Evaluation of a 10-week progressive resistance training programme for people with inflammatory arthritis

Physiotherapy ◽  
2021 ◽  
Vol 113 ◽  
pp. e12
Author(s):  
J. Skeates ◽  
J. Pearson ◽  
S. Derham ◽  
S. Palmer
Keyword(s):  
Resistance Training ◽  
Inflammatory Arthritis ◽  
Training Programme ◽  
Progressive Resistance Training ◽  
Resistance Training Programme ◽  
Progressive Resistance

scholarly journals P86 Evaluation of a 10-week progressive resistance training programme for people with inflammatory arthritis

Rheumatology ◽  
2020 ◽  
Vol 59 (Supplement_2) ◽  
Author(s):  
Jade Skeates ◽  
Jennifer Pearson ◽  
Sandi Derham ◽  
Shea Palmer
Keyword(s):  
Resistance Training ◽  
Self Efficacy ◽  
Inflammatory Arthritis ◽  
Training Programme ◽  
Cardiovascular Fitness ◽  
Post Treatment ◽  
Evidence Based ◽  
Progressive Resistance Training ◽  
Resistance Training Programme ◽  
Progressive Resistance

Abstract Background Inflammatory arthritis [IA] has adverse effects on strength, function, fatigue and well-being. Guidelines recommend people with IA should exercise to improve strength and cardiovascular fitness. In 2015, our Rheumatology Physiotherapy Team introduced an evidence-based Progressive Resistance Training Programme [PRTP] for people with IA. This research aimed to evaluate its effectiveness within a United Kingdom National Health Service [NHS] setting. Methods A pre- to post-treatment evaluation was conducted. People with IA attending Rheumatology Physiotherapy were offered the supervised PRTP (1-hour x 10 weeks), performing 7 resistance exercises each session (70-80% 1RM, 3 x 8-12 reps). Pre- and post-treatment outcomes included Health Assessment Questionnaire [HAQ], EQ5D-5L, Self-Efficacy (SARAH Trial), 30 second Sit-to-Stand [STS], FACIT-F (fatigue scale) and Grip Strength. Changes in outcomes were analysed using Paired Samples t-tests and standardised mean difference (SMD) were calculated. Results 201 patients commenced the programme between May 2015 and April 2019, with 121 participants completing it. Diagnoses included Rheumatoid Arthritis (n = 149), Psoriatic Arthritis (n = 42), Juvenile Idiopathic Arthritis (n = 5), Enteropathic IA (n = 2), Oligoarthritis (n = 1), Reactive Arthritis (n = 1) and Undifferentiated IA (n = 1). Age = mean 56.8 ± SD 14.8 years; number of sessions attended = 7.7 ± 3.4. There were no differences between participants not completing (n = 54; 72% women; age 55.0 ± 14.6 years; HAQ 0.99 ± 0.70) versus those completing the PRTP (n = 147; 78% women; age 57.5 ± 14.8 years; HAQ 0.86 ± 0.65). A pragmatic decision was made to analyse all available data for each outcome. Conclusion All outcome measures demonstrated statistically significant improvements. Notably, minimal clinically important differences were achieved in STS and FACIT-F. STS correlates to lower limb power, balance and endurance, and is a predictor of falls. Fatigue significantly impacts function in people with IA, often limiting confidence and willingness to participate in exercise activities. Effective evidence based PRTPs for people with IAs can be delivered in an NHS service. Improvements in function, wellbeing, self-efficacy, strength and fatigue are achievable, however, exploration of the clinical relevance of these observed changes is recommended. Further research exploring patients’ perspectives of the PRTP and adherence to long-term exercise is needed. Disclosures J. Skeates: None. J. Pearson: None. S. Derham: None. S. Palmer: None.

scholarly journals Effects of Progressive Resistance Training on Cognition and IGF-1 Levels in Elder Women Who Live in Areas with High Air Pollution

