High-intensity interval training can improve hand grip strength, inspiratory muscle, and quality of life in systemic sclerosis subjects

Defi, Irma Ruslina; Gultom, Chandrawati; Chorman, Maria Jessica; Jennie, Jennie

doi:10.5114/reum.2021.105454

Cited by 5 publications

(2 citation statements)

References 29 publications

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“…128 145 Within the musculoskeletal domain, high-intensity interval training was found efficacious for improving inspiratory muscle and grip strength. 150 Gastrointestinal manifestations, for example, bloating and distension, were efficaciously managed with probiotics. 175 Within the neuropsychiatric domain, anxiety was efficaciously managed with, for example, animal-assisted interventions.…”

Section: Systemic Sclerosismentioning

confidence: 99%

Systematic literature review informing the EULAR recommendations for the non-pharmacological management of systemic lupus erythematosus and systemic sclerosis

et al. 2023

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Through this systematic literature review, we assembled evidence to inform the EULAR recommendations for the non-pharmacological management of systemic lupus erythematosus (SLE) and systemic sclerosis (SSc). We screened articles published between January 2000 and June 2021. Studies selected for data extraction (118 for SLE and 92 for SSc) were thematically categorised by the character of their intervention. Of 208 articles included, 51 were classified as robust in critical appraisal. Physical activity was the most studied management strategy and was found to be efficacious in both diseases. Patient education and self-management also constituted widely studied topics. Many studies on SLE found psychological interventions to improve quality of life. Studies on SSc found phototherapy and laser treatment to improve cutaneous disease manifestations. In summary, non-pharmacological management of SLE and SSc encompasses a wide range of interventions, which can be combined and provided either with or without adjunct pharmacological treatment but should not aim to substitute the latter when this is deemed required. While some management strategies i.e., physical exercise and patient education, are already established in current clinical practice in several centres, others e.g., phototherapy and laser treatment, show both feasibility and efficacy, yet require testing in more rigorous trials than those hitherto conducted.

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Section: Systemic Sclerosismentioning

confidence: 99%

Systematic literature review informing the EULAR recommendations for the non-pharmacological management of systemic lupus erythematosus and systemic sclerosis

et al. 2023

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“…Although therapy and medical treatments can alleviate some clinical disease manifestations, patients with SSc face challenges in self-managing symptoms (14,15). No cure exists for SSc, but self-management programs can minimize the impact of the disease and optimize physical and psychological health (16)(17)(18)(19)(20). Despite these efforts, evidence suggests that cognitive impairment is a significant although understudied part of symptom experience in patients with SSc (21)(22)(23).…”

Section: Introductionmentioning

confidence: 99%

Perceived Cognitive Function in People With Systemic Sclerosis: Associations With Symptoms and Daily Life Functioning

Chen

Lescoat

Khanna

et al. 2023

Arthritis Care & Research

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Objective. Perceived cognitive dysfunction is prevalent in patients with systemic sclerosis (SSc) but not well understood. This study aimed to examine potential factors associated with perceived cognitive function and to investigate the contributions of perceived cognitive function and symptoms to functional measures.Methods. A cross-sectional survey was conducted among patients with SSc (n = 106). Participants were mainly female (84%) and White (82%). Perceived cognitive function, symptoms, and functional measures were assessed with Patient-Reported Outcomes Measurement Information System (PROMIS) measures. A multivariable regression was conducted to identify factors associated with perceived cognition. Hierarchical linear regressions examined the unique contributions of perceived cognitive function and symptoms to social participation and physical function.Results. Fifty-nine (56%) patients with SSc perceived mild-to-severe cognitive dysfunction. Being on work disability and having more fatigue were both significantly associated with perceived cognitive dysfunction. When examining the contributions of cognition and other symptoms to functional measures, self-reported cognition became nonsignificant after fatigue and pain were entered into the regression model. Conclusion.Being on work disability and having more fatigue were most highly associated with perceived cognitive dysfunction in patients with SSc. Unlike fatigue and pain, perceived cognitive function was not independently associated with functional measures. Nonetheless, future research should disentangle cognitive function and other symptoms, as well as their effects on daily activities, in SSc.

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Lifestyle interventions in the management of systemic sclerosis: a systematic review of the literature

Parodis,

Tsoi,

Gomez

et al. 2024

Rheumatology Advances in Practice

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Objectives We aimed to investigate the efficacy of lifestyle interventions for the management of systemic sclerosis (SSc). Methods We searched the databases Medline, Embase, Web of Science and Cinahl in June of 2021. We included studies conducted on five or more patients with SSc published between January 1st of 2000 and date of search, evaluating lifestyle interventions, excluding systematic reviews without meta-analyses. Critical appraisal was conducted using critical appraisal tools from the Joanna Briggs Institute. Thirty-six studies were included for full-text evaluation. Results Seventeen studies evaluated the effect of physical exercise alone, whereas 14 studies evaluated educational interventions for mental health management, often with physical exercise as a central component. At an aggregated level, these studies support patient education and physical exercise for the improvement of physical function, in particular hand and mouth function. Studies on diet and nutrition were few (n = 5) and pertained to gastrointestinal as well as anthropometric outcomes; these studies were insufficient to support any conclusions. Conclusion Physical exercise and patient education should be considered for improving physical function in patients with SSc. These interventions can be given alongside pharmacotherapy, but there is no evidence supporting that they could substitute it. Further research should aim at assessing the effects of reductions of harmful exposures, including tobacco smoking and alcohol, improving sleep, and enhancing social relations, three hitherto underexplored facets of lifestyle in the context of SSc.

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High-intensity interval training can improve hand grip strength, inspiratory muscle, and quality of life in systemic sclerosis subjects

Cited by 5 publications

References 29 publications

Systematic literature review informing the EULAR recommendations for the non-pharmacological management of systemic lupus erythematosus and systemic sclerosis

Systematic literature review informing the EULAR recommendations for the non-pharmacological management of systemic lupus erythematosus and systemic sclerosis

Perceived Cognitive Function in People With Systemic Sclerosis: Associations With Symptoms and Daily Life Functioning

Lifestyle interventions in the management of systemic sclerosis: a systematic review of the literature

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