OP0284 PARE THE INFLUENCE OF FUNCTIONAL TRAINING AND PSYCHO-SOCIAL SUPPORT
Authors: Nenad Nedić, Mirjana Lapčević
Journal: Annals of the Rheumatic Diseases (2019)

<h3>Background</h3> Treatment of chronic noncontagious diseases in which we include RMD implies usage of medicines and non medicine (changing bad lifestyle habits like losing nutrition, physical activity, smoking…).<sup>1</sup> Unwanted cardiovascular and cerebrovascular states are the most common cause of shortening of live of people with RMD.<sup>2</sup> None of the chemical drugs can replace physical activity. Physical activity dosage is individual, and depends on aerobic capability and heart rate increase, taking in account age, type of noncontagious diseases, level of tissue and organs damage as well as the type of work the person is engaged in. Patients with RMD have common symptoms, such as stiffness, fatigue, poor mobility, joint pain and muscle pain, anxiety and depression, and lack of fitness. In addition to physical medicine and rehabilitation and balneoklimatology, various forms of physical activity are recommended, such as walking, swimming, functional training. Today, moderate physical activity is known to help reduce fatigue, strengthen muscles and bones, improve flexibility and endurance of the joints, and improve general health. It is necessary to find the best combination of rest, activities and exercise programs to prevent deformities of the joints, the development of disability, improve the quality of life, and the mental health of patients with RMD.<sup>3</sup> <h3>Objectives</h3> 1. By practicing Cigong, an increase in the volume of movement in the joint, the strengthening of joint muscles and the improvement of general condition, pain relief, fatigue reduction is achieved and also, it helps patients look and feel better. 2. The goal of Yoga is to neutralize and remove all obstacles that stand in the way and disturb the function of the body and the mind and achieves inner peace. 3. Changing the psychological state during exercise also led to a positive way of thinking. 4. Psycho-physical support for the people with RMD <h3>Methods</h3> From 2011, we organize two times a week functional training of Cigong.<sup>4</sup> Since January 2016, twice a week persons with RMD have been practicing Yoga.<sup>5</sup> From 2015, one per week four psychologists volunteer hold workshops for psycho-social support for persons with RMD.<sup>6,7</sup> Participants of the training and psycho-social sessions took a survey. <h3>Results</h3> 1. Joint pain reduction – 50% of total number of participants 2. Joint mobility increase – 95% of total number of participants 3. General fitness improvement – 73% of total number of participants 4. Less pronounced negative emotions – 59% of total number of participants <h3>Conclusion</h3> Practicing cigong, yoga and psycho-social support workshops help patients look better and feel better. Changing the psychological state during exercise also led to a positive way of thinking. All of this increased the effectiveness of drug treatment and improved the quality of life of patients with RMD. <h3>References</h3> [1] Dragojević R. Vodič za zdrav život: preporuke medicine i pouke mudrosti, Beograd 2017. [2] Lapcević M., Vuković M. Dimitrijevic I. Et all Uticaj medikamentnog I nemedikamentnog lečenja na smanjenje faktora rizika za kardiovaskularne I cerebrovaskularne događaje u interventnoj studiji. Srp Arh Celok Lek 2007. [3] Lapčević M, Prvanov D, Đorđević S. Procena kvaliteta života obolelih od hroničnih reumatskih oboljenja. Opšta medicina 2010. [4] Ilinka Acimovic, "The Influence of Health Qigong on the Subjectively Expressed Psychophysical State of Patients with Rheumatoid Arthritis, Rheum, Osteoporosis, Osteopenia" CHINESE MEDICINE AND CULTURE [5] Swami Kriyananda, "Demystifying Patanjali: The Yoga Sutras - The Wisdom of Paramhansa Yogananda". Crystal Clarity Publishers, Nevada City, CA, 2013. [6] Lapčević M, et al. Socioeconomic and therapy factor influence on self-reported fatigue, anxiety and depression in rheumatoid arthritis patients. Rev Bras Reumatol. 2017. [7] Milić V. Analiza ličnosti I uticaj optimizma na pozitivan ishod lečenja; 2018. <h3>Disclosure of Interests</h3> None declared