2015, Number 3-4
<< Back Next >>
Rev Mex Med Fis Rehab 2015; 27 (3-4)
Isokinetic training in rheumatoid arthritis: effects on muscle strength and erythrocyte sedimentation rate
Grajales CMP
Language: Spanish
References: 20
Page: 66-70
PDF size: 172.55 Kb.
ABSTRACT
Objective: To evaluate muscle strength of knee extensors flexo and erythrocyte sedimentation rate after isokinetic exercise program in patients with rheumatoid arthritis.
Method: Twenty-three patients with rheumatoid arthritis. Isokinetic muscle strength of knee flexoextensores and erythrocyte sedimentation rate is assessed before and after training with an isokinetic cycle ergometer and climber for 14 sessions, three times a week. Paired t test was employed and Pearson correlation coefficient.
Results: The peak torque increases in flexor muscles (p ‹ 0.005) and extensors (p ‹ 0.002) of knee after experimental maneuver. The erythrocyte sedimentation rate increased (p = 0.021) after training. No correlation was observed between exercise and erythrocyte sedimentation rate (p = .524 r = -.140).
Conclusion: Isokinetic training in a cycloergometer and scaler for knee muscles in patients with rheumatoid arthritis increases strength, but more studies are needed to assess their safety in these patients.
REFERENCES
Gabriel SE. The epidemiology of rheumatoid arthritis. Rheum Dis Clin North Am. 2001; 27: 269-281.
Hicks JE. Exercise in rheumatoid arthritis. Phys Med Rehabil Clin N Am. 1994; 4: 701-727.
Ekdahl C, Andersson SI, Moritz U, Svensson B. Dynamic versus static training in patients with rheumatoid arthritis. Scand J Rheumatol. 1990; 19 (1): 17-26.
van den Ende CH, Breedveld FC, le Cessie S, Dijkmans BA, de Mug AW, Hazes JM. Effect of intensive exercise on patients with active rheumatoid arthritis: a randomized clinical trial. Ann Rheum Dis. 2000; 59: 615-621.
Häkkinen A, Sokka T, Kotaniemi A, Hannonen P. A randomized two year study of the effects of dynamic strength training on muscle strength, disease activity, functional capacity, and bone mineral density in early rheumatoid arthritis. Arthritis Rheum. 2001; 44: 515-522.
Lemmey AB, Marcora SM, Chester K, Wilson S, Casanova F, Maddison PJ. Effects of high-intensity resistance training in patients with rheumatoid arthritis: a randomized controlled trial. Arthritis Care Res. 2009; 61: 1726-1734.
Lyngberg KK, Ramsing BU, Nawrocki A, Harreby M, Danneskiold-Samsøe B. Safe and effective isokinetic knee extension training in rheumatoid arthritis. Arthritis Rheum. 1994; 37: 623-628.
Hsieh LF, Didenko B, Schumacher HR Jr, Torg JS. Isokinetic and isometric testing of knee musculature in patients with rheumatoid arthritis with mild knee involvement. Arch Phys Med Rehabil. 1987; 68: 294-297.
Schiottz-Christensen B, Lyngberg K, Keiding N, Ebling AH, Danneskiold-Samsoe B, Bartels EM. Use of isokinetic muscle strength a measure of severity or rheumatoid arthritis: a comparison of this assessment method for RA with other assessment methods for the disease. Clin Rheumatol. 2001; 20: 423-427.
Giles B, Henke P, Edmonds J, McNeil D. Reproducibility of isokinetic muscle strength measurements in normal and arthritic individuals. Scand J Rehab Med. 1990; 22: 93-99.
Madsen OR, Egsmose C. Associations of isokinetic knee extensor and flexor strength with steroid use and walking ability in women with rheumatoid arthritis. Clin Rheumatol. 2001; 20: 207-212.
Fallon KE. The acute phase response and exercise: the ultramarathon as prototype exercise. Clin J Sport Med. 2001; 11: 38-43.
Ajmani RS, Fleg JL, Demehin AA, Wright JG, O’Connor F, Heim JM et al. Oxidative stress and hemorheological changes induced by acute treadmill exercise. Clin Hemorheol Microcirc. 2003; 28: 29-40.
Melikoglu MA, Karatay S, Senel K, Akcay F. Association between dynamic exercise therapy and IGF-1 and IGFBP-3 concentrations in the patients with rheumatoid arthritis. Rheumatol Int. 2006; 26 (4): 309-313.
Wolfe F. Comparative usefulness of C-reactive protein and erythrocyte sedimentation rate in patients with rheumatoid arthritis. J Rheumatol. 1997; 24: 1477-1485.
Arnett FC, Edworthy SM, Bloch DA, McShane DJ, Fries JF, Cooper NS et al. The American Rheumatism Association 1987 revised criteria for the classification of rheumatoid arthritis. Arthritis Rheum. 1988; 31: 315-324.
Baillet A, Vaillant M, Guinot M, Juvin R, Gaudin P. Efficacy of resistance exercises in rheumatoid arthritis: meta-analysis of randomized controlled trials. Rheumatology. 2012; 51: 519-527.
Buljina AI, Taljanovic MS, Avdic DM, Hunter TB. Physical and exercise therapy for treatment of rheumatoid hand. Arthritis Care Res. 2001; 45: 392-397.
Blake DR, Merry P, Unsworth J, Kidd BL, Outhwaite JM, Ballard R et al. Hypoxic-perfusion injury in the inflamed human joint. Lancet. 1989; 1: 289-293.
Taylor PC, Sivakumar B. Hypoxia and angiogenesis in rheumatoid arthritis. Curr Opinion Rheumatol. 2005; 17: 293-298.