do Carmo Carolina Mendes, Almeida da Rocha Bruna, Tanaka Clarice
Department of Physiotherapy, University of São Paulo: Dr. Enéas de Carvalho Aguiar, n° 255, São Paulo, 05403-000, SP, Brazil.
Faculty of Medicine, University of São Paulo, Brazil.
J Phys Ther Sci. 2017 Nov;29(11):1893-1898. doi: 10.1589/jpts.29.1893. Epub 2017 Nov 24.
[Purpose] To verify the effects of individual and group exercise programs on pain, balance, mobility and perceived benefits of rheumatoid arthritis patients (RA) with pain and foot deformities. [Subjects and Methods] Thirty patients with RA pain and foot deformity were allocated into two groups: G1: individual exercise program and G2: group exercise program. The variables analyzed were Numerical Rating Scale (NRS) for pain, Berg Balance Scale (BBS) for balance, Timed Up & Go Test (TUG) and Functional Reach (FR) for mobility, and Foot Health Status Questionnaire (FHSQ-Br) for perceived benefits. Both exercise programs consisted of functional rehabilitation exercises and self-care guidance aimed at reducing pain and improving balance and mobility. Intragroup comparisons of variables between A1 (pre-intervention) and A2 (post-intervention) were performed. [Results] Patients in both groups were similar in A1 (pre-intervention) in all the variables analyzed. Comparison between A1 and A2 for each variable showed improvement for G1 in the NRS, BBS, FR, TUG and in four out of ten domains of FHSQ-Br. G2 showed improvement in the NRS, BBS and eight out of ten domains of FHSQ-Br. [Conclusion] Both individual and group programs revealed benefits for patients with RA, however, group exercise programs showed better perception of benefits.
[目的]验证个体化运动方案和团体运动方案对患有疼痛和足部畸形的类风湿关节炎（RA）患者的疼痛、平衡能力、活动能力以及感知益处的影响。[对象与方法]30例患有RA疼痛和足部畸形的患者被分为两组：G1组：个体化运动方案组；G2组：团体运动方案组。分析的变量包括疼痛的数字评定量表（NRS）、平衡能力的伯格平衡量表（BBS）、活动能力的计时起立行走测试（TUG）和功能性伸展测试（FR），以及感知益处的足部健康状况问卷（FHSQ-Br）。两种运动方案均包括功能康复锻炼和自我护理指导，旨在减轻疼痛、改善平衡能力和活动能力。对A1（干预前）和A2（干预后）两组内的变量进行比较。[结果]在所有分析的变量中，两组患者在A1（干预前）时情况相似。对每个变量的A1和A2进行比较，结果显示G1组在NRS、BBS、FR、TUG以及FHSQ-Br的十个领域中的四个领域有所改善。G2组在NRS、BBS以及FHSQ-Br的十个领域中的八个领域有所改善。[结论]个体化运动方案和团体运动方案对RA患者均有益处，然而，团体运动方案显示出更好的益处感知。
