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AB0401 Combined drug-rehabilitative treatment in rheumatoid arthritis
  1. L. Di Gioia1,
  2. C. Zincarelli1,
  3. S. Iervolino1,
  4. D.F. Vitale1,
  5. N. Pappone2
  1. 1Salvatore Maugeri Foundation, Telese Terme, Italy
  2. 2Rheumatology and Rehabilitation Research Unit, Salvatore Maugeri Foundation, Telese Terme, Italy

Abstract

Background Rheumatoid Arthritis may lead to structural alterations with severely impaired function. Biologic DMARDs reduce signs and symptoms, but fail in reducing the established joint damage and in improving impaired function. Recent reports show the efficacy of rehabilitative programs in RA patients, by affecting pain, stiffness and fatigue

Objectives assess the effectivenessof a combined drug-rehabilitative treatment in ameliorating function and fatigue in RA patients

Methods 40 RA patients treated with biologic DMARDs, with severely impaired function were enrolled. From the enrollment (T0) all subjects underwent to a 3-weeks rehabilitative program. They were followed-up at the end of treatment (T1), 3 (T2), 6 (T3) and at 9 (T4) months, evaluating: TJC, SJC, DAS-28, ERS, HAQ, GH and FACIT.

Results all the outcomes significantly improved from T0 to T4 (Tab. 1).

Conclusions the combined treatment is effective in reducing function impairment. This approach ameriorated joint pain, muscle-tone, and improved the resistance to fatigue, even if unmodifying the biologic DMARDs. These effects were kept over the time. FACIT resulted to be an independent variable from disease activity parameters. In conclusion, the combined treatment results in a durable improved function and resistance to fatigue regardless disease activity.

  1. Harris ED Jr. Rheumatoid arthritis: pathophysiology and implications for therapy. N Eng J Med 1990; 322: 1277-1289

Disclosure of Interest None Declared

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