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Exercise in Patients with Arthritis

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1. Effects of Aerobic and Resistance Exercise in Older Adults With Rheumatoid Arthritis: A Randomized Controlled Trial

Effects of Aerobic and Resistance Exercise in Older Adults With Rheumatoid Arthritis: A Randomized Controlled Trial To evaluate the effect of a moderate-to-high-intensity, aerobic and resistance exercise with person-centered guidance in older adults with rheumatoid arthritis (RA), through a randomized controlled multicenter trial.Older adults (ages 65-75 years) with RA (n = 74) were randomized to either a 20-week exercise intervention at a gym (n = 36) or to home-based exercise of light (...) ). At the 12-month follow-up, there were no significant differences in change between the 2 groups on the HAQ DI score. A significant between-group difference was found for change in an endurance test (P = 0.022).Aerobic and resistance exercise with person-centered guidance improved physical fitness in terms of aerobic capacity, endurance, and strength in older adults with RA.© 2018 The Authors. Arthritis Care & Research published by Wiley Periodicals, Inc. on behalf of American College of Rheumatology.

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2019 EvidenceUpdates

2. A resistance exercise program improves functional capacity of patients with psoriatic arthritis: a randomized controlled trial. (PubMed)

A resistance exercise program improves functional capacity of patients with psoriatic arthritis: a randomized controlled trial. The objective of this study is to assess the effectiveness of resistance training in patients with psoriatic arthritis (PsA). The study is a randomized controlled trial with 41 patients aged between 18 and 65 years with diagnosis of psoriatic arthritis (PsA). The patients were randomized into the following: intervention group (IG) and control group (CG). The IG (...) . Resistance training is effective in improving functional capacity, disease activity, and quality of life of patients with psoriatic arthritis. The clinical improvements were not coupled to significant changes in muscular strength.

2018 Clinical rheumatology

3. The effect of nerve mobilization exercise in patients with rheumatoid arthritis: a pilot study. (PubMed)

The effect of nerve mobilization exercise in patients with rheumatoid arthritis: a pilot study. Rheumatoid arthritis (RA) is an autoimmune disorder characterized by chronic inflammation of the joints. The neurogenic inflammatory mechanism plays an important role in the inflammatory process of RA, and pathological changes in neural tissues in RA have also been noted. We aim to investigate treatment of the nervous system to relieve joint pain and inflammation in RA. Nerve mobilization, a nervous (...) system-specific therapeutic exercise, was applied on RA patients to determine the effect of nerve mobilization on joint inflammation. Twelve RA patients were recruited from the community and were randomised into an experimental and a control group. In the experimental group, the subjects were taught a set of nerve mobilization exercises while the subjects in the control group were taught a set of gentle joint mobilization exercises. Both groups were instructed to practice the exercises daily. After

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2018 Reumatismo

4. A brief report on the clinical trial on neural mobilization exercise for joint pain in patients with rheumatoid arthritis. (PubMed)

A brief report on the clinical trial on neural mobilization exercise for joint pain in patients with rheumatoid arthritis. In rheumatoid arthritis (RA) synovitis, activation of synoviocytes and infiltration of adaptive immune cells leads to synovial hyperplasia and joint swelling. Under the elevated extra-neural pressure, free nerve endings release neuropeptides, calcitonin gene-related peptide, and substance P, thus promoting neurogenic inflammation.This study aimed to assess the effect (...) of therapeutic neural mobilization (NM) exercises targeting the nervous system on disease impact in RA patients.A total of 21 RA patients were randomized into NM (n = 11) and control (n = 10) groups. NM group patients performed NM exercises targeting the median, musculocutaneous, femoral, and saphenous nerve, as well as the entire nervous system twice daily for 4-8 weeks. Control RA patients performed gentle joint mobilization exercises targeting the same joints. Primary outcome was the change in pre-/post

2018 Zeitschrift fur Rheumatologie

5. The impact of exercise on sleep (time, quality, and disturbance) in patients with rheumatoid arthritis: a study protocol for a pilot randomised controlled trial. (PubMed)

The impact of exercise on sleep (time, quality, and disturbance) in patients with rheumatoid arthritis: a study protocol for a pilot randomised controlled trial. Poor sleep is an issue for people with rheumatoid arthritis (RA), which may curtail their ability to function appropriately and reduce their activity levels. This paper describes a protocol for a pilot randomised controlled trial of an aerobic exercise intervention compared with exercise advice designed to improve sleep in people (...) exercise intervention consisting of 28 walking sessions, with 1 session per week being supervised by a trained physiotherapist, spread over a maximum of 8 weeks (2-5 times/week), while those in the control group will receive advice on the benefits of exercise for people with RA. Results will provide data for efficient recruitment and data collection, to determine if a larger, statistically powered main trial could be generalised to a multi-centre rheumatoid arthritis population. Given recent

