Effect of intensive exercise on patients with active rheumatoid arthritis: a randomised clinical trial

摘要: Objective—To investigate the eVects of a dynamic, intensive exercise regimen on pain, disease activity, and physical functioning in active rheumatoid arthritis (RA). Methods—64 patients with RA mean age 60 (13) years duration 8 (8) years,admitted to hospital because disease, were randomly assigned an programme or conservative during their period length 30 (14) days. The consisted knee shoulder dynamic isometric muscle strengthening exercises against resistance five times week conditioning bicycle training three was supplemental range motion exercises. Indices strength, functional ability assessed at 0, 3, 6, 12, 24 weeks by blinded observer. Results—The medical treatment study same both groups. Both groups improved measures diVerences between not statistically significant. improvement activity score group ˛1.4 (1.5) ˛0.7 (1.4), respectively. Measures significantly for group, significant strength. Conclusion—A short term is more eVective improving strength than does have deleterious activity. (Ann Rheum Dis 2000;59:615‐621)