Document Detail

Intensive exercise and a patient in acute phase of polymyositis.
MedLine Citation:
PMID:  23220804     Owner:  NLM     Status:  MEDLINE    
BACKGROUND AND OBJECTIVE: Polymyositis (PM) is an idiopathic inflammatory myopathy manifested by proximal limb muscles weakness, elevated creatinin kinase, electromyography changes, and muscle inflammation in biopsy. We report an instance of intensive rehabilitation therapy in a patient with clinically active polymyositis.
CASE REPORT: A 19-year-old female patient, diagnosed with 'electromyography and biopsy proven' polymyositis for 5 years, suffered from worsening limbs weakness and dysphagia. In her history, she had upper and lower limbs weakness accompanied by dysphagia which was further complicated by right bronchial aspiration 9 months ago. A four-week trial of intensive training and exercise rehabilitation, concurrently accompanied by medications was prescribed for this patient. At the end of therapy she achieved significant improvement in muscle strength, activities of daily living, and ambulation without any disease exacerbation.
CONCLUSION: We concluded that short-term intensive training and exercise may lead to improvements in patients with PM, without causing a progress in the disease. Due to the rarity of PM and difficulty of conducting well-controlled studies to examine the risks and benefits of exercise in these patients, further research is necessary to investigate benefits of exercise training in active phase of disease.
Seyed Majid Akhavan Hejazi; Julia Patrick Engkasan; Mansooreh Sadat Mojani Qomi
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of back and musculoskeletal rehabilitation     Volume:  25     ISSN:  1878-6324     ISO Abbreviation:  J Back Musculoskelet Rehabil     Publication Date:  2012  
Date Detail:
Created Date:  2012-12-11     Completed Date:  2013-07-01     Revised Date:  2014-06-26    
Medline Journal Info:
Nlm Unique ID:  9201340     Medline TA:  J Back Musculoskelet Rehabil     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  231-4     Citation Subset:  IM    
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MeSH Terms
Acute Disease
Combined Modality Therapy
Exercise Therapy / methods*
Muscle Weakness / physiopathology,  rehabilitation,  therapy
Polymyositis / physiopathology,  rehabilitation*,  therapy*
Prednisolone / therapeutic use
Treatment Outcome
Young Adult
Reg. No./Substance:

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