Disability models: Implications for arthritis exercise and physical activity interventions

Jette, Alan M.; Keysor, Julie J.

doi:10.1002/art.10909

Cited by 55 publications

(52 citation statements)

References 21 publications

(15 reference statements)

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“…The WHO has published recommendations for a healthenhancing lifestyle, which has been widely endorsed and also adapted for people with arthritis. Physical activity has been considered a safe, efficacious and widely advocated method of controlling disease consequences in RA [38,39]. From earlier cross-sectional studies, we know that people with RA are less physically active, and physical inactivity is associated with female sex, older age, worse pain, higher levels of disease activity, co-morbidity and low physical function [39,40].…”

Section: Discussionmentioning

confidence: 99%

Predictors of severe self-reported disability in RA in a long-term follow-up study

Malm

Bergman²,

Andersson

et al. 2014

Disability and Rehabilitation

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Health care providers should be aware of the subgroup of patients with more severe symptoms of pain and impaired function at disease onset since they have an increased risk of being in the most disabled tertile of rheumatoid arthritis patients several years later. Health care providers should assess pain and function and act on high pain and impaired function already at disease onset as they proved to be predictors of patient-reported outcomes controlled for inflammatory parameters. These findings support European guidelines and research findings that patients with high pain and impaired function despite of well-managed inflammatory parameters should early in the disease course be referred to multidisciplinary treatment for supplementary regime.

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Section: Discussionmentioning

confidence: 99%

Predictors of severe self-reported disability in RA in a long-term follow-up study

Malm

Bergman²,

Andersson

et al. 2014

Disability and Rehabilitation

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“…In addressing the differential responsiveness to exercise across different disablement-process outcomes, Jette and Keysor (2003) recommended that future trials examining the effi cacy of exercise in the treatment of knee OA use established models of disability to guide the design of the intervention and selection of outcome measures. In this regard, it is interesting to note that the results of randomized controlled exercise trials in older adults demonstrate that improvements in various disablement-process outcomes, such as pain symptoms and physical function, should not be expected to follow a common time course (Rejeski, Brawley, & Shumaker, 1996).…”

Section: Summary and Discussionmentioning

confidence: 99%

Effectiveness of Exercise Interventions in Reducing Pain Symptoms among Older Adults with Knee Osteoarthritis: A Review

Focht

2006

Journal of Aging and Physical Activity

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Knee osteoarthritis (OA) affects approximately one third of older adults in the United States. The pain accompanying its progression reduces quality of life and leads to activity restriction and physical disability. Evidence suggests that exercise represents a promising treatment for pain among older knee-OA patients. The article provides an overview of the extant research examining the effectiveness of exercise interventions in reducing pain symptoms among older adults with knee OA. Critical evaluation of the literature reveals that aerobic training, strength training, and combination aerobic and strength training result in improvements in pain. The magnitude of pain reduction accompanying exercise interventions varies considerably across studies, however. In addition, most trials have focused on short-term (<6 months) interventions, and the limited number of long-term (>6 months) trials have been plagued by high attrition and poor postintervention maintenance of treatment effects. Given the variability in the effectiveness of exercise interventions, future research is necessary to determine the individual differences that infl uence older OA patients' responsiveness to exercise interventions and identify more effi cacious strategies for promoting the maintenance of long-term exercise.

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“…Disability is determined by dependence to carry out instrumental and basic activities of daily living (IADL/ADL) tasks essential to independent community living. 18,19 IADL and ADL disabilities were ascertained from reported inability, avoidance, or receiving help/using devices to perform a task, and were expected to last for 3 months or longer. ADL tasks included dressing, walking across a room, bathing, eating, getting in and out of bed, and toileting.…”

Section: Explanatory Variablesmentioning

confidence: 99%

Age and Racial/Ethnic Disparities in Arthritis-Related Hip and Knee Surgeries

Dunlop¹,

Manheim²,

Song³

et al. 2008

Medical Care

112

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These national data document lower rates of arthritis-related hip/knee surgeries for older black versus white adults age 65 or above, consistent with other national studies. However, utilization rates for black versus white under age 65 do not differ. Lower utilization among Hispanics versus whites in both age groups is largely explained by medical access factors. National utilization patterns may vary by age and merit further investigation.

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Disability models: Implications for arthritis exercise and physical activity interventions

Cited by 55 publications

References 21 publications

Predictors of severe self-reported disability in RA in a long-term follow-up study

Predictors of severe self-reported disability in RA in a long-term follow-up study

Effectiveness of Exercise Interventions in Reducing Pain Symptoms among Older Adults with Knee Osteoarthritis: A Review

Age and Racial/Ethnic Disparities in Arthritis-Related Hip and Knee Surgeries

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