Twelve Weeks of Strengthening Exercise for Patients with Rheumatoid Arthritis: A Prospective Intervention Study
Abstract
:1. Introduction
2. Material and Methods
2.1. Participants
2.2. Exercise Program
2.3. Assessments
2.3.1. Body Structure and Function
2.3.2. Activity
2.3.3. Social Participation and Quality of Life
2.4. Statistical Analyses
3. Results
3.1. Baseline Characteristics and Clinical Data
3.2. Post-Training Change
3.2.1. Body Structure and Function
3.2.2. Activity Levels
3.2.3. Participation
4. Discussion
5. Conclusions
Author Contributions
Funding
Acknowledgments
Conflicts of Interest
Abbreviations
RA | Rheumatoid arthritis |
CSA-RF | The cross-sectional area of the rectus femoris |
6MWT | 6 min walk test |
SF-36 | 36-Item Short Form Health Survey |
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Warm-Up Stretch Exercises | Shoulder and deltoid stretches | Duration and intensity |
Biceps and wrist flexor stretches | 2 repeats, 15 min | |
Quadriceps stretch | ||
Hamstring and low back stretches | ||
Groin stretch | ||
Calf stretch | ||
Upper back stretch | ||
Neck flexor stretch | ||
Neck rotator stretch | ||
Resistive Band Exercises | Resistance band squats | 15 repeats, 3 sets, 45 min; |
Resistance band bent-over rowing | rest of 2 min between exercises | |
Standing alternate chest presses | ||
Diagonal woodchops | ||
Triceps extension with resistance band | ||
Resistance band lunges | ||
Lateral rowing with resistance band | ||
Biceps curls with resistance band |
Outcomes | EG (n = 18) Mean (SD)/Median (IQR) | CG (n = 17) Mean (SD)/Median (IQR) | p-Value |
---|---|---|---|
Height (cm) | 158.3 (4.7) | 0.853 | |
158.1 (4.7) | 158.4 (4.8) | ||
Age (years) | 50.4 (7.9) | 0.015 * | |
53.6 (5.2) | 47.1 (9.0) | ||
Weight (kg) | 59.8 (9.3) | 0.898 | |
60 (9.2) | 59.59 (9.7) | ||
BMI (kg/m2) | 24.0 (3.6) | 0.879 | |
24.1 (3.8) | 23.9 (3.6) | ||
Disease duration (years) | 5.6 (7.0) | 0.987 | |
5.3 (6.9) | 6.0 (7.3) | ||
Body function and structure | |||
UE strength (Rt) | 43.4 (12.4) | 51.0 (8.6) | 0.046 * |
UE strength (Lt) | 44.4 (8.9) | 47.2 (8.9) | −0.366 |
LE strength (Rt) | 55.1 (7.2) | 54.4 (6.5) | 0.768 |
LE strength (Lt) | 54.3 (6.4) | 53.0 (5.6) | 0.508 |
CSA-RF (Rt) | 1.0 (0.3) | 1.4 (0.8) | 0.043 * |
CSA-RF (Lt) | 0.9 (0.2) | 1.4 (0.8) | 0.025 * |
Activity level | |||
6MWT | 508.6 (48.5) | 494.7 (49.9) | 0.407 |
STS | 15.5 (14.8:19.3) | 15.0 (14.0:18.0) | 0.499 |
Borg | 2.0 (1.8:3.0) | 2.0 (1.5:3.0) | 0.884 |
Participation | |||
Physical function | 71.4 (12.5) | 72.7 (17.0) | 0.803 |
Mental health | 53.9 (9.8) | 58.6 (6.8) | 0.111 |
Outcomes | EG (n = 18) Mean Change (95%CI) | CG (n = 17) Mean Change (95%CI) | Group Difference Mean Change (95%CI) | p-Value |
---|---|---|---|---|
Body function and structure | ||||
UE strength (Rt) | 1.2 (−1.8:4.0) | 0.3 (−2.7:3.3) | 0.8 (−3.7:5.3) | 0.716 |
UE strength (Lt) | 2.4 (−0.6:5.4) | 0.4 (−2.7:3.5) | 2.0 (−2.7:6.6) | 0.389 |
LE strength (Rt) | 6.0 (2.3:9.8) † | 3.0 (−0.9:6.8) | 3.1 (−2.8:8.9) | 0.295 |
LE strength (Lt) | 6.6 (3.1:10.1) † | 0.7 (−2.9:4.3) | 5.9 (0.5:11.4) | 0.033 * |
CSA-RF(Rt) | 0.4 (0.2:0.6) † | 0.03 (−0.2:0.3) | 0.4 (0.01:0.7) | 0.044 * |
CSA-RF(Lt) | 0.6 (0.4:0.9) † | 0.2 (−0.1:0.4) | 0.4 (0.04:0.8) | 0.033 * |
Activity level | ||||
6MWT | 30.3 (17.2:43.4) † | 20.2 (6.7:33.8) † | 10.1 (−10.4:30.6) | 0.323 |
Sit-to-stand | 3.5 (1.6:5.4) † | 3.3 (1.3:5.3) † | 0.2 (−2.8:3.2) | 0.903 |
Borg scale | −0.2 (−0.7:0.4) | −0.1 (−0.6:0.5) | −0.1 (−0.9:0.7) | 0.809 |
Participation | ||||
Physical function | 10.1 (4.0:16.2) † | 5.8 (−0.5:12.1) | 4.2 (−5.3:13.8) | 0.371 |
Mental health | 10.9 (5.1:16.8) † | 1.0 (−5.0:7.1) | 9.9 (0.8:19.0) | 0.035 * |
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Sul, B.; Lee, K.B.; Joo, Y.B.; Hong, B.Y.; Kim, J.-S.; Kim, K.-J.; Park, K.-S.; Park, Y.-J.; Lim, S.H. Twelve Weeks of Strengthening Exercise for Patients with Rheumatoid Arthritis: A Prospective Intervention Study. J. Clin. Med. 2020, 9, 2792. https://doi.org/10.3390/jcm9092792
Sul B, Lee KB, Joo YB, Hong BY, Kim J-S, Kim K-J, Park K-S, Park Y-J, Lim SH. Twelve Weeks of Strengthening Exercise for Patients with Rheumatoid Arthritis: A Prospective Intervention Study. Journal of Clinical Medicine. 2020; 9(9):2792. https://doi.org/10.3390/jcm9092792
Chicago/Turabian StyleSul, Bomi, Kyoung Bo Lee, Young Bin Joo, Bo Young Hong, Joon-Sung Kim, Ki-Jo Kim, Kyung-Su Park, Yune-Jung Park, and Seong Hoon Lim. 2020. "Twelve Weeks of Strengthening Exercise for Patients with Rheumatoid Arthritis: A Prospective Intervention Study" Journal of Clinical Medicine 9, no. 9: 2792. https://doi.org/10.3390/jcm9092792
APA StyleSul, B., Lee, K. B., Joo, Y. B., Hong, B. Y., Kim, J.-S., Kim, K.-J., Park, K.-S., Park, Y.-J., & Lim, S. H. (2020). Twelve Weeks of Strengthening Exercise for Patients with Rheumatoid Arthritis: A Prospective Intervention Study. Journal of Clinical Medicine, 9(9), 2792. https://doi.org/10.3390/jcm9092792