The Efficacy of Exercise on Arthritis


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The Efficacy of Exercise on Arthritis

  1. 1. The Efficacy of Exercise on Arthritis<br />Jeff Slemon<br />
  2. 2. Major cause of disability and chronic pain in Australia<br />3.85 million Australians<br />By 2050 estimated 7 million Australians will have it<br />Osteoarthritis (OA) and Rheumatoid Arthritis (RA) are the most common<br />Introduction<br />Osteoarthritis<br /><ul><li>Wear and tear degeneration
  3. 3. Joint stiffness, pain, ↓ROM</li></ul>- Affects weight bearing joints<br />- Breakdown, thinning of cartilage<br /><ul><li>Increased bone formation in subchondral space
  4. 4. (osteophytes) </li></ul>Rheumatoid Arthritis<br /><ul><li>Autoimmune
  5. 5. Joint pain, swelling, stiffness; ↓ROM, fever, fatigue, ↓ energy</li></ul>- Small joints (hands, feet)<br />- Synovial inflammation<br />- Joint destruction and deformation<br />
  6. 6. To determine a dynamic exercise programme (DEP) suitable for decreasing the patients handicap. <br />The maintain quality of life (QoL) and activities of daily living (ADL) in the arthritic patients by means of non pharmacological interventions. <br />Aim and Purpose<br />
  7. 7. Search Strategy<br /> - extensive searching of PubMed, EbscoHost, Cochrane Library database<br /> - keywords: rheumatoid/ osteoarthritis, exercise<br />Randomized Controlled Trails (Dynamic Exercise Programmes) <br />Meta Analysis (Arthritis and Exercise)<br />Methods<br />
  8. 8. Exercise program for RA<br />Upper and lower limb exercises 5x per week<br />Cycling, running, or resistance pulley cord for 45mins/day<br />Aerobic exercise intensity at 60-80% HR max (220-age)<br />Resistance and intensity modified according to subjects pain and fatigue<br />Bailletet al. (2009), Rheumatology<br />Methods<br />
  9. 9. Exercise for OA <br />3x 1hr sessions / week for 3 months<br />5 min warmup<br />Theraband exercises for quadriceps, hamstrings, abductors, gastrocs, abs, pects, deltoids, trapezoids, biceps and triceps.<br />Resistance program <br />Péloquin et al. (1999), J Clin Rheum<br />
  10. 10. Results RA and Exercise<br />
  11. 11. Results OA and Exercise<br />
  12. 12. Exercise and OA<br />
  13. 13. Exercise and RA<br />
  14. 14. Rheumatoid Arthritis and Exercise<br />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.<br />Osteoarthritis and Exercise<br />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. <br />Conclusions<br />
  15. 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. <br />Baillet et al. (2010). ‘Efficacy of Cardiorespiratory Aerobic Exercise in Rheumatoid Arthritis: Meta-Analysis of Randomized Controlled Trials’, Arthritis Care & Research, <br />Brosseau et al. (2004). ‘Efficacy of aerobic exercises for osteoarthritis (part II): a meta analysis’, Physical Therapy Reviews,9;125-145.<br />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<br />References<br />