2018 Rheumatology international

6. Ultrasound of Subtalar Joint Synovitis in Patients with Rheumatoid Arthritis: Results of an OMERACT Reliability Exercise Using Consensual Definitions. (PubMed)

Ultrasound of Subtalar Joint Synovitis in Patients with Rheumatoid Arthritis: Results of an OMERACT Reliability Exercise Using Consensual Definitions. To evaluate the intraobserver and interobserver reliability of the ultrasonographic (US) assessment of subtalar joint (STJ) synovitis in patients with rheumatoid arthritis (RA).Following a Delphi process, 12 sonographers conducted an US reliability exercise on 10 RA patients with hindfoot pain. The anteromedial, posteromedial, and posterolateral

2018 Journal of Rheumatology

7. Determination of Exercise Behavior in Patients With Juvenile Idiopathic Arthritis

Determination of Exercise Behavior in Patients With Juvenile Idiopathic Arthritis Determination of Exercise Behavior in Patients With Juvenile Idiopathic Arthritis - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding (...) more. Determination of Exercise Behavior in Patients With Juvenile Idiopathic Arthritis The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT03731520 Recruitment Status : Active, not recruiting First Posted : November 6, 2018 Last Update Posted : November 6, 2018 Sponsor: Saime Nilay Arman Information

2018 Clinical Trials

8. Hand exercises for patients with rheumatoid arthritis: an extended follow-up of the SARAH randomised controlled trial. (PubMed)

Hand exercises for patients with rheumatoid arthritis: an extended follow-up of the SARAH randomised controlled trial. The Stretching And strengthening for Rheumatoid Arthritis of the Hand (SARAH) randomised controlled trial evaluated the effectiveness of a hand exercise programme and demonstrated it was clinically effective and cost-effective at 12 months. The aim of this extended follow-up was to evaluate the effects of the SARAH programme beyond 12 months.Using postal questionnaires, we (...) collected the Michigan Hand Questionnaire hand function (primary outcome), activities of daily living and work subscales, pain troublesomeness, self-efficacy and health-related quality of life. All participants were asked how often they performed hand exercises for their rheumatoid arthritis. Mean difference in hand function scores were analysed by a linear model, adjusted for baseline score.Two-thirds (n=328/490, 67%) of the original cohort provided data for the extended follow-up. The mean follow-up

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2017 BMJ open

9. Green tea and exercise interventions as nondrug remedies in geriatric patients with rheumatoid arthritis (PubMed)

Green tea and exercise interventions as nondrug remedies in geriatric patients with rheumatoid arthritis This study aimed to evaluate the effects of green tea and supervised exercise training interventions on improvement of disease activity and bone metabolism markers in rheumatoid arthritis patients. [Subjects and Methods] One-hundred and twenty subjects who had a mean age of (60.7 ± 2.53 years) and had been diagnosed with rheumatoid arthritis at least ten years previously were randomly (...) included in this study. Patients were treated with infliximab, green tea, or a supervised exercise program for six months. Disease activity markers as well as antioxidant activity of green tea extracts were estimated before supplementation using in vitro assays. [Results] Rheumatoid arthritis patients treated with green tea for 6 months alone or in combination with infliximab or an exercise program showed significant improvement in disease activity parameters, including C-reactive protein

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2016 Journal of physical therapy science

10. Exercise Training in Patients With Rheumatoid Arthritis and Cryotherapy

Exercise Training in Patients With Rheumatoid Arthritis and Cryotherapy Exercise Training in Patients With Rheumatoid Arthritis and Cryotherapy - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Exercise (...) provided by (Responsible Party): Centre Hospitalier Universitaire de Besancon Study Details Study Description Go to Brief Summary: The main objective of this project is to study, in patients with rheumatoid arthritis, the effects of an intermittent type exercise associated with cryotherapy on the level of inflammation during its recovery. Condition or disease Intervention/treatment Phase Arthritis, Rheumatoid Other: constant exercise Other: cryotherapy Other: intermittent exercise Not Applicable Study

