Functional exercise capacity in rheumatoid arthritis unrelated to lung injury: A comparison of women with and without rheumatoid disease

2021 ◽  
pp. 1-10
Author(s):  
Ana Carolina Brandão Assis ◽  
Agnaldo José Lopes
Keyword(s):  
Rheumatoid Arthritis ◽  
Exercise Capacity ◽  
Physical Functioning ◽  
Handgrip Strength ◽  
Lower Limbs ◽  
Control Group ◽  
Healthy Controls ◽  
Cross Sectional ◽  
Functional Exercise ◽  
Functional Exercise Capacity

BACKGROUND: Rheumatoid arthritis (RA) mainly affects the joints of the upper and lower limbs, so evaluating functional exercise capacity in individuals with RA via dynamic tests of the locomotor system is essential. OBJECTIVES: To compare functional exercise capacity using the Glittre-activities of daily living (ADL) test (G-AT) in women with and without RA in the absence of RA pulmonary disease (RA-PD) and to correlate the findings with hand functioning, physical functioning, handgrip strength (HGS), and quadriceps strength (QS). METHODS: This cross-sectional pilot study evaluated 35 women with RA and 25 healthy controls by assessing hand functioning using the Cochin Hand Functional Scale (CHFS), physical functioning with the Health Assessment Questionnaire Disability Index (HAQ-DI), muscle functioning using HGS and QS, and G-AT results. RESULTS: Compared to the women in the control group, the women with RA presented higher scores for the CHFS (p< 0.0001) and HAQ-DI (p< 0.0001) and lower HGS (p< 0.0001) and QS (p= 0.013) values. The median G-AT time was higher in the RA patients than in the healthy controls [300 (295–420) vs. 180 (155–203) s], p< 0.0001), and the greatest difficulty reported by patients after the G-AT was squatting to perform the shelving tasks. G-AT time was positively correlated with the HAQ-DI (rs= 0.668, p< 0.0001) and CHFS (rs= 0.586, p= 0.0007) and negatively correlated with QS (rs=-0.429, p= 0.037). There was no significant correlation between the G-AT time and HGS. CONCLUSIONS: Women with RA take longer to perform G-AT tasks. Moreover, G-AT time was associated with hand functioning, physical functioning and QS, but not with HGS.

scholarly journals Temporomandibular disorders in patients with early rheumatoid arthritis and at-risk individuals in the Dutch population: a cross-sectional study

RMD Open ◽  
2021 ◽  
Vol 7 (1) ◽  
pp. e001485
Author(s):  
Johanna M Kroese ◽  
Catherine M C Volgenant ◽  
Wim Crielaard ◽  
Bruno Loos ◽  
Dirkjan van Schaardenburg ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
At Risk ◽  
Early Rheumatoid Arthritis ◽  
Temporomandibular Disorders ◽  
Self Report ◽  
Joint Disease ◽  
Control Group ◽  
Healthy Controls ◽  
Cross Sectional ◽  
Pain Diagnosis

ObjectiveTo evaluate the prevalence of temporomandibular disorders (TMD) in patients with early rheumatoid arthritis (ERA) and individuals at-risk of RA.Methods150 participants were recruited in three groups (50 per group): (1) patients with ERA (2010 EULAR criteria) (2) at-risk individuals and (3) healthy controls. All participants were tested for seropositivity of rheumatoid factor and anticitrullinated protein antibodies. A possible TMD diagnosis was determined according to the standardised and validated diagnostic criteria for TMD (DC/TMD) in five categories: myalgia, arthralgia, articular disc displacement, degenerative joint disease and headache attributed to TMD. Results were tested for the prevalence of TMD (all categories combined) and TMD pain (myalgia and/or arthralgia). To investigate a possible role for bruxism, a probable sleep and/or awake bruxism diagnosis was determined based on self-report and several clinical features.ResultsThe prevalence of any TMD diagnosis did not differ between the three groups. However, at-risk individuals more often had a TMD-pain diagnosis than healthy controls (p=0.046). No such difference was found between the ERA group and the control group. However, within the ERA group, seronegative patients had a TMD-pain diagnosis more often than seropositive patients (4/12 (33%) vs 3/38 (8%), p=0.048). Participants with a TMD-pain diagnosis were more often diagnosed with probable sleep bruxism than those without a TMD-pain diagnosis.ConclusionThe prevalence of TMD pain is increased in individuals at-risk of RA and seronegative ERA patients, and is associated with bruxism signs and symptoms. These results suggest that health professionals should be alert to TMD pain in these groups.

