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 .
Sustained maintenance of exercise induced muscle strength gains and normal bone mineral density in patients with early rheumatoid arthritis: a 5 year follow up.
OBJECTIVE To investigate at 5 years whether an initial 2 year home based strength training period imposes sustained effects on muscle strength , bone mineral density ( BMD ) , structural joint damage , and on disease activity in patients with early rheumatoid arthritis ( RA ) . METHODS Seventy patients were r and omised either to perform home based strength training with loads of 50 - 70 % of repetition maximum ( EG ) or range of motion exercises ( CG ) . Both groups were encouraged to take part in aerobic activities 2 - 3 times a week . Maximal muscle strength of different muscle groups was measured by dynamometers , and BMD at the femoral neck and lumbar spine by dual x ray densitometry . Disease activity was assessed by the 28 joint disease activity score , and joint damage by x ray findings . RESULTS 62 patients completed 2 years ' training and 59 patients attended check up at 5 years . Mean ( SD ) maximum muscle strength indices increased from baseline to 2 years-in EG from 212 ( 78 ) kg by a mean ( 95 % CI ) of 68 ( 55 to 80 ) and in CG from 195 ( 72 ) kg by 35 ( 13 to 60 ) kg- and remained at that level for the next 3 years . Development of BMD in EG tended to be more favourable than that in CG . Muscle strength training was not detrimental to joint structures or disease activity . CONCLUSION The patients ' exercise induced muscle strength gains during a 2 year training period were maintained throughout a subsequent self monitored training period of 3 years . Despite substantial training effects in muscle strength , BMD values remained relatively constant . Radiographic damage remained low even at 5 years
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 .