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Exercise for arthritis

S R Ytterberg1, M L Mahowald, H E Krug

  • 1University of Minneapolis Medical School, Minneapolis 55417.

Bailliere'S Clinical Rheumatology
|February 1, 1994
PubMed
Summary
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Exercise, including range of motion (ROM), strengthening, and aerobic conditioning, is safe for osteoarthritis (OA), rheumatoid arthritis (RA), and ankylosing spondylitis (AS) patients. While benefits are modest, exercise likely reduces pain and improves fitness.

Area of Science:

  • Rheumatology
  • Sports Medicine
  • Geriatrics

Background:

  • Earlier concerns suggested exercise could worsen joint symptoms in OA, RA, and AS.
  • The therapeutic benefits and long-term effects of exercise in these conditions require further investigation.

Purpose of the Study:

  • To evaluate the safety and therapeutic benefits of exercise programs (ROM, strengthening, aerobic conditioning) for patients with OA, RA, or AS.
  • To assess the impact of exercise on physical function, pain, and cardiovascular fitness in these patient populations.

Main Methods:

  • Review of available data on exercise interventions for OA, RA, and AS.
  • Analysis of improvements in range of motion, muscle strength, aerobic capacity, and overall function.

Main Results:

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  • Exercise is safe for patients with OA, RA, and AS.
  • Modest improvements in deficits were observed for OA patients; benefits for RA patients were more convincing.
  • Short-term improvements in ROM for AS patients were modest but statistically significant.

Conclusions:

  • Exercise should be integrated into the treatment of OA, RA, and AS due to its safety and likely benefits.
  • Exercise may reduce pain, improve endurance, and enhance cardiovascular fitness.
  • Further research is needed on long-term effects, especially in the geriatric population.