Document Detail

Effects of a Group-Based Exercise and Educational Program on Physical Performance and Disease Self-Management in Rheumatoid Arthritis: A Randomized Controlled Study.
MedLine Citation:
PMID:  21474637     Owner:  NLM     Status:  Publisher    
Background Evidence supports the use of educational and physical training programs for people with rheumatoid arthritis (RA). Objective The purpose of this study was to evaluate the effects of a group-based exercise and educational program on the physical performance and disease-self-management of people with RA. Design This was a randomized controlled trial. Setting The study was conducted at a rehabilitation center in the Netherlands. Participants Thirty-four people diagnosed with RA participated in the study. Participants were randomly assigned to either an intervention group (n=19) or a waiting list control group (n=15). Intervention The intervention in this study was an 8-week, multidisciplinary, group therapy program for people with RA, consisting of physical exercise designed to increase aerobic capacity and muscle strength (force-generating capacity) together with an educational program to improve health status and self-efficacy for disease-self-management. Measurements The main outcome measures were maximum oxygen uptake (Vo(2)max), muscle strength of the elbow and knee flexors and extensors, health status, and perceived self-efficacy. All data were recorded before intervention in week 1, after intervention in week 9, and at follow-up in week 22. RESULTS: /b> The intervention group showed significant improvement (12.1%) in Vo(2)max at week 9 compared with the control group (-1.7%). Although significant within-group changes were found over time for muscle strength of the upper and lower extremities and health status that favored the intervention group, no between-group changes were found regarding these outcomes. Limitations An important limitation was the small number of participants included in our study, which may have resulted in a lack of power. CONCLUSIONS:/b> The present group-based exercise and educational program for people with RA had a beneficial effect on aerobic capacity but not on muscle strength, health status, or self-efficacy.
Ineke Breedland; Corinne van Scheppingen; Martha Leijsma; Nienke P Verheij-Jansen; Ellen van Weert
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-4-7
Journal Detail:
Title:  Physical therapy     Volume:  -     ISSN:  1538-6724     ISO Abbreviation:  -     Publication Date:  2011 Apr 
Date Detail:
Created Date:  2011-4-8     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0022623     Medline TA:  Phys Ther     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Center for Rehabilitation, University Medical Center Groningen, University of Groningen, PO Box 30 002, 9750 RA Haren, the Netherlands.
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