Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Firat University, Elazig, Turkey.
Faculty of Medicine, Division of Rheumatology, Gazi University, Ankara, Turkey.
Ir J Med Sci. 2021 Aug;190(3):1027-1034. doi: 10.1007/s11845-020-02412-2. Epub 2020 Oct 22.
Rheumatoid arthritis (RA) is a rheumatic disease characterized by erosive synovitis and polyarthritis. Exercise is known to improve many symptoms in RA patients.
This study was designed to compare the effects of pilates exercises, aerobic exercises, and combined training including pilates with aerobic exercises on fatigue, depression, aerobic capacity, pain, sleep quality, and quality of life.
Thirty voluntary RA patients were included in this study. Patients were divided into three groups equally, and treatment was applied to each group for 8 weeks. Pilates exercises were practiced to the first group, aerobic exercises were practiced to the second group, and combined training was performed to the third group. Fatigue, depression, aerobic capacity, pain, sleep quality, and quality of life were evaluated using Fatigue Severity Scale (FSS), Beck Depression Inventory (BDI), 6-minute walk test (6MWT), McGill Pain Questionnaire- Short Form (MPQ-SF), Pittsburg Sleep Quality Index (PSQI), and Rheumatoid Arthritis Quality of Life (RAQoL), respectively.
The results of the present study showed significant improvements for the first group on fatigue, depression, aerobic capacity, and quality of life (p < 0.05). Improvements in all parameters except for pain were obtained for the second and third groups (p < 0.05). In addition, there was no statistically significant difference among the treatment groups in assessments (p > 0.05).
Pilates exercises may have similar effects to aerobic exercises in patients with