Elastic Resistance Training Produces Benefits Similar to Conventional Resistance Training in People With Chronic Obstructive Pulmonary Disease: Systematic Review and Meta-Analysis

2020 ◽  
Vol 100 (11) ◽  
pp. 1891-1905 ◽  
Author(s):  
Fabiano F de Lima ◽  
Vinicius Cavalheri ◽  
Bruna S A Silva ◽  
Isis Grigoletto ◽  
Juliana S Uzeloto ◽  
...  
Keyword(s):  
Resistance Training ◽  
Muscle Strength ◽  
Exercise Capacity ◽  
Low Cost ◽  
Control Group ◽  
Chronic Obstructive ◽  
Elastic Resistance ◽  
Functional Exercise ◽  
Functional Exercise Capacity ◽  
Experimental Group

Abstract Objective The purpose of this study was to investigate the effectiveness of elastic resistance training on improving muscle strength, functional exercise capacity, health-related quality of life (HRQoL), and dyspnea in people with stable chronic obstructive pulmonary disease (COPD). Methods For this systematic review, PubMed, The Cochrane Library, Embase (OVID), PEDro, SciELO, and CINAHL were searched from inception to November 2019. Included studies were randomized clinical trials in which people with stable COPD were allocated to (1) an experimental group that received lower-limb resistance training, upper-limb resistance training, or both using elastic resistance; or (2) a control group that received no or sham resistance training or conventional resistance training using weight machines. Data extraction was performed by 3 review authors. The methodological quality of the studies was assessed using the PEDro scale. Eight studies on 332 participants were included. Results Knee extensor strength was higher in the experimental group (standardized mean difference = 0.52, 95% CI = 0.09–0.95) compared with the non-exercise control group. Compared with the conventional exercise control, the experimental group presented similar effects for muscle strength, functional exercise capacity, HRQoL, and dyspnea (95% CI overlapped the line of no effect for all). Conclusions Elastic resistance training improves muscle strength in people with COPD. The current review suggests elastic resistance as a potential alternative to conventional resistance training using weight machines, as they show similar effects on muscle strength, functional exercise capacity, HRQoL, and dyspnea. Impact Due to its beneficial effects, including reduced risk of exacerbation-related hospitalizations, exercise training is viewed as the cornerstone of pulmonary rehabilitation in people with COPD. This study shows that elastic resistance training can be an effective, portable, practical, and low-cost alternative to conventional weight resistance training. Lay Summary Training with elastic resistance tubes or bands—which are easy to carry, easy to use, and relatively low cost—can be an effective way to improve strength for people with COPD and promote similar benefits to those achieved with weight machines.

scholarly journals Functional exercise capacity, lung function and chest wall deformity in patients with adolescent idiopathic scoliosis

2015 ◽  
Vol 28 (3) ◽  
pp. 563-572 ◽  
Author(s):  
Evandro Fornias Sperandio ◽  
Milena Carlos Vidotto ◽  
Anderson Sales Alexandre ◽  
Liu Chiao Yi ◽  
Alberto Ofenhejm Gotfryd ◽  
...  
Keyword(s):  
Adolescent Idiopathic Scoliosis ◽  
Lung Function ◽  
Idiopathic Scoliosis ◽  
Chest Wall ◽  
Exercise Capacity ◽  
Cross Sectional ◽  
Impaired Lung Function ◽  
Functional Exercise ◽  
Activity Performance ◽  
Functional Exercise Capacity

AbstractIntroduction The adolescent idiopathic scoliosis (AIS) causes changes on the compliance of the chest. These changes may be associated with impaired lung function and reduced functional exercise capacity of these adolescents. We aimed to evaluate the correlation between functional exercise capacity, lung function and geometry of the chest at different stages of AIS.Materials and methods The study was carried out in a cross-sectional design which were evaluated 27 AIS patients at different stages of the disease. For chest wall evaluation, were created geometry angles/distances (A/D), which were quantified by Software Postural Assessment. The functional exercise capacity was assessed by a portable gas analyzer during the incremental shuttle walk test (ISWT). Besides that, manovacuometry and spirometry were also performed.Results Linear regressions showed that oxygen uptake (peak VO2) was correlated with distance travelled in the ISWT (R2 = 0.52), maximal respiratory pressures, cough peak flow (R2 = 0.59) and some thoracic deformity markers (D1, D2 and A6).Discussion We observed that the chest wall alterations, lung function and respiratory muscle strength are related to the functional exercise capacity and may impair the physical activity performance in AIS patients.Final considerations There is correlation between functional exercise capacity, lung function and geometry of the chest in AIS patients. Our results point to the possible impact of the AIS in the physical activities of these adolescents. Therefore, efforts to prevent the disease progression are extremely important.

scholarly journals Comparative functional exercise capacity of patients with type 2-diabetes and healthy controls: a case control study