2020 ◽  
Vol 17 (17) ◽  
pp. 6203
Author(s):  
Edgardo Molina-Sotomayor ◽  
Humberto Castillo-Quezada ◽  
Cristian Martínez-Salazar ◽  
Marcelo González-Orb ◽  
Alexis Espinoza-Salinas ◽  
...  
Keyword(s):  
Air Pollution ◽  
Resistance Training ◽  
Training Programme ◽  
Cognitive Status ◽  
The Other ◽  
Lower Limbs ◽  
Progressive Resistance Training ◽  
Resistance Training Programme ◽  
Elder Women ◽  
Progressive Resistance

The aim of this study was to determine the effects of a muscular strength programme on the levels of insulin-like growth factor-1 (IGF-1) and cognitive status in elder women with mild cognitive impairment who lived in areas of high air pollution. A total of 157 women participated in the study, distributed in four groups: Active/Clean (AC n = 38) and Active/Pollution (AP n = 37), who carried out a progressive resistance training programme for 24 months, and Sedentary/Clean (SC n = 40) and Sedentary/Pollution (SP n = 42). Maximum strength in the upper and lower limbs (1RM), cognition (Mini-Mental Scale Examination (MMSE)) and blood IGF-1 were evaluated. At the beginning of the intervention, there were no differences between the groups in the assessed variables. The active groups which carried out the resistance training programme (AC and AP), registered better results in IGF-1 than the sedentary groups. These differences were statistically significant in AC vs. SC (p < 0.01) and AP vs. SC (p < 0.05). Regarding MMSE, group AC registered the highest score increases (+8.2%) (significantly better than the other groups), while group SP worsened (−7%) significantly compared to the other three groups. In conclusion, resistance training had a positive effect on IGF-1, while sedentary behaviour and air pollution had a negative effect on cognitive status.

scholarly journals Resistance training and changes to plasma lipoproteins in postmenopausal women

2011 ◽  
Vol 23 (2) ◽  
pp. 40 ◽  
Author(s):  
JE Viljoen ◽  
CJ Christie
Keyword(s):  
Resistance Training ◽  
Lipid Profile ◽  
Postmenopausal Women ◽  
Body Mass ◽  
Stress Test ◽  
Blood Lipid ◽  
Training Programme ◽  
Progressive Resistance Training ◽  
Blood Lipid Profile ◽  
Progressive Resistance

Objectives. The main purpose of this study was to assess the effect of progressive resistance training on the blood lipid profile in postmenopausal women. Methods. Twenty-six female participants aged 50 - 75 years were selected from the population of Grahamstown, South Africa. All participants were previously sedentary and possessed at least one lipid profile abnormality but were otherwise healthy. Pretests included a sub-maximal stress test, stature, mass, central and limb girths as well as an oral glucose tolerance test (OGTT) and a total blood lipid profile. Participants took part in a 24-week progressive resistance training programme, consisting of three supervised sessions per week, each lasting 45 minutes. Participants were not permitted to lose more than 10% of initial body mass during the 24-week study. All pre-test measures, excluding the stress test and the OGTT, were repeated every 4 weeks for the duration of the study. Results. Body mass, body mass index and waist-to-hip ratio did not change. Girth measures at mid-humerus, chest, waist, hip, mid-quadricep and mid-gastrocnemius all decreased significantly (p<0.05). LDL-cholesterol increased significantly over the course of 24 weeks (3.61 mmol.l-1 to 4.07 mmol.l-1), as did total cholesterol (5.81 mmol.l-1- 6.24 mmol.l-1). Triglyceride concentration remained unchanged and HDL-cholesterol decreased significantly between the pre-test measure (1.55 mmol.l-1) and the measure after 6 months (1.42 mmol.l-1). Conclusion. The blood lipid profile in a sample of postmenopausal women was not positively affected by a progressive resistance training programme over a 24-week period.

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