Your SlideShare is downloading. ×
The Efficacy of Exercise on Arthritis
Upcoming SlideShare
Loading in...5
×

Thanks for flagging this SlideShare!

Oops! An error has occurred.

×
Saving this for later? Get the SlideShare app to save on your phone or tablet. Read anywhere, anytime – even offline.
Text the download link to your phone
Standard text messaging rates apply

The Efficacy of Exercise on Arthritis

579
views

Published on

Published in: Health & Medicine

0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total Views
579
On Slideshare
0
From Embeds
0
Number of Embeds
0
Actions
Shares
0
Downloads
0
Comments
0
Likes
0
Embeds 0
No embeds

Report content
Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
No notes for slide

Transcript

  • 1. The Efficacy of Exercise on Arthritis
    Jeff Slemon
  • 2. 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
    • Wear and tear degeneration
    • 3. Joint stiffness, pain, ↓ROM
    - Affects weight bearing joints
    - Breakdown, thinning of cartilage
    • Increased bone formation in subchondral space
    • 4. (osteophytes)
    Rheumatoid Arthritis
    • Autoimmune
    • 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