Bed Rest, Activity and the Inflammation of Rheumatoid Arthritis

Alexander, Graham J.; Hortas, C.; Bacon, P. A.

doi:10.1093/rheumatology/22.3.134

Cited by 45 publications

(12 citation statements)

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“…For the individual, arthritis causes pain, activity limitations, and a lower quality of life. Traditionally, the cornerstone of treatment of active disease has been bed rest, and patients have been restrained from active physical exercise based on the presumption of its detrimental effect on disease activity and joint erosiveness (22).…”

Section: Discussionmentioning

confidence: 99%

Physical and exercise therapy for treatment of the rheumatoid hand

Buljina

Taljanovic

Avdić

et al. 2001

Arthritis & Rheumatism

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Section: Discussionmentioning

confidence: 99%

Physical and exercise therapy for treatment of the rheumatoid hand

Buljina

Taljanovic

Avdić

et al. 2001

Arthritis & Rheumatism

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“…Until the end of the 1970s, conventional RA treatment included rest combined with pharmacotherapy and physiotherapy centered on the reduction of specific motor disabilities. Rest did not bring as many benefits as expected, and it was found only marginally superior to activity in a large group of patients (5). Consequently, a growing interest began to emerge in global intervention directed at functional recovery, including cardiorespiratory training, muscle strengthening, and joint mobility.…”

Section: Introductionmentioning

confidence: 87%

Feasibility of an eight-week dance-based exercise program and its effects on locomotor ability of persons with functional class III rheumatoid arthritis

Moffet

Noreau

Parent

et al. 2000

Arthritis & Rheumatism

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Objectives. The main objectives of this experimental case series were to evaluate the feasibility of a modified dance-based exercise program with low ground impacts in persons with rheumatoid arthritis (RA) functional class III and to describe its effects on locomotor ability. The relationship between 3 loco-motor tests and their responsiveness also were addressed. Methods. Ten female subjects participated in an 8-week exercise program. Locomotor ability was measured before and after the program using the 50-foot test of walking time, the 6-minute test of walking distance, and the locomotion biomechani-cal analysis. Results. All subjects showed a high compliance (92.5% presence at sessions) over the 8 weeks of exercise without any aggravation in disease status. They were able to train efficiently at moderate intensity up to 25 minutes. Significant improvements were found in locomotor ability, with a higher responsiveness measured by the locomotion biome-chanical analysis, followed by the 6-minute gait test and the 50-foot gait test. Inconsistent relationships between tests suggested that different locomotor abilities are required during tests. Conclusion. These results support the feasibility of a modified dance-based exercise program for persons with severe RA. With high levels of responsiveness , the detailed biomechanical analysis and the 6-minute gait test are recommended for the assessment of locomotor ability.

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“…Similar cautious regimens have previously been suggested for other rheumatic conditions, e.g. for rheumatoid arthritis (RA), where increased disease activity was assumed to follow exercise (16). During the last decades, however, exercise has proved to be safe and bene®cial in RA (17,18).…”

mentioning

confidence: 91%

The safety of a resistive home exercise program in patients with recent onset active polymyositis or dermatomyositis

Alexanderson

2000

Scandinavian Journal of Rheumatology

121

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The objective was to investigate whether a 12-week resistive home exercise program in addition to conventional medical treatment could be safely performed regarding muscle inflammation, muscle function, and quality of life in patients with active polymyositis (PM) or dermatomyositis (DM). Eleven patients diagnosed with active PM or DM were included. Muscle biopsies and Magnetic Resonance Imaging (MRI) of the thighs were performed. Quality of life, function, and subjective global disease impact (SGDI) were assessed and creatine phosphokinase levels (CPK) were analysed. The patients exercised with the exercise program for 15 minutes and took a 15-minute walk five days a week for 12 weeks. After the exercise period there was no sign of increased muscle inflammation. The group showed significantly improved function and quality of life compared to the start of study. It seems that this exercise program safely can be employed in patients with active PM or DM, and we suggest that physical exercise should be included in the rehabilitation of these patients.

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Bed Rest, Activity and the Inflammation of Rheumatoid Arthritis

Cited by 45 publications

References 0 publications

Physical and exercise therapy for treatment of the rheumatoid hand

Physical and exercise therapy for treatment of the rheumatoid hand

Feasibility of an eight-week dance-based exercise program and its effects on locomotor ability of persons with functional class III rheumatoid arthritis

The safety of a resistive home exercise program in patients with recent onset active polymyositis or dermatomyositis

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