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 ) .
Randomized clinical trials as reflexive–interpretative process in patients with rheumatoid arthritis: a qualitative study
Abstract Patients in r and omized clinical trials have to adapt themselves to a restricted language to capture the necessary information to determine the safety and efficacy of a new treatment . The aim of this study was to explore the experience of patients with rheumatoid arthritis after completing their participation in a biologic therapy r and omized clinical trial for a period of 3 years . A qualitative approach was used . The information was collected using 15 semi-structured interviews  of patients with rheumatoid arthritis . Data collection was guided by the emergent analysis until no more relevant variations in the categories were found . The data were analysed using the grounded theory method . The objective of the patients when entering the study was to improve their quality of life by initiating the treatment . However , the experience changed the significance of the illness as they acquired skills and practical knowledge related to the management of their disease . The category “ Interactional Empowerment ” emerged as core category , as it represented the participative experience in a clinical trial . The process integrates the follow categories : “ weight of systematisation ” , “ working together ” , and the significance of the experience : “ the duties ” . Simultaneously these categories evolved . The clinical trial monitoring activities enabled patients to engage in a reflexive – interpretative mechanism that transformed the emotional and symbolic significance of their disease and improved the empowerment of the patient . A better communicative strategy with the health professionals , the relatives of the patients , and the community was also achieved
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 ) .