![Major cause of disability and chronic pain in Australia 3.85 million Australians By 2050 estimated 7 million Australians will have it Osteoarthritis (OA) and Rheumatoid Arthritis (RA) are the most common Introduction Osteoarthritis ,[object Object]](data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7)
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The Efficacy of Exercise on Arthritis
- 1. The Efficacy of Exercise on Arthritis Jeff Slemon
- 5. Joint pain, swelling, stiffness; ↓ROM, fever, fatigue, ↓ energy- Small joints (hands, feet) - Synovial inflammation - Joint destruction and deformation
- 6. To determine a dynamic exercise programme (DEP) suitable for decreasing the patients handicap. The maintain quality of life (QoL) and activities of daily living (ADL) in the arthritic patients by means of non pharmacological interventions. Aim and Purpose
- 7. Search Strategy - extensive searching of PubMed, EbscoHost, Cochrane Library database - keywords: rheumatoid/ osteoarthritis, exercise Randomized Controlled Trails (Dynamic Exercise Programmes) Meta Analysis (Arthritis and Exercise) Methods
- 8. Exercise program for RA Upper and lower limb exercises 5x per week Cycling, running, or resistance pulley cord for 45mins/day Aerobic exercise intensity at 60-80% HR max (220-age) Resistance and intensity modified according to subjects pain and fatigue Bailletet al. (2009), Rheumatology Methods
- 9. Exercise for OA 3x 1hr sessions / week for 3 months 5 min warmup Theraband exercises for quadriceps, hamstrings, abductors, gastrocs, abs, pects, deltoids, trapezoids, biceps and triceps. Resistance program Péloquin et al. (1999), J Clin Rheum
- 10. Results RA and Exercise
- 11. Results OA and Exercise
- 12. Exercise and OA
- 13. Exercise and RA
- 14. Rheumatoid Arthritis and Exercise The dynamic exercise program group saw a statistically significant improvement (p< 0.05) in functionality values after the one month assessment period. There was no significant variability between the groups for the 6 and 12 month assessments. There was also significant improvement in the Nottingham Health profile and aerobic capacity with the DEP group after 1 month but not thereafter. Osteoarthritis and Exercise After 3 months of the dynamic exercise program there were significant improvements in walking, flexibility and arthritic pain (p<0.05). There was also significant improvement in aerobic capacity, hamstring and low back flexibility, quad isometric strength, hamstring isometric strength, and hamstring isokinetic strength. Conclusions
- 15. Baillet et al. (2009). ‘A dynamic exercise programme to improve patients’ disability in rheumatoid arthritis: a prospective randomized controlled trial’, Rheumatology, 48;410-415. Baillet et al. (2010). ‘Efficacy of Cardiorespiratory Aerobic Exercise in Rheumatoid Arthritis: Meta-Analysis of Randomized Controlled Trials’, Arthritis Care & Research, Brosseau et al. (2004). ‘Efficacy of aerobic exercises for osteoarthritis (part II): a meta analysis’, Physical Therapy Reviews,9;125-145. Peloquin et al. (1999). ‘Effects of a cross-training exercise program in persons with osteoarthritis of the knee; a randomized controlled trial.’JClin Rheumatol,5:126–36 References