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Bodyweight Exercise of Lower and Upper Extremities for Female Patients with Rheumatoid Arthritis and the Timed Up-and-Go Test.
Kamo, Kenta; Haraguchi, Akihisa; Hama, Daiki; Kamo, Naoko.
Afiliación
  • Kamo K; Department of Orthopaedic Surgery, Yamaguchi Red Cross Hospital, Yamaguchi City, Japan.
  • Haraguchi A; Department of Orthopaedic Surgery, Yamaguchi Red Cross Hospital, Yamaguchi City, Japan.
  • Hama D; Department of Orthopaedic Surgery, Yamaguchi Red Cross Hospital, Yamaguchi City, Japan.
  • Kamo N; School of Nursing, Hiroshima Bunka Gakuen University, Kure, Japan.
Prog Rehabil Med ; 9: 20240009, 2024.
Article en En | MEDLINE | ID: mdl-38495869
ABSTRACT

Objectives:

At our hospital, orthopedic surgeons and physical and occupational therapists have developed bodyweight exercises for the lower and upper extremities (BELU) for rheumatoid arthritis (RA) patients, including walking [Timed Up-and-Go (TUG) test and figure-of-eight walking) and weight exercises. We aimed to clarify the effect of bodyweight exercise and the Health Assessment Questionnaire (HAQ) cut-off value for a TUG test result of 12 s (or longer) as a risk factor for a fall.

Methods:

All patients underwent BELU twice weekly at home for 6 weeks. We assessed the HAQ score, TUG time, and the strengths of quadriceps femoris, biceps brachii, handgrip, side pinch, and pulp pinch before and after the intervention.

Results:

We analyzed the data of 42 participants. The mean age was 67.0 ± 12.1 years. The mean Disease Activity Score-28 for rheumatoid arthritis with erythrocyte sedimentation rate was 2.91 ± 0.91. The mean HAQ score was 0.69 ± 0.62. The dominant quadriceps femoris, biceps brachii, pulp pinch, and side pinch strengths were significantly strengthened. TUG time was improved from 9.0 ± 3.0 s to 8.6 ± 3.2 s (P=0.009). The receiver operating characteristic analysis revealed the cut-off value of HAQ for a TUG time of 12 s (or longer) was 1.0 (AUC 0.903, 95% confidence interval 0.792-1.0).

Conclusions:

Bodyweight exercises strengthened the muscles in female patients with RA, resulting in improved TUG test results. An indicative HAQ cut-off value of 1.0 (or greater) was identified for a TUG test result of 12 s or longer.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Prog Rehabil Med Año: 2024 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Japón

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Prog Rehabil Med Año: 2024 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Japón