Effectiveness of non‐pharmacological interventions for fatigue in adults with multiple sclerosis, rheumatoid arthritis, or systemic lupus erythematosus: a systematic review

Neill, Jane; Belan, Ingrid; Ried, Karin

doi:10.1111/j.1365-2648.2006.04054.x

Cited by 131 publications

(105 citation statements)

References 77 publications

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“…We also found, similar to other published studies, that many individuals with RA have very low levels of physical activity (10,11) in spite of the demonstrated safety of exercise and published guidelines recommending physical activity for persons with RA (12). Although studies have examined the impact of exercise interventions on RA outcomes, most have focused on pain or function (13)(14)(15)(16)(17). Two recent systematic reviews found that physical activity did have beneficial effects on fatigue (18,19), but most exercise interventions have been resource intensive, requiring specially trained personnel, highly structured activities, and/or attendance at classes or a specified facility.…”

Section: Introductionsupporting

confidence: 66%

Physical Activity to Reduce Fatigue in Rheumatoid Arthritis: A Randomized Controlled Trial

Katz

Margaretten

Gregorich

et al. 2017

Arthritis Care & Research

110

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Objective. Effective treatments for rheumatoid arthritis (RA) fatigue are limited. We tested the effect of a pedometerbased intervention on increasing physical activity and decreasing fatigue among individuals with RA. Methods. Participants completed baseline questionnaires; had 1 week of activity monitoring; were randomized to control (education [EDUC]), pedometer and step-monitoring diary (PED), or pedometer and diary plus step targets (PED+) groups, and were followed for 21 weeks. At week 10, questionnaires were administered by phone to all participants. During the final week, all participants again had 1 week of activity monitoring. Primary outcomes were changes in average weekly steps and fatigue (Patient-Reported Outcomes Measurement Information System 7-item questionnaire) from baseline to week 21. Secondary outcomes were self-reported disease activity, physical function, pain interference, and depressive symptoms. Changes in steps were tested using a linear mixed model. Changes in fatigue were tested with repeated-measures models, including baseline, week-10, and week-21 scores. Results. A total of 96 individuals participated. Eight did not complete the 21-week assessments. Both intervention groups significantly increased steps (+1,441 [P = 0.004] for PED and +1,656 [P = 0.001] for PED+), and the EDUC group decreased steps (-747 [P = 0.14]) (group-by-time interaction P = 0.0025). Between-group changes in fatigue were not significantly different (interaction P = 0.21). Mean changes in fatigue scores from baseline to week 21 were -1.6 (withgroup P = 0.26), -3.2 (P = 0.02), and -4.8 (P = 0.0002) for EDUC, PED, and PED+ groups, respectively. Function and self-reported disease activity also improved in the PED and PED+ groups. Conclusion. Provision of pedometers, with and without providing step targets, was successful in increasing activity levels and decreasing fatigue in this sample of individuals with RA.

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Section: Introductionsupporting

confidence: 66%

Physical Activity to Reduce Fatigue in Rheumatoid Arthritis: A Randomized Controlled Trial

Katz

Margaretten

Gregorich

et al. 2017

Arthritis Care & Research

110

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“…Do ty po wych de for ma cji wy ni ka ją cych z prze bie gu cho ro by na leży za li czyć: ulna ry za cję rę ki, pal ce bu to nier ko wa te, pal ce "ła bę dziej szyj ki", przy kur cze i ogra ni cze nie ru cho mo ści w ob rę bie sta wów rąk i nad garst ków, zani ki krót kich i dłu gich mię śni rę ki [7]. Nad rzęd nym ce lem po stę po wa nia te ra peu tycz ne go w RZS jest zapo bie ga nie de struk cji sta wo wej, utra ty funk cji re ki, a ta kże zmniej sze nie bó lu [8,9]. Obok le cze nia farma ko lo gicz ne go, cho rzy po win ni być pod da wa ni przez ca ły okres trwa nia cho ro by kom plek so wej fi zjo te rapii, któ ra zwięk sza szan se na spo wol nie nie pro ce su cho ro bo we go [10].…”

Section: Wstępunclassified

The use of Kinesiology Taping method in patients with rheumatoid hand – pilot study

