Exercise prescription in the management of rheumatoid arthritis

Nolte, Kim; Rensburg, DC Janse van

doi:10.1080/20786204.2013.10874374

Cited by 6 publications

(15 citation statements)

References 35 publications

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“…Determination of the areas of relevance. The type of exercises prescribed to RA patients mainly involve those related to the range of motion 3 (see Figure 4). These exercises are intended to improve and preserve the health of the joint as well as its range of movement.…”

Section: Data Acquisitionmentioning

confidence: 99%

“…These points, for the arm case, correspond to the shoulder and the hand, respectively, whereas for the leg they refer to the hip and the foot. I = (I x , I y ) and E = (E x , L y ) are the x and y coordinates of both points in the corresponding limb, whose length is defined as the distance L defined in equation (3). Yet, there are some exercises in which the performance depends on the angle formed by the extremity and the body torso, like in the shoulder or hip extension exercises (see Figure 8).…”

Section: Data Acquisitionmentioning

confidence: 99%

“…In this sense, RA patients are normally prescribed with a pharmacological treatment to deal with pain as well as an exercise routine that will help them to reduce pain, stay more energetic, and reduce weakness while preventing accidents due to their lack of agility. 3 Exercise routines are normally prescribed and supervised by a physical therapist. Daily routines are unfeasible for many patients due to the economic cost, time constraints, and the impossibility to travel to a health center on a daily basis.…”

Section: Introductionmentioning

confidence: 99%

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A computer-vision-based system for at-home rheumatoid arthritis rehabilitation

Dorado

García

Santofimia

et al. 2019

International Journal of Distributed Sensor Networks

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People suffering from rheumatoid arthritis are normally prescribed with physical exercises. The realization of these exercise routines should be supervised to prevent wrongly adopted postures or bad movements that end up harming the affected articulations. The motivational component associated with a supervised session is also important. On the contrary, having access to qualified supervision is not always possible due to different reasons, such as tight schedules, limited mobility, or economic reasons. This article presents a system for at-home rehabilitation, based on Microsoft Kinect, that resembles the role played by the physiotherapist during the supervision of an exercise session. The system not only supervises the realization of exercises but it also collects and manages information about the exercise-session history. Additionally, and despite affecting young people, rheumatoid arthritis is a disease that mainly affects seniors. For this reason, the system provides a natural interface to ease the interaction. Finally, the performance of the proposed system has been evaluated using a three-dimensional dynamic measurement system as a gold standard to validate the accuracy of the measurements. Obtained results demonstrate the potential of the Kinect-based system for at-home rehabilitation exercise routines.

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Section: Data Acquisitionmentioning

confidence: 99%

Section: Data Acquisitionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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A computer-vision-based system for at-home rheumatoid arthritis rehabilitation

Dorado

García

Santofimia

et al. 2019

International Journal of Distributed Sensor Networks

View full text Add to dashboard Cite

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“…Among adults with other chronic inflammatory diseases, a traditional model of exercise prescription has been moderate-intensity continuous training (MICT; e.g. 30–60 min of moderate-intensity continuous endurance-type exercise such as swimming, cycling or running performed 3–5 times per week) [12], but a growing body of evidence indicates that high-intensity interval training (HIIT; e.g. 0.5–4 min bouts of vigorous exercise interspersed by periods of passive or active recovery) is a more time-efficient exercise strategy, eliciting similar or even superior cardio-metabolic adaptations compared to MICT, at least when compared on a work-matched basis [13–16].…”

