6. To determine a dynamic exercise programme (DEP) suitable for decreasing the patients handicap. The maintain quality of life (QoL) and activities of daily living (ADL) in the arthritic patients by means of non pharmacological interventions. Aim and Purpose
7. Search Strategy - extensive searching of PubMed, EbscoHost, Cochrane Library database - keywords: rheumatoid/ osteoarthritis, exercise Randomized Controlled Trails (Dynamic Exercise Programmes) Meta Analysis (Arthritis and Exercise) Methods
8. Exercise program for RA Upper and lower limb exercises 5x per week Cycling, running, or resistance pulley cord for 45mins/day Aerobic exercise intensity at 60-80% HR max (220-age) Resistance and intensity modified according to subjects pain and fatigue Bailletet al. (2009), Rheumatology Methods
14. Rheumatoid Arthritis and Exercise The dynamic exercise program group saw a statistically significant improvement (p< 0.05) in functionality values after the one month assessment period. There was no significant variability between the groups for the 6 and 12 month assessments. There was also significant improvement in the Nottingham Health profile and aerobic capacity with the DEP group after 1 month but not thereafter. Osteoarthritis and Exercise After 3 months of the dynamic exercise program there were significant improvements in walking, flexibility and arthritic pain (p<0.05). There was also significant improvement in aerobic capacity, hamstring and low back flexibility, quad isometric strength, hamstring isometric strength, and hamstring isokinetic strength. Conclusions
15. Baillet et al. (2009). âA dynamic exercise programme to improve patientsâ disability in rheumatoid arthritis: a prospective randomized controlled trialâ, Rheumatology, 48;410-415. Baillet et al. (2010). âEfficacy of Cardiorespiratory Aerobic Exercise in Rheumatoid Arthritis: Meta-Analysis of Randomized Controlled Trialsâ, Arthritis Care & Research, Brosseau et al. (2004). âEfficacy of aerobic exercises for osteoarthritis (part II): a meta analysisâ, Physical Therapy Reviews,9;125-145. Peloquin et al. (1999). âEffects of a cross-training exercise program in persons with osteoarthritis of the knee; a randomized controlled trial.âJClin Rheumatol,5:126â36 References