3 ) short-term , water-based aerobic capacity training , which results show limited evidence for a positive effect on functional ability and aerobic capacity .
( 4 ) long-term , l and -based aerobic capacity and muscle strength training , which results show moderate evidence for a positive effect on aerobic capacity and muscle strength .
With respect to safety , no deleterious effects were found in any of the included studies .
Based on the evidence , aerobic capacity training combined with muscle strength training is recommended as routine practice in patients with RA
BACKGROUND An up-to- date overview of the effectiveness and safety of dynamic exercise therapy ( exercise therapy with a sufficient intensity , duration , and frequency to establish improvement in aerobic capacity and /or muscle strength ) is lacking .
OBJECTIVES To assess the effectiveness and safety of short-term ( < three months ) and long-term ( > three months ) dynamic exercise therapy programs ( aerobic capacity and /or muscle strength training ) , either l and or water-based , for people with RA .
To do this we up date d a previous Cochrane review ( van den Ende 1998 ) and made categories for the different forms of dynamic exercise programs .
A home-based two-year strength training period in early rheumatoid arthritis led to good long-term compliance: a five-year followup.
OBJECTIVE To evaluate the impact of a 2-year home-based strength-training program on physical function in patients with early rheumatoid arthritis ( RA ) after a subsequent 3-year followup . METHODS Seventy patients with early RA were r and omized to perform either strength training ( experimental group [ EG ] ) or range-of-motion exercises ( control group [ CG ] ) . Maximal strength values were recorded by dynamometers . The Modified Disease Activity Score ( DAS28 ) , pain , Health Assessment Question naire ( HAQ ) , walking speed , and stair-climbing speed were also measured . RESULTS The maximum strength of assessed muscle groups increased by 19 - 59 % in the EG during the training period and remained at the reached level throughout the subsequent 3 years . Muscle strength improved in the CG by 1 - 31 % , but less compared with the EG . During the 2-year training period , DAS28 decreased by 50 % and 45 % and pain by 67 % and 39 % in the EG and CG , respectively . The differences in muscle strength , DAS28 , and HAQ were significantly in favor of the EG both at the 2-year and 5-year followup assessment s. CONCLUSIONS The improvements achieved during the 2-year strength-training period were sustained for 3 years in patients with early RA
3 ) short-term , water-based aerobic capacity training , which results show limited evidence for a positive effect on functional ability and aerobic capacity .
( 4 ) long-term , l and -based aerobic capacity and muscle strength training , which results show moderate evidence for a positive effect on aerobic capacity and muscle strength .
With respect to safety , no deleterious effects were found in any of the included studies .
Based on the evidence , aerobic capacity training combined with muscle strength training is recommended as routine practice in patients with RA
BACKGROUND An up-to- date overview of the effectiveness and safety of dynamic exercise therapy ( exercise therapy with a sufficient intensity , duration , and frequency to establish improvement in aerobic capacity and /or muscle strength ) is lacking .
OBJECTIVES To assess the effectiveness and safety of short-term ( < three months ) and long-term ( > three months ) dynamic exercise therapy programs ( aerobic capacity and /or muscle strength training ) , either l and or water-based , for people with RA .
To do this we up date d a previous Cochrane review ( van den Ende 1998 ) and made categories for the different forms of dynamic exercise programs .