2016 Clinical Trials

11. An Animated Home-based Physical Exercise Program as a Treatment Option for Patients With Rheumatoid Arthritis

An Animated Home-based Physical Exercise Program as a Treatment Option for Patients With Rheumatoid Arthritis An Animated Home-based Physical Exercise Program as a Treatment Option for Patients With Rheumatoid Arthritis - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (...) (100). Please remove one or more studies before adding more. An Animated Home-based Physical Exercise Program as a Treatment Option for Patients With Rheumatoid Arthritis The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT02658370 Recruitment Status : Completed First Posted : January 18, 2016 Last

2016 Clinical Trials

12. The mediating effect of changes in hand impairments on hand function in patients with rheumatoid arthritis: Exploring the mechanisms of an effective exercise programme. (PubMed)

The mediating effect of changes in hand impairments on hand function in patients with rheumatoid arthritis: Exploring the mechanisms of an effective exercise programme. To determine whether the effect of the Strengthening and Stretching for Rheumatoid Arthritis of the Hand (SARAH) exercise program on hand function was mediated by changes in the proposed active ingredients: strength, dexterity, and/or range of motion.The SARAH intervention included exercises hypothesized to improve potential (...) interval 0.9%, 37.8%) of the treatment effect.Improvements in grip strength at 4 months are likely to mediate improved hand function at 12 months. The role of joint mobility exercises is less clear and is likely influenced by the choice of measurement tools for both mobility and function outcomes. More robust measurements of wrist and hand mobility for patients with rheumatoid arthritis may be necessary to determine the relationship between this variable and self-reported hand function. Using a large

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2016 Arthritis care & research

13. Exercise in Patients with Arthritis

Exercise in Patients with Arthritis Exercise in Patients with Arthritis Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Exercise (...) in Patients with Arthritis Exercise in Patients with Arthritis Aka: Exercise in Patients with Arthritis , Arthritis and Exercise Guidelines II. Lifestyle Guidelines Sitting, standing and stair climbing III. Aerobic Exercise Guidelines Examples: Walking, water walking, or stationary cycle Daily low intensity with increasing duration Start with 10 minutes of Advance in 5 minute increments up to 30 minutes IV. Progressive Resistance Training Guidelines Start with low repetitions of low weight Slowly increase

2018 FP Notebook

14. Personalized diet and exercise recommendations in early rheumatoid arthritis: A feasibility trial. (PubMed)

Personalized diet and exercise recommendations in early rheumatoid arthritis: A feasibility trial. Physical activity and diet have a positive influence on disease activity and cardiovascular risk in patients with rheumatoid arthritis (RA).We tested the feasibility and effect of a brief individualized counselling intervention on physical activity levels and fitness, and dietary intake, compared with standard of care.Thirty patients with inflammatory arthritis (<1 year duration) were assigned (...) to standard of care or the intervention, which consisted of individualized visits with a dietetic intern and physiotherapist at two time points, to review age-specific strategies on diet and exercise. Primary outcomes included anthropometric measurements (height, weight, waist and hip circumference), nutritional intake, physical activity (pedometer steps) and physical fitness. Disease activity measures and biochemical testing (blood pressure measurement, inflammatory markers, cholesterol profile

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2018 Musculoskeletal care

15. Does frontal knee kinematics predict treatment outcomes? Exploratory analyses from the Intensive Diet and Exercise for Arthritis (IDEA) trial. (PubMed)

Does frontal knee kinematics predict treatment outcomes? Exploratory analyses from the Intensive Diet and Exercise for Arthritis (IDEA) trial. Pain is a cardinal symptom of knee osteoarthritis (OA) and although conservative treatments such as exercise and diet related interventions can reduce pain, effects are modest and can be improved. Frontal plane knee joint motion has been associated with knee pain, and is suggested as a patient-specific characteristic on which to tailor interventions.Does (...) the association between baseline frontal plane knee joint kinematics and pain-relief differ among overweight and obese people with knee OA who underwent an intervention from the Intensive Diet and Exercise for Arthritis (IDEA) clinical trial: diet-only, exercise-only, and combined diet and exercise intervention?323 participants with knee OA were included in the analysis (77% females; 66 ± 6 years; 33.5 ± 3.7 kg/m2). At baseline, frontal plane knee joint kinematics during walking were measured using 3