Section: Introductionmentioning

confidence: 99%

High-intensity interval training and moderate-intensity continuous training in adults with Crohn’s disease: a pilot randomised controlled trial

et al. 2019

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BackgroundThis study assessed the feasibility and acceptability of two common types of exercise training—high-intensity interval training (HIIT) and moderate-intensity continuous training (MICT)—in adults with Crohn’s disease (CD).MethodsIn this mixed-methods pilot trial, participants with quiescent or mildly-active CD were randomly assigned 1:1:1 to HIIT, MICT or usual care control, and followed up for 6 months. The HIIT and MICT groups were offered three exercise sessions per week for the first 12 weeks. Feasibility outcomes included rates of recruitment, retention, outcome completion, and exercise attendance. Data were collected on cardiorespiratory fitness (e.g., peak oxygen uptake), disease activity, fatigue, quality of life, adverse events, and intervention acceptability (via interviews).ResultsOver 17 months, 53 patients were assessed for eligibility and 36 (68%) were randomised (47% male; mean age 36.9 [SD 11.2] years); 13 to HIIT, 12 to MICT, and 11 to control. The exercise session attendance rate was 62% for HIIT (288/465) and 75% for MICT (320/429), with 62% of HIIT participants (8/13) and 67% of MICT participants (8/12) completing at least 24 of 36 sessions. One participant was lost to follow-up. Outcome completion rates ranged from 89 to 97%. The mean increase in peak oxygen uptake, relative to control, was greater following HIIT than MICT (2.4 vs. 0.7 mL/kg/min). There were three non-serious exercise-related adverse events, and two exercise participants experienced disease relapse during follow-up.ConclusionsThe findings support the feasibility and acceptability of the exercise programmes and trial procedures. A definitive trial is warranted. Physical exercise remains a potentially useful adjunct therapy in CD. [ID: ISRCTN13021107].Electronic supplementary materialThe online version of this article (10.1186/s12876-019-0936-x) contains supplementary material, which is available to authorized users.

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“…Due to the associated disability and cost incurred through treatment, RA affects patients economically. [4] Unemployment is a concern as it impacts the patient's ability to afford the treatment aiding in the management of their condition. [4] Of those who participated, 65.71% spent five or more hours sitting or reclining on a typical day.…”

Section: Demographicsmentioning

confidence: 99%

Pain and physical activity levels among Rheumatoid Arthritis patients between the ages of 18 to 50 years in South Africa

2022

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Background: Little epidemiological research on rheumatoid arthritis (RA) has been done in Africa, suggesting that it is an uncommon illness. In rural South Africa, RA has an overall prevalence of 0.07% and a prevalence of 2.5% in urban areas; therefore, it is not as uncommon as perceived by the lack of research. Patient-centred programmes to improve physical function have been lacking and, as a result, the prior assumption was that physical activity should be avoided. Objectives: To determine pain and physical activity levels among RA patients between the ages of 18 to 50 years in South Africa. Methods: A combination of two questionnaires were used, namely, the Global Physical Activity Questionnaire (2002) and the Pain Outcomes Questionnaire (2003). The collated questionnaires were distributed by rheumatologists and on social media platforms to RA patients between the ages of 18 to 50 years old living in South Africa. This study had a sample size of 105 participants, with participation occurring through the online Google forms platform. Results: One hundred and five participants with RA were recruited with an average age of 38±9 years. Most of the participants were females (93.3%). Seventy-two percent of the sample was classified as physically active, where work, leisure and travel activities were considered. No significant correlation between pain and physical activity was evident (r=0.10; p=0.311). Results showed significant correlations between pain and personal grooming (r=0.30; p=0.002), pain and ambulation (r=0.60; p=0.000), and pain and stair climbing (r=0.60; p=0.000). Conclusion: Physical activity has proven to have multiple benefits for those suffering with RA. In this South African sample of RA patients, the majority were classified as physically active, and pain did not affect the activity levels of the involved participants. This study opens further research questions regarding RA prevalence in South Africa, and the type and intensity of physical activity that would be beneficial for RA.

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Exercise prescription in the management of rheumatoid arthritis

Cited by 6 publications

References 35 publications

A computer-vision-based system for at-home rheumatoid arthritis rehabilitation

A computer-vision-based system for at-home rheumatoid arthritis rehabilitation

High-intensity interval training and moderate-intensity continuous training in adults with Crohn’s disease: a pilot randomised controlled trial

Pain and physical activity levels among Rheumatoid Arthritis patients between the ages of 18 to 50 years in South Africa

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