal strength of the knee extensors, trunk flexors, and extensors, as well as grip strength were recorded with dynamometers. Disease activity was assessed by the erythrocyte sedimentation rate and Ritchie's articular index, joint damage was determined by the Larsen x-ray index, and functional capacity was assessed using the Valpar 9 test and the Stanford Health Assessment Questionnaire (HAQ). The employment status of each patient was recorded. Results. In the experimental group, strength training led to significant increases (19 -59%) in maximal strength of the trained muscles. Such increases in the control group varied from 1% to 31%. There was a clear training effect on muscular strength in favor of the experimental group, but significant improvements in the HAQ indices as well as in the Valpar 9 test were seen also in control patients. Results of the Valpar 9 and the HAQ were statistically significantly better in patients who remained gainfully employed compared with patients who retired preterm during followup. However, compared with patients who remained in the work force, patients who retired were older, and their work was physically more demanding. Conclusion. As expected, strength training led to increased muscle strength, but this increase did not correlate with improved physical function as assessed by the Valpar 9 work sample test. The increased muscle performance did not prevent a substantial proportion of patients from retiring preterm. The 2 items from the Valpar 9 test that were applied were not sensitive enough to differentiate the patients according to their working status.

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“…Several studies have shown that patients with rheumatoid arthritis (RA) have decreased muscle strength, muscle endurance, joint mobility, and cardiovascular fitness in comparison with healthy age-matched controls (1)(2)(3)(4)(5). To counteract the negative consequences of decreased physical fitness, RA patients are advised to participate in intensive dynamic exercise programs (6).…”

Section: Introductionmentioning

confidence: 99%

Adherence and satisfaction of rheumatoid arthritis patients with a long‐term intensive dynamic exercise program (RAPIT program)

Munneke

Jong

Zwinderman

et al. 2003

Arthritis & Rheumatism

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Physical Performance in Patients with Rheumatoid Arthritis

Cited by 121 publications

References 4 publications

Physical activity, physical fitness, and general health perception among individuals with rheumatoid arthritis

Physical activity, physical fitness, and general health perception among individuals with rheumatoid arthritis

Effects of dynamic strength training on physical function, Valpar 9 work sample test, and working capacity in patients with recent‐onset rheumatoid arthritis

Adherence and satisfaction of rheumatoid arthritis patients with a long‐term intensive dynamic exercise program (RAPIT program)

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