Exercise and Rheumatic Diseases
improving through moving
Jennifer Horonjeff, MS, PhD Candidate
Ergonomic Consultant, Certified Pilates Instructor
Program of Ergonomics and Biomechanics
Occupational & Industrial Orthopaedic Center
New York University
What are your complaints about the disease?
What are your excuses for not to exercising?
Do you feel comfortable talking about exercise
with your doctor?
• Reaction Time
• Muscle activation strategies
THE BODY CAN REWIRE!
and fibromyalgia who
complain of less pain
Pain and Fatigue
Lack of Physical Activity
•Deconditioning of muscles
•Activities require greater effort
•Increase chance for injury
•Increase in pain
Centers for Disease Control and Prevention and
American College of Sports Medicine
Accumulate at least 30 minutes of moderate intensity
physical activity on most, if not all days of the week.
30 MIN DOES NOT NEED TO BE CONSECUTIVE!
Listen to your body
Find range where you feel good without
over-doing it and you’ll be more likely to
stick with it!
No one program is right for everyone
Is it safe?
Types of Exercise
Alone not able to bolster bone mineral density
Dynamic high-intensity exercise
Reduction of disease activity greater than usual care
Non-weight bearing exercises
Best when baseline radiologic damage exists
Some people have experienced feeling better than did with land exercises
MUST BE ENJOYABLE!
Fitness programs with social or self-efficacy
component had greater compliance
During a flare: PRESERVE!
When under control: Improve fitness and participation in activities
Aids in release of tightened muscle bands and provides
Stretch to point of resistance and hold stretch
•Allows Golgi tendon to signal muscle fibers to relax
DO NOT stretch to point of increased pain—causes
muscle fibers to contract and have opposite effect.
•Improve aerobic capacity
•Improve cardiovascular health
•Reduction in pain
•Improve functional abilities
•Improve quality of life
•Improve sense of well-being
•Improve quality of sleep
•Reduce anxiety and depression
Musculoskeletal DisordersMusculoskeletal Disorders
• Acute Trauma Disorders (ATD’s)Acute Trauma Disorders (ATD’s)
• Injuries which occur instantaneously due to
a known cause
• Cumulative Trauma Disorders (CTD’s)Cumulative Trauma Disorders (CTD’s)
• Injuries occurring over time due to
repeated exposure to various risk factors