2014 ◽  
Vol 19 ◽  
Author(s):  
Taofeek Oluwole Awotidebe ◽  
Rufus Adesoji. Adedoyin ◽  
Abraar Olalakan Yusuf ◽  
Chidozie Emmanuel Mbada ◽  
Rose Opiyo ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Exercise Capacity ◽  
Case Control Study ◽  
Case Control ◽  
Healthy Controls ◽  
Functional Exercise ◽  
Functional Exercise Capacity ◽  
Control Study

scholarly journals Functional exercise capacity in inpatients with alcohol use disorder versus healthy controls: A pilot study

Alcohol ◽  
2020 ◽  
Vol 82 ◽  
pp. 47-52
Author(s):  
Davy Vancampfort ◽  
Mats Hallgren ◽  
Hannelore Vandael ◽  
Michel Probst ◽  
Philip Van Hoof ◽  
...  
Keyword(s):  
Pilot Study ◽  
Alcohol Use ◽  
Exercise Capacity ◽  
Alcohol Use Disorder ◽  
Healthy Controls ◽  
Functional Exercise ◽  
Functional Exercise Capacity

scholarly journals Comparison of functional exercise capacity, quality of life and respiratory and peripheral muscle strength between patients with stable angina and healthy controls

2020 ◽  
Vol 48 (12) ◽  
pp. 030006052097921
Author(s):  
Irem Huzmeli ◽  
Aysel-Yildiz Ozer ◽  
Oguz Akkus ◽  
Nihan Katayıfcı ◽  
Fatih Sen ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Muscle Strength ◽  
Pulmonary Function ◽  
Exercise Capacity ◽  
Stable Angina ◽  
Healthy Controls ◽  
Peripheral Muscle ◽  
Functional Exercise ◽  
Functional Exercise Capacity

Objective We aimed to compare functional exercise capacity, respiratory and peripheral muscle strength, pulmonary function and quality of life between patients with stable angina and healthy controls. Methods We compared 33 patients with stable angina (55.21 ± 6.12 years old, Canada Class II–III, left ventricular ejection fraction: 61.92 ± 7.55) and 30 healthy controls (52.70 ± 4.22 years old). Functional capacity (6-minute walk test (6-MWT)), respiratory muscle strength (mouth pressure device), peripheral muscle strength (dynamometer), pulmonary function (spirometer) and quality of life (Short Form 36 (SF-36)) were evaluated. Results 6-MWT distance (499.20 ± 51.91 m versus 633.05 ± 57.62 m), maximal inspiratory pressure (85.42 ± 20.52 cmH2O versus 110.44 ± 32.95 cmH2O), maximal expiratory pressure (83.33 ± 19.05 cmH2O versus 147.96 ± 54.80 cmH2O) and peripheral muscle strength, pulmonary function and SF-36 sub-scores were lower in the angina group versus the healthy controls, respectively. Conclusion Impaired peripheral and respiratory muscle strength, reduction in exercise capacity and quality of life are obvious in patients with stable angina. Therefore, these parameters should be considered in stable angina physiotherapy programmes to improve impairments.

Infarct size and exercise capacity after myocardial infarction

1977 ◽  
Vol 42 (5) ◽  
pp. 782-785 ◽  
Author(s):  
C. L. Carter ◽  
L. R. Amundsen
Keyword(s):  
Myocardial Infarction ◽  
Infarct Size ◽  
Exercise Capacity ◽  
Aerobic Power ◽  
Exercise Program ◽  
Exercise Group ◽  
Control Group ◽  
Serum Creatine Phosphokinase ◽  
Functional Exercise ◽  
Functional Exercise Capacity

Estimation of infarct size from serum creatine phosphokinase elevations of 22 acute myocardial infarction (AMI) patients was compared to their functional exercise capacity determined on a bicyle ergometer. Eleven of these patients entered a controlled exercise program for 3–4 mo and were subsequently retested. Aerobic power of the exercise group increased significantly (mean +- SE 1.42 +- 0.5 met) and was also significantly greater than an unpaired control group tested the same number of months after infarct. Patients grouped 2.5–4.5 mo post-AMI demonstrated a correlation between aerobic power and estimated infarct size (r = -0.68, n = 15). This correlation was higher (r = -0.84, n = 11) after 3–4 mo of a controlled exercise program.

The functional exercise capacity in patients with bipolar disorder versus healthy controls: A pilot study

2015 ◽  
Vol 229 (1-2) ◽  
pp. 194-199 ◽  
Author(s):  
Davy Vancampfort ◽  
Sabine Wyckaert ◽  
Pascal Sienaert ◽  
Marc De Hert ◽  
Brendon Stubbs ◽  
...  
Keyword(s):  
Bipolar Disorder ◽  
Pilot Study ◽  
Exercise Capacity ◽  
Healthy Controls ◽  
Functional Exercise ◽  
Functional Exercise Capacity
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