Conclusion Exercises and PA promotion according to public health recommendations  for PA improved cardiovascular fitness , muscle strength and PA behaviour , with moderate effect sizes in people with SpA , RA and HOA/KOA .
Objective To evaluate the effectiveness of exercise and physical activity ( PA ) promotion on cardiovascular fitness , muscle strength , flexibility , neuromotor performance ( eg , balance ) and daily PA in people with rheumatoid arthritis ( RA ) , spondyloarthritis ( SpA ) and hip/knee osteoarthritis ( HOA/KOA ) .
Comparable effect of partly supervised and self-administered exercise programme in early rheumatoid arthritis--a randomised, controlled trial.
INTRODUCTION There is a need to establish a framework and exercise level for patients with early rheumatoid arthritis ( RA ) . The aim of this study was to compare the effect of a partly supervised and a self-administered exercise programme for patients with early RA . METHODS A total of 51 patients with early ( ≤ 5 years ) RA were r and omised to either a six-week supervised , progressive , high-intensity exercise programme followed by a six-week self-administered exercise programme or a 12-week self-administered exercise programme . RESULTS A total of 36 patients completed the study . Following the 12 weeks of exercises , patients in the two groups had improved both their muscle strength and their physical fitness . There was a significant difference in Disease Activity Score in 28 joints calculated with C-reactive protein between the two exercise groups , but no significant differences in physical fitness , pain perception , Health Assessment Question naire , Short Form 36 health survey question naire , Fear-Avoidance Beliefs Question naire , or in muscle strength , except from a significant difference in trunk extensors . The dropout was 40 % in the supervised group versus 20 % in the self-administered group . CONCLUSION A progressive , high-intensity exercise programme is feasible for patients with early RA , although we observed an elevated number of dropouts for reasons not related to the intervention . The partly supervised exercise programme with follow-up after 12 weeks does not seem to be more effective than the self-administered exercise programme . FUNDING none . TRIAL REGISTRATION The trial was registered with www . clinical trials.gov ( NCT01553305 )
Conclusion Exercises and PA promotion according to public health recommendations  for PA improved cardiovascular fitness , muscle strength and PA behaviour , with moderate effect sizes in people with SpA , RA and HOA/KOA .
Objective To evaluate the effectiveness of exercise and physical activity ( PA ) promotion on cardiovascular fitness , muscle strength , flexibility , neuromotor performance ( eg , balance ) and daily PA in people with rheumatoid arthritis ( RA ) , spondyloarthritis ( SpA ) and hip/knee osteoarthritis ( HOA/KOA ) .