Dynamic exercise programs (aerobic capacity and/or muscle strength training) in patients with rheumatoid arthritis

Hurkmans, Emalie; Giesen, Florus van der; Vlieland, Thea Vliet; Schoones, Jan W.; Ende, Els C.H.M. Van den

doi:10.1002/14651858.cd006853.pub2

Cited by 230 publications

(291 citation statements)

References 74 publications

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“…Yet physical activity adherence among adults with various types of arthritis, including OA, has been shown to reduce pain, increase physical function, and improve falls efficacy. [61][62][63][64] Further, these community-deliverable activity programs deliver their beneficial effects regardless of individuals' age, the type of physical activity training, whether the physical activity is supervised or not, the length of the program, and the type of arthritis. 64 Investigating processes important for regular participation in physical activity is therefore crucial for understanding how to improve poor adherence among all adults with arthritis.…”

Section: The Relationship Of Balance and Walking Limitations To Incrementioning

confidence: 99%

Risk Factors for Falls in Older Adults with Lower Extremity Arthritis: A Conceptual Framework of Current Knowledge and Future Directions

Arnold

Gyurcsik

2012

Physiotherapy Canada

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Purpose: As the numbers of Canadians aged 65 years and over increases over the next 20 years, the prevalence of chronic conditions, including arthritis, will rise as will the number of falls. Although known fall-risk factors are associated with hip and knee osteoarthritis (OA), minimal research has evaluated fall and fracture risk and/or rates in this population. Thus, the purpose was to summarize research on fall and fracture risk in older adults with hip or knee OA and to develop a conceptual framework of fall-risk screening and assessment. Method: The International Classification of Functioning, Disability and Health, clinical practice guidelines for fall-risk screening, and a selected literature review were used. Results: Gaps exist in our knowledge of fall and fracture risk for this population. Muscle performance, balance, and mobility impairments have been identified, but little is known about whether personal and environmental contextual factors impact fall and fracture risk. Physical activity may help to prevent falls, but non-adherence is a problem. Conclusion: A need exists to assess fall risk in older adults with hip and knee OA. Promoting regular physical activity by focusing on disease-and activity-specific personal contextual factors may help direct treatment planning.

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Section: The Relationship Of Balance and Walking Limitations To Incrementioning

confidence: 99%

Risk Factors for Falls in Older Adults with Lower Extremity Arthritis: A Conceptual Framework of Current Knowledge and Future Directions

Arnold

Gyurcsik

2012

Physiotherapy Canada

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“…Apart from strengthening muscles, increasing flexibility, and improving pain and physical function (1,2), PA may also reduce cardiovascular disease (CVD) risk (3), a leading cause of death among patients with RA (4). Despite these benefits, a large proportion of individuals with RA do not engage in the recommended 150 minutes of moderate-to vigorous-intensity PA each week (5).…”

Section: Introductionmentioning

confidence: 99%

Explaining Physical Activity Maintenance After a Theory‐Based Intervention Among Patients With Rheumatoid Arthritis: Process Evaluation of a Randomized Controlled Trial

Knittle

Gucht

Hurkmans

et al. 2016

Arthritis Care & Research

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Objective. Regular physical activity (PA) benefits patients with rheumatoid arthritis (RA), particularly when maintained over time. Research in this area has largely focused on factors associated with initiating PA, while factors contributing to PA maintenance, particularly after lifestyle interventions, have received less attention. This study examined whether higher levels of autonomous motivation, self-efficacy for PA, and greater use of self-regulation skills mediated PA initiation and maintenance 6 months after a theory-based motivational interviewing and self-regulation coaching intervention. Methods. Seventy-eight individuals with RA were randomized to receive either a patient-education session (control group), or the patient-education session plus 1 motivational interview and 2 self-regulation coaching sessions (treatment group). Mediation analyses examined the effects of this intervention on PA initiation and maintenance through the intermediate variables autonomous motivation, self-efficacy for PA, and use of self-regulation skills. Analyses were controlled for age, sex, and previous levels of PA. Results. The treatment group reported significantly higher autonomous motivation and greater use of self-regulation skills than controls at posttreatment. Increases in PA from baseline to posttreatment were not mediated by any intermediate variables. However, maintenance of PA from posttreatment to followup (6 months later) was mediated by greater autonomous motivation and use of self-regulation skills. Conclusion. Greater autonomous motivation and use of self-regulation skills predict maintenance of PA following a motivational interviewing and self-regulation coaching intervention. In promoting PA among patients with RA, supporting patient autonomy and teaching self-regulation skills, which focus attention on achieving PA goals, may improve long-term maintenance of PA.