Szczegielniak¹,

Łuniewski²,

Bogacz³

et al. 2012

Ortopedia, traumatologia, rehabilitacja

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STRESZCZENIEWstęp. Reu ma to idal ne Za pa le nie Sta wów (RZS) naj czę ściej obej mu je ma łe sta wy rąk i stóp. Do ty po wych de for ma cji wyni ka ją cych z prze bie gu cho ro by na le ży za li czyć: ulna ry za cję rę ki, pal ce bu to nier ko wa te, pal ce "ła bę dziej szyj ki", przy kur cze i ogra ni cze nie ru cho mo ści w ob rę bie sta wów rąk i nad garst ków, za ni ki krót kich i dłu gich mię śni rę ki. Te ma tem pra cy jest wpływ za sto so wa nia me to dy Kinesiology Ta pin gu na funk cję rę ki pa cjen tów z Reu ma to idal nym Za pa le niem Sta wów.Ma te riał i me to dy. Ba da nia mi ob ję to 20 cho rych (16 ko biet, 4 mę żczyzn) z RZS, le czo nych w Sa mo dziel nym Pu blicznym Ze spo le Szpi ta li Pul mo no lo gicz no -Reu ma to lo gicz nych z sie dzi bą w Kup. Wiek cho rych wy no sił śred nio 62,2 lat. Ba dani, po za le cze niem far ma ko lo gicz nym w od dzia le reu ma to lo gicz nym, pod da ni zo sta li stan dar do wej fi zjo te ra pii. U 10 cho rych do ko na no po nad to apli ka cji ta śmy K -Ac ti ve Ta pe, w ce lu ko rek cji do łok cio we go usta wie nia rę ki i uspraw nie nia funk cji rę ki. Przed przy stą pie niem do fi zjo te ra pii u wszyst kich cho rych wy ko na no test funk cjo nal ny rę ki i do ko na no po mia ru za po mo cą dy na mo me tru. Ba da nia po wtó rzo no po za koń czo nym cy klu uspraw nia nia trwa ją cym 2 ty go dnie. Wy ni ki pod da no ana li zie staty stycz nej za po mo cą te stu istot no ści ko lej no ści par Wil co xo na oraz te stem U Man na -Whit ney'a. Ba da nie za le żno ści za chodzą cych po mię dzy ana li zo wa ny mi pa ra me tra mi, zo sta ło wy ko na ne za po mo cą te stu ko re la cji li nio wej.Wy ni ki. W gru pie cho rych, u któ rych za sto so wa no apli ka cję Ki ne sio lo gy Ta pin gu istot nie zwięk szy ła się si ła mię śni rę ki (p<0,05) w po rów na niu do gru py cho rych pod da nych stan dar do wej fi zjo te ra pii. Wzrost si ły mię śni rę ki ko re lo wał z szyb ko ścią wy ko na nia te stu funk cjo nal ne go rę ki (r>0,8).Wnio sek. Uzy ska ne wy ni ki su ge ru ją przy dat ność me to dy Ki ne sio lo gy Ta pin gu w fi zjo te ra pii rę ki reu ma to idal nej. Słowa kluczowe: fizjoterapia, Kinesiology Taping, Reumatoidalne Zapalenie Stawów SUMMARYBackground. Rheumatoid arthritis (RA) most frequently affects smaller joints in the hands and feet. The most common deformities seen in the course of the disease include ulnar deviation, Boutonniere deformity, swan neck deformity, contractures and limited range of movement in the hand and wrist joints, and atrophy of long and short muscles. This article discusses the effect of Kinesiology Taping on hand function in patients with rheumatoid arthritis.Material and methods. The study involved 20 patients with rheumatoid arthritis (16 women, 4 men), treated in the Hospital in Kup. The average age of the patients was 62.2 years. Apart from medication therapy at the rheumatology ward, the patients received standard physiotherapy. In 10 patients, K-Active Tape applications were additionally used to correct ulnar positioning of th...

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“…Studies show that cognitive behavioural therapy with/without exercise is effective in reducing fatigue in chronic fatigue syndrome, multiple sclerosis, cancer-related fatigue and SLE because it improves self-efficacy, increasing their quality of life. (Edmonds et al, 2004;Navarrete-Navarrete et al, 2010;Neill et al, 2006;Wagner & Cella, 2004) …”

Section: Fatiguementioning

confidence: 99%

Integral Treatment of Systemic Lupus Erythematosus

Parrondo¹

2011

Challenges in Rheumatology

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Effectiveness of non‐pharmacological interventions for fatigue in adults with multiple sclerosis, rheumatoid arthritis, or systemic lupus erythematosus: a systematic review

Cited by 131 publications

References 77 publications

Physical Activity to Reduce Fatigue in Rheumatoid Arthritis: A Randomized Controlled Trial

Physical Activity to Reduce Fatigue in Rheumatoid Arthritis: A Randomized Controlled Trial

The use of Kinesiology Taping method in patients with rheumatoid hand – pilot study

Integral Treatment of Systemic Lupus Erythematosus

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