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THU0551 Comparative Efficacy of Gym High-Intensity Dynamic Exercises and Therapeutic Exercises in Patients with Early Rheumatoid Arthritis
  1. E. Orlova1,
  2. D. Karateev1,
  3. E. Nasonov2,
  4. A. Kochetkov3
  1. 1Early Arthritis department
  2. 2Research Institute of Rheumatology, Russian Academy of Medical Sciences
  3. 3Rehabilitation and Sport Medicine, Central Rehabilitation Hospital, Federal Medical Biological Agency, Moscow, Russian Federation

Abstract

Background International recommendations regard physical exercises, aiming to improve range of motion and muscle strength, as an important part of treating rheumatoid arthritis (RA) [1, 2].

Objectives To compare the efficacy of two exercise programs in patients with early RA.

Methods 51 patients with early RA (92,2% females, age of 18 to 53 years, disease duration of 2 to 17 months) were randomized into one of 3 groups. At hospital, 15 patients underwent 10 high-intensity dynamic exercises using gym apparatus Enraf-Nonius with biofeedback for 45–60 min, including aerobic part (En-Cardio) and 18–20 muscle-strengthening exercises (En-Dynamic Track), 18 patients – 10 therapeutic exercises for 45 min under the supervision of a trainer in addition to drug therapy. In both groups, the 45-min exercises lasted at home 3 times a week for 3 months. 18 patients received only drug therapy (control). Joint pain on 100-mm VAS, DAS28, HAQ, RAPID3, the average powers of knee extension and ankle flexion by the EN-TreeM movement analysis were evaluated at baseline and at 3 months.

Results After 3 months there were statistically significant differences between the both exercise groups and the control group in most parameters (p<0,05).

Conclusions The both exercise programs help to control diseases activity, increase functional status, power of motion and quality of life in patients with early RA. Gym exercises should be recommended to young RA patients with the short duration of the disease.

References

  1. Hurkmans E, et al. Cochrane Database Syst Rev 2009;4:CD006853.

  2. Maddali Bongi S, et al. Reumatismo 2010;62(1):4–11.

Disclosure of Interest None Declared

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