Recomendaciones para la prescripción de ejercicio físico en pacientes con espondiloartritis

García, María Luisa Gutiérrez; Carmona, Loreto; Almodóvar, Raquel; Fernández‐de‐las‐Peñas, César; Pérez, Fernando García; Manzanero, M. Ángeles Pérez; García, José Manuel García; Segarra, Lidón Soriano; Díaz, José Fernando Jiménez; Laíz, Nuria Mendoza; Mendieta, Eugenio de Miguel; Alonso, Juan Carlos; Ferrando, Luis Francisco Linares; Estévez, E. Collantes; Sanz, Jesús; Montejo, Pedro Zarco

doi:10.1016/j.reuma.2017.06.014

Cited by 12 publications

(1 citation statement)

References 32 publications

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“…However, the administration methods remain elucidated, i.e., frequency, intensity, and training volume. Under the recommendations of the American College of Sports Medicine (ACSM), it should, in any case, follow six principles: (i) overload and adaptation, (ii) progression, (iii) specificity, (iv) recovery, (v) reversibility, and (vi) individuality [ 4 , 5 ]. The proposed exercises are often of low intensity with the advantage of keeping the subject safe, but the effectiveness and long-term adherence to the program can be limited [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

Spondyloarthritis and Strength Training: A 4-Year Report

Cannataro

Maio²,

Malorgio

et al. 2021

JFMK

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Peripheral spondyloarthritis (SpA) has predominant peripheral (arthritis, enthesitis, or dactylitis) involvement. The severity of the symptoms can have a significant impact on the quality of life. There is no therapeutic gold standard, and physical exercise, with the opposition of resistance, remains controversial. Herein, we report the case of a woman who, at the age of 50, comes to our center with evident motor difficulties. She was previously diagnosed with SpA and was in therapy with a biological drug (adalimumab) for over one year. The training program and the nutritional intervention plan improved her condition, as pointed out by WOMAC, SQS, RAD-36 questionnaire, and BIA analysis, suspending biological therapy for almost two years. During this period, she achieved in sequence: (i) the Italian master deadlift championship, and (ii) the Italian master powerlifting championship, both for two consecutive years.

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Section: Introductionmentioning

confidence: 99%

Spondyloarthritis and Strength Training: A 4-Year Report

Cannataro

Maio²,

Malorgio

et al. 2021

JFMK

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The EJES-3D tool for personalized prescription of exercise in axial spondyloarthritis through multimedia animations: pilot study

et al. 2018

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To develop and evaluate a web application based on multimedia animations, combined with a training program, to improve the prescription of exercises in spondyloarthritis (SpA). After a review of exercises included in the main clinical trials and recommendations of international societies, a multidisciplinary team-rehabilitators, rheumatologists, physiotherapists, computer scientists and graphic designers-developed a web application for the prescription of exercises (EJES-3D). Once completed, this was presented to 12 pairs of rehabilitators-rheumatologists from the same hospital in a workshop. Knowledge about exercise was tested in rheumatologists before and 6 months after the workshop, when they also evaluated the application. The EJES-3D application includes 38 multimedia videos and allows prescribing predesigned programs or customizing them. A patient can consult the prescribed exercises at any time from a device with internet connection (mobile, tablet, or computer). The vast majority of the evaluators (89%) were satisfied or very satisfied and considered that their expectations regarding the usefulness of the web application had been met. They highlighted the ability to tailor exercises adapted to the different stages of the disease and the quality and variety of the videos. They also indicated some limitations of the application and operational problems. The EJES-3D tool was positively evaluated by experts in SpA, potentially the most demanding group of users with the most critical capacity. This allows a preliminary validation of the contents, usefulness, and ease of use. Analyzing and correcting the errors and limitations detected is allowing us to improve the EJES-3D tool.

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Efficacy and safety of a mobile app intervention in patients with inflammatory arthritis: a prospective pilot study

et al. 2022

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EULAR highlighted the essential role of digital health in increasing self-management and improving clinical outcomes in patients with arthritis. The objective of this study was to evaluate the efficacy and safety of the digital health application (DHA) in patients with inflammatory arthritis. We assessed demographic parameters, treatment regimen, disease activity, and other patient-reported outcomes at baseline and after 4 weeks of DHA use added to standard care treatment. Of 17 patients, who completed the study, 7 (41.2%) patients were male, ranging from 19 to 63 (40.5 ± 12.2) years. No significant change in antirheumatic treatment was observed during the study. Statistically significant improvements (p < 0.05) were noted for health-related quality of life (increase in Physical Component Summary of Short Form-36 (SF-36) by 23.6%) and disease activity (decrease of Clinical Disease Activity Index and Simple Disease Activity Index by 38.4% and 39.9%, respectively). Clinically significant improvement was demonstrated for SF-36 Total Score (+ 14.4%), disease activity (Rheumatoid Arthritis Disease Activity Index− 5 to 15.9%), and depression (Patient Health Questionnaire− 9 to 13.5%). None of the efficacy parameters showed negative trends. No adverse events were reported throughout the study. The usability level was high i.e., the mean mHealth Application Usability Questionnaire Score of 5.96 (max.: 7.0) demonstrated a high level of application usability. This suggests that using a personalized disease management program based on DHA significantly improves several measures of patient-reported outcomes and disease activity in patients with inflammatory arthritis in a timely manner. These findings highlight the potential of complementary digital therapy in patients with inflammatory arthritis.

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Recomendaciones para la prescripción de ejercicio físico en pacientes con espondiloartritis

Cited by 12 publications

References 32 publications

Spondyloarthritis and Strength Training: A 4-Year Report

Spondyloarthritis and Strength Training: A 4-Year Report

The EJES-3D tool for personalized prescription of exercise in axial spondyloarthritis through multimedia animations: pilot study

Efficacy and safety of a mobile app intervention in patients with inflammatory arthritis: a prospective pilot study

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