类风湿性关节炎治疗:运动是改变游戏规则的吗?
1Department of Physical Medicine and Rehabilitation, Koç University Faculty of Medicine, İstanbul, Türkiye.
Turkish journal of physical medicine and rehabilitation
|March 3, 2025
概括
身体活动通过减少疼痛和疲劳,有益于类风湿性关节炎患者. 尽管有已知的好处,但许多患者由于恐惧和缺乏支持而减少炼,这凸显了需要更好的指导.
科学领域:
- 类风湿病学 类风湿病学
- 运动科学 运动科学
- 物理疗法物理治疗
背景情况:
- 类风湿性关节炎 (RA) 是一种慢性炎症性疾病,影响关节.
- 身体活动和炼为RA患者提供了显著的益处,包括减少疼痛,硬和疲劳.
- 尽管有已知的好处,但RA患者的体力活动水平与健康人相比较低.
研究的目的:
- 总结运动对类风湿性关节炎的基本影响.
- 对患有类风湿性关节炎的个人进行适当的炼计划进行审查和推.
主要方法:
- 对有关运动和类风湿性关节炎现有研究的文献综述.
- 综合有关身体活动对RA症状和疾病进展的影响的信息.
主要成果:
- 运动显然可以减少RA患者的疼痛,硬和疲劳.
- 身体活动积极影响RA相关并发症的管理.
- 在RA中炼的障碍包括对症状恶化的恐惧,知识不足和专业/社会支持不足.
结论:
- 运动是治疗类风湿性关节炎的关键组成部分.
- 解决患者的担忧和改善支持系统对于增加RA的身体活动至关重要.
- 需要基于证据的运动建议,以有效指导RA患者.
相关概念视频
Exercise and Cardiovascular Response
695
Exercise significantly impacts cardiovascular response, which is crucial for understanding patient health and designing effective treatment plans.
Light to moderate physical activity initiates a series of interconnected responses in the body. The heart rate modestly increases in anticipation of the workout, followed by widespread vasodilation as oxygen consumption by skeletal muscles increases. This results in decreased peripheral resistance, increased capillary blood flow, and accelerated...
Light to moderate physical activity initiates a series of interconnected responses in the body. The heart rate modestly increases in anticipation of the workout, followed by widespread vasodilation as oxygen consumption by skeletal muscles increases. This results in decreased peripheral resistance, increased capillary blood flow, and accelerated...
695
The JAK-STAT Signaling Pathway
8.6K
Several cytokine receptors have tightly bound Janus kinase or JAK proteins attached at their cytosolic tail. Small signaling molecules such as cytokines, growth hormones, or prolactins bind to the cytokine receptors and initiate their dimerization. The dimerization brings the cytosolic JAKs together that trans-phosphorylate and activates each other. The activated JAKs now phosphorylate cytosolic tails of the cytokine receptors, which serve as binding sites for adaptor proteins such as SH2...
8.6K
Drugs for Treatment of Crohn's Disease in IBD Using Immunomodulatory Agents
130
Crohn's disease is an inflammatory bowel disorder marked by chronic inflammation of the GI tract. Various treatment strategies for Crohn's disease are employed, such as immunomodulatory agents, glucocorticoids, and biologics or anti-TNF therapy. Azathioprine (Imuran), a commonly used immunomodulatory drug for Crohn's disease, is converted in the body to mercaptopurine, which inhibits purine biosynthesis and cell proliferation. Both are utilized in severe cases of Inflammatory Bowel...
130
Exercise and Cardiac Output
864
Regular physical activity is essential for maintaining cardiovascular health, with aerobic exercises being particularly effective. According to the American Heart Association, 150 minutes of moderate to intense aerobic exercise per week is recommended for a healthy heart. Aerobic activities may include brisk walking, running, bicycling, cross-country skiing, and swimming, ideally performed three to five times per week.
Sustained exercise increases the muscles' oxygen demand, which can be...
Sustained exercise increases the muscles' oxygen demand, which can be...
864
T Cell Types and Functions
774
When T cells with CD4 markers are activated, they give rise to two types of effector cells: helper T cells and regulatory T cells. Meanwhile, T cells with CD8 markers differentiate into effector cytotoxic T cells. The differentiation of CD4 T cells into helper T cell subsets, such as Th1, Th2, and Th17 cells, is dependent on the antigen type, antigen-presenting cell, and regulatory cytokines.
Th1 cells stimulate dendritic cells to express necessary co-stimulatory molecules on their surfaces for...
Th1 cells stimulate dendritic cells to express necessary co-stimulatory molecules on their surfaces for...
774
Drugs for Treatment of Crohn's Disease in IBD Using Glucocorticoids
92
Glucocorticoids, a class of anti-inflammatory drugs, are pivotal in treating moderate to severe Crohn's disease by inducing remission. They exhibit their anti-inflammatory action by inhibiting the production of inflammatory cytokines such as tumor necrosis factor (TNF)-α, interleukin (IL)-1, and chemokines like IL-8. In addition, they reduce the expression of inflammatory cell adhesion molecules and inhibit gene transcription of nitric oxide synthase, phospholipase A2, cyclooxygenase-2...
92


