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Dynamic training versus relaxation training as home exercise for patients with inflammatory rheumatic diseases. A
C H Stenström1, B Arge, A Sundbom
1Department of Rheumatology, Mälarsjukhuset, Eskilstuna, Sweden.
Scandinavian Journal of Rheumatology
|January 1, 1996
Summary
Progressive muscle relaxation training improved quality of life and reduced joint tenderness in inflammatory rheumatic diseases more than dynamic training. Muscle function also saw greater improvement with relaxation techniques.
Area of Science:
- Rheumatology
- Physical Therapy
- Rehabilitation Medicine
Background:
- Inflammatory rheumatic diseases significantly impact patients' quality of life and physical function.
- Home-based exercise programs are crucial for managing chronic rheumatic conditions.
- Comparing dynamic training with muscle relaxation is important for optimizing patient care.
Purpose of the Study:
- To compare the effectiveness of a dynamic training program versus a muscle relaxation training program for patients with inflammatory rheumatic diseases.
- To assess the impact of these home exercise programs on health-related quality of life, joint tenderness, and physical capacities.
- To determine which training modality offers superior benefits for lower extremity muscle function.
Main Methods:
- Randomized controlled trial involving 54 patients with inflammatory rheumatic diseases.
- Intervention: 3 months of daily 30-minute home exercise (dynamic training vs. progressive muscle relaxation).
- Outcome measures: Nottingham Health Profile, Ritchie's articular index, perceived exertion, and physical capacity tests (muscle function, endurance).
Main Results:
- The relaxation training group showed significant improvements in overall quality of life (Nottingham Health Profile) and reduced joint tenderness (Ritchie's articular index).
- Muscle function of the lower extremities and arm endurance significantly improved in the relaxation group compared to the dynamic group.
- While the dynamic group improved perceived exertion during a walking test, the relaxation group demonstrated superior gains in lower extremity muscle function.
Conclusions:
- Progressive muscle relaxation training may be more effective than dynamic training for improving quality of life and muscle function in inflammatory rheumatic diseases.
- Muscle relaxation techniques show potential for reducing joint tenderness and enhancing physical capacities in this patient population.
- Clinical effects were modest, warranting cautious interpretation and further investigation into optimal exercise protocols.