Effects of rehabilitation for pain relief in patients with rheumatoid arthritis: a systematic review

Park, Young-Ju; Chang, Moonyoung

doi:10.1589/jpts.28.304

Cited by 14 publications

(9 citation statements)

References 25 publications

(34 reference statements)

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“…Thus, traditional herbal substances of plant origin that have shown the ability to substantially protect or regulate of RA might be of considerable medical intrrest19 ) . Previous research studies have also reported that exercise interventions used as alternative therapies were shown to have a specific health benefits for patients with RA27, 32 ) .…”

Section: Discussionmentioning

confidence: 97%

“…It has reported that participating in moderate intensity exercise for at least 30 minutes five days per week was of significant benefits, especially for the healthy adult population23 ) . Exercise has also shown to decrease the risk of coronary artery disease and improve cardiovascular health24 ) , reduce adiposity25 ) , and increase muscle strength, which supports exercise health benefits among patients with RA26, 27 ) . Furthermore, it has been reported that exercise of high intensity that fell within a physiologic range was more effective in increasing physical function when compared with low intensity exercise26, 27 ) .…”

Section: Introductionmentioning

confidence: 92%

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Green tea and exercise interventions as nondrug remedies in geriatric patients with rheumatoid arthritis

2016

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This study aimed to evaluate the effects of green tea and supervised exercise training interventions on improvement of disease activity and bone metabolism markers in rheumatoid arthritis patients. [Subjects and Methods] One-hundred and twenty subjects who had a mean age of (60.7 ± 2.53 years) and had been diagnosed with rheumatoid arthritis at least ten years previously were randomly included in this study. Patients were treated with infliximab, green tea, or a supervised exercise program for six months. Disease activity markers as well as antioxidant activity of green tea extracts were estimated before supplementation using in vitro assays. [Results] Rheumatoid arthritis patients treated with green tea for 6 months alone or in combination with infliximab or an exercise program showed significant improvement in disease activity parameters, including C-reactive protein, and erythrocyte sedimentation rate, swollen and tender joints counts, and modified Stanford Health Assessment Questionnaire score, along with an increase in serum levels of bone resorption markers, i.e., deoxypyridinoline, amino-terminal telopeptide of type 1 collagen, and bone alkaline phosphatase, at 6 months of after initial treatment. The European League Against Rheumatism and American College of Rheumatology scores revealed more clinical improvement in the disease activity of rheumatoid arthritis patients treated with green tea along with exercise compared with rheumatoid arthritis patients treated with infliximab or exercise combinations. This may have been due to the higher potential antioxidant activity of green tea (89.6% to 96.5%). [Conclusion] Both exercise and green tea interventions appeared to be beneficial as nondrug modulates for rheumatoid arthritis disorders.

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Section: Discussionmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 92%

Green tea and exercise interventions as nondrug remedies in geriatric patients with rheumatoid arthritis

2016

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“…Rehabilitation of patients with RA and the pharmacological treatment are the key elements of successful therapy. Rehabilitation is reducing pain, that is demonstrated in a systematic review done by Park et al [ 18 ], wherein all the analyzed data VAS scale was used for subjective pain assessment, and in all the studies, the statistically significant pain decreased among patients after rehabilitation. Disease activity assessment is a significant element of monitoring the condition of patients with RA.…”

Section: Discussionmentioning

confidence: 99%

Improving the quality of life of patients with rheumatoid arthritis after rehabilitation irrespective of the level of disease activity

et al. 2020

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Due to the exacerbation of the disease, the rehabilitation of patients with rheumatoid arthritis is often limited. The aim of the study was to analyze the impact of a comprehensive rehabilitation on a subjective perception of pain and quality of life in patients with rheumatoid arthritis depending on the level of disease activity. The study involved 58 women with rheumatoid arthritis aged 18–60, who underwent a 4-weeks comprehensive rehabilitation program. The assessment included the disease activity level on the DAS28 scale, pain intensity on the 10-point pain scale (VAS) and the value of the CRP protein. The HAQ-DI and KALU questionnaire were used to assess the quality of life. In both groups (group A—DAS28 < 4.2, group B—DAS28 ≥ 4.2) the statistically significant effects in decreasing the level of pain and improvement of quality of life were observed. This indicates the need and effectiveness of rehabilitation regardless of the level of activity of rheumatoid arthritis according to the DAS28 scale. There were no significant changes in the CRP protein level. In conclusion, the rehabilitation of patients with moderate to high disease activity is effective and the success of comprehensive rehabilitation is demonstrated by the decrease of the DAS28 score and the pain level reported by patients, as well as improving self-assessment of health and quality of life.

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“…Ancillary services such as physiotherapy and rehabilitation services should also be strengthened as there is strong evidence supporting their role in managing arthritis (40). Provision of essential medications including steroid sparing drugs and biologic agents is also recommended.…”

Section: Discussionmentioning

confidence: 99%

Arthritis and Health Related Quality of Life in Adult Outpatients in Trinidad: A Cross Sectional Study

Motilal

Dawar

Mankee

et al. 2020

Preprint

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Abstract BACKGROUND Arthritis is a public health concern because of the high prevalence reported in various settings as well as its impact on health-related quality of life (HRQOL). The main objective of this study was to determine the prevalence of self-reported joint pain, arthritis and its associations with quality of life in a Trinidadian primary care population. METHODS A cross-sectional study was conducted on adult outpatients from 16 randomly selected primary care centres. An interviewer administered questionnaire was used to collect data on arthritis and HRQOL domains. Data was analysed using Statistical Package for the Social Sciences (SPSS, version 21) using Fisher’s exact, Chi-square testing, correlation and t-tests. Regression analysis was also done for predictors of HRQOL. RESULTS Of 421 subjects approached, 392 (93%) completed this survey. The average age was 46 ± 17.8 years with 60.5% of respondents being female and 75% being of either East Indian or African descent. Joint pain in the past 6 months, reported by 57.9% of participants, was associated with female gender (P = 0.016), East Indian descent (P = 0.001), unemployment (P < 0.001) and primary school education level (P < 0.001). There was significant (P < 0.005) upset in all domains of quality of life in those with joint pain. Severity and duration of joint pain was also positively correlated with worse HRQOL scores (P < 0.05). CONCLUSION This study highlighted the high prevalence of self-reported joint pain in Trinidad and its negative effects on HRQOL. There is an urgent need to address arthritis and the resulting morbidity in this setting.

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Effects of rehabilitation for pain relief in patients with rheumatoid arthritis: a systematic review

Cited by 14 publications

References 25 publications

Green tea and exercise interventions as nondrug remedies in geriatric patients with rheumatoid arthritis

Green tea and exercise interventions as nondrug remedies in geriatric patients with rheumatoid arthritis

Improving the quality of life of patients with rheumatoid arthritis after rehabilitation irrespective of the level of disease activity

Arthritis and Health Related Quality of Life in Adult Outpatients in Trinidad: A Cross Sectional Study

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