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“…Considerando que o processo degenerativo natural da AR se agrava ainda mais com o repouso, a indicação da prática de atividade física orientada é de fundamental importância para esses pacientes. O condicionamento físico realizado por atividades aeróbicas, exercícios resistidos, alongamento e de relaxamento, promove a melhora da força muscular e do bem-estar, potencializando a funcionalidade do indivíduo (9,(34)(35)(36) . Terapias complementares como, por exemplo, ioga, pilates e método tai chi chuan são muito indicados e, atualmente, já apresentam evidências científicas de seus benefícios.…”

Section: Estudo Qualitativounclassified

Abordagem Fisioterapêutica De Pacientes Com Artrite Reumatoide: Revisão De Literatura

Conceição¹,

Sinhorim²,

Martins³

et al. 2015

ACS

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IntroduçãoA artrite reumatoide (AR) é uma das doenças inflamatórias sistêmica, crônica e progressiva mais comumente relatadas (1) . Apresenta etiologia desconhecida, sendo sugerida uma conotação multifatorial. Acomete aproximadamente 1% da população mundial, sendo que as mulheres são afetadas três vezes mais do que os homens, na proporção 1:3-4 (2) . O diagnóstico da AR é estabelecido considerando-se achados clínicos e exames complementares, ou seja, nenhum teste isolado, seja laboratorial, de imagem ou histopatológico, confirma o diagnóstico (3) . As manifestações clínicas da AR podem ter início em qualquer idade, embora sejam observadas com mais frequência na quarta e quinta décadas de vida. A AR pode se manifestar de forma bastante variável, desde manifestações mais brandas, de menor duração, até uma poliartrite progressiva e destrutiva, associada a vasculite e outras manifestações extra-articulares, como febre, astenia, fadiga, mialgia e perda ponderal que podem preceder ou acompanhar o inicio das manifestações articulares (4)(5) . Diante das inúmeras manifestações da AR, existem relatos de que essa doença está relacionada muito frequentemente às dificuldades na execução das atividades de vida diária, trabalho e lazer (6) , com graus variados quanto à dependência decorrente das limitações nas atividades sociais e profissionais (7) . Um dos Resumo Introdução: Artrite reumatoide é uma doença autoimune que resulta em uma desordem inflamatória, sistêmica e crônica que pode levar à incapacidade funcional. Objetivo: Realizar uma revisão de literatura, abordando as principais condutas fisioterapêuticas utilizadas em pacientes com artrite reumatoide e os resultados observados nesses estudos. Material e Métodos: A pesquisa eletrô-nica foi realizada por meio dos bancos de dados PubMed, Medline, LILACS, Google Acadêmico e biblioteca eletrônica SciELO. Resultados: Não há um tratamento único totalmente eficaz. Intervenções de fisioterapia para pessoas com artrite reumatoide são predominantemente orientadas para amenizar as deficiências resultante de manifestações das doenças articular e periarticular, e fornecer orientações e educação para melhorar a capacidade funcional e qualidade de vida. Conclusão: Eletrotermofototerapia e cinesioterapia estão entre algumas das condutas fisioterapêuticas muito utilizadas no tratamento de pacientes com artrite reumatoide, apresentando resultados satisfatórios quanto à redução do quadro álgico e ganho de amplitude de movimento.Descritores: Artrite reumatoide; Fisioterapia; Modalidades de fisioterapia. AbstractIntroduction: Rheumatoid arthritis (RA) is an autoimmune disease that results in a chronic and systemic inflammatory disorder, leading to deformities and disabilities. Objective: The purposes of this review are to evaluate the literature related to the main physiotherapeutic conducts used in patients with rheumatoid arthritis, and the results observed in those studies. Materials and Methods: We searched the published studies using an initial survey of the PubMed and Medline databa...

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Dynamic exercise programs (aerobic capacity and/or muscle strength training) in patients with rheumatoid arthritis

Abstract: Based on the evidence, aerobic capacity training combined with muscle strength training is recommended as routine practice in patients with RA.

Cited by 230 publications

References 74 publications

Risk Factors for Falls in Older Adults with Lower Extremity Arthritis: A Conceptual Framework of Current Knowledge and Future Directions

Risk Factors for Falls in Older Adults with Lower Extremity Arthritis: A Conceptual Framework of Current Knowledge and Future Directions

Explaining Physical Activity Maintenance After a Theory‐Based Intervention Among Patients With Rheumatoid Arthritis: Process Evaluation of a Randomized Controlled Trial

Abordagem Fisioterapêutica De Pacientes Com Artrite Reumatoide: Revisão De Literatura

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