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Dynamic exercise therapy for rheumatoid arthritis.

C H Van Den Ende1, T P Vliet Vlieland, M Munneke

  • 1NIVEL, Netherlands Institute of Primary Health Care, PO Box 1568, 3500 BN Utrecht, The Netherlands, 2300 RC. E.vandenEnde@nivel.nl

The Cochrane Database of Systematic Reviews
|May 5, 2000
PubMed
Summary
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Dynamic exercise therapy improves physical capacity in rheumatoid arthritis (RA) patients, enhancing muscle strength and aerobic fitness. Further research is needed to clarify long-term effects on function and joint damage.

Area of Science:

  • Rheumatology
  • Exercise Physiology
  • Rehabilitation Medicine

Background:

  • Rheumatoid arthritis (RA) is a chronic inflammatory disease affecting joints.
  • Patients with RA often experience reduced joint mobility, muscle strength, and aerobic capacity.
  • Exercise therapy is a potential intervention to manage RA symptoms and improve quality of life.

Purpose of the Study:

  • To evaluate the impact of dynamic exercise therapy on joint mobility, muscle strength, aerobic capacity, and daily functioning in RA patients.
  • To investigate potential adverse effects of dynamic exercise therapy, including pain, disease activity, and radiological progression.

Main Methods:

  • A systematic review of randomized controlled trials (RCTs) was conducted.
  • Searches were performed in major databases (Cochrane, Medline, Embase, SCISEARCH) up to May 1997.

Related Experiment Videos

  • Inclusion criteria specified dynamic exercise programs with specific intensity, frequency, and duration for RA patients.
  • Main Results:

    • Six RCTs met the inclusion criteria; four had high methodological quality.
    • Dynamic exercise therapy demonstrated effectiveness in improving aerobic capacity and muscle strength.
    • No significant detrimental effects on disease activity or pain were observed.

    Conclusions:

    • Dynamic exercise therapy positively impacts the physical capacity of individuals with rheumatoid arthritis.
    • Further research is warranted to determine the long-term effects of dynamic exercise therapy on radiological progression and functional ability in RA.