2018 Gait & posture

16. Unsupported Upper Limb Exercise Test in Rheumatoid Arthritis

with chronic obstructive pulmonary disease and is frequently used to evaluate endurance in these patients. However, there is no study on the validity and reliability of UULEX in patients with rheumatoid arthritis.The aim of this study was to determine whether the Unsupported Upper Limb Exercise Test (UULEX) is a valid and reliable method to evaluate the upper extremity endurance in individual with rheumatoid arthritis (RA). To study; a minimum of 70 individual with RA under the age of 65 who are diagnosed (...) and at least 70 patients. p value will be taken as 0.05. Study Design Go to Layout table for study information Study Type : Observational [Patient Registry] Estimated Enrollment : 70 participants Observational Model: Other Time Perspective: Other Target Follow-Up Duration: 3 Months Official Title: The Validity and Reliability of Unsupported Upper Limb Exercise Test in Individuals With Rheumatoid Arthritis Actual Study Start Date : December 6, 2018 Estimated Primary Completion Date : April 15, 2019

2018 Clinical Trials

17. An Online Hand Exercise Intervention for Adults With Rheumatoid Arthritis (mySARAH): Design, Development, and Usability Testing. (PubMed)

An Online Hand Exercise Intervention for Adults With Rheumatoid Arthritis (mySARAH): Design, Development, and Usability Testing. The Strengthening and Stretching for Rheumatoid Arthritis of the Hand (SARAH) program is a tailored, progressive 12-week exercise program for people with hand problems due to rheumatoid arthritis. The program was shown to be clinically and cost-effective in a large clinical trial and is recommended by the UK National Institute for Health and Care Excellence (NICE (...) ) guidelines for rheumatoid arthritis in adults.We have developed an online version of the SARAH program (mySARAH) to make the SARAH program widely accessible to people with rheumatoid arthritis. The purposes of this study were to develop mySARAH and to evaluate and address its usability issues.We developed mySARAH using a three-step process and gaining feedback from patient contributors. After initial development, mySARAH was tested in two iterative usability cycles in nine participants using a simplified

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2018 Journal of medical Internet research

18. Effects of Web-based Exercises on the Population With Knee Arthritis

30, 2019 See Sponsor: University of Nottingham Collaborators: Arthritis Research UK National Institute for Health Research, United Kingdom Information provided by (Responsible Party): Sameer Gohir, University of Nottingham Study Details Study Description Go to Brief Summary: To test whether internet-based exercises reduce the pain in knee OA To check whether internet-based exercises improve the physical activity in the patients with knee OA. To explore the correlation between sleep, knee (...) Effects of Web-based Exercises on the Population With Knee Arthritis Effects of Internet / Web-based Exercises on the Population With Knee Arthritis - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Effects

2018 Clinical Trials

19. A prospective cohort study measuring cost-benefit analysis of the Otago Exercise Programme in community dwelling adults with rheumatoid arthritis. (PubMed)

A prospective cohort study measuring cost-benefit analysis of the Otago Exercise Programme in community dwelling adults with rheumatoid arthritis. Falls are one of the major health problems in adults with Rheumatoid Arthritis (RA). Interventions, such as the Otago Exercise Programme (OEP), can reduce falls in community dwelling adults by up to 35%. The cost-benefits of such a programme in adults with RA have not been studied. The aims of this study were to determine the healthcare cost of falls (...) in adults with RA, and estimate whether it may be cost efficient to roll out the OEP to improve function and prevent falls in adults living with RA.Patients with Rheumatoid Arthritis aged ≥18 years were recruited from four rheumatology clinics across the Northwest of England. Participants were followed up for 1 year with monthly fall calendars, telephone calls and self-report questionnaires. Estimated medical cost of a fall-related injury incurred per-person were calculated and compared with OEP

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2018 BMC health services research

20. Neuromuscular Electrical Stimulation Compared to Volitional Exercise in Improving Muscle Function in Rheumatoid Arthritis: A Randomized Pilot Study. (PubMed)

Neuromuscular Electrical Stimulation Compared to Volitional Exercise in Improving Muscle Function in Rheumatoid Arthritis: A Randomized Pilot Study. The aim of this study was to compare the feasibility and effectiveness of neuromuscular electrical stimulation (NMES) with that of high-intensity volitional resistance training for improving muscle structure and function and physical function in patients with rheumatoid arthritis (RA). We also compared pre-intervention and post-intervention values (...) events or increases in pain and disease activity. Attrition was 29% in the NMES group and 7% in the volitional exercise group.Both NMES and high-intensity volitional resistance training can be used as effective approaches to improving muscle structure and function in patients with RA. NMES may be a viable alternative for improving muscle function in patients in whom high-intensity resistance exercise may not be tolerated or is contraindicated, but attrition must be considered when using this approach

2018 Arthritis care & research

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