Jemtland Enger Kirsten, Bjørnstad Kari, Rødevand Erik, Skomsvoll Johan F
Avdeling for fysioterapi, Revmatologisk avdeling, St. Olavs Hospital, Trondheim.
Tidsskr Nor Laegeforen. 2003 May 29;123(11):1508-10.
This report considers the relationship between the effect of training on pain and joint manifestations in patients with rheumatoid arthritis.
A review of randomized controlled trials published from 1997 to February 2001.
Six randomized controlled trials confirm results from previous research indicating that exercise leads to unchanged or reduced self-reported pain and unchanged or reduced tender joint counts in patients in ACR functional classes I or II with low to moderate disease activity. This effect may possibly be generalized to patients with higher disease activity. The effect is less clearly demonstrated in patients with serious joint destruction and loss of function.
The results indicate that exercise leads to unchanged or reduced self-reported pain and joint tenderness for patients with rheumatoid arthritis. Further studies are needed in order to demonstrate to what extent and how different kinds of exercise influence pain and joint tenderness in rheumatoid arthritis patients.
本报告探讨类风湿性关节炎患者的训练效果与疼痛及关节表现之间的关系。
回顾1997年至2001年2月发表的随机对照试验。
六项随机对照试验证实了先前研究的结果，表明运动可使疾病活动度低至中度的美国风湿病学会（ACR）功能分级为I或II级的患者自我报告的疼痛不变或减轻，压痛关节数不变或减少。这种效果可能推广至疾病活动度较高的患者。在有严重关节破坏和功能丧失的患者中，这种效果不太明显。
结果表明，运动可使类风湿性关节炎患者自我报告的疼痛和关节压痛不变或减轻。需要进一步研究以证明不同类型的运动在何种程度上以及如何影响类风湿性关节炎患者的疼痛和关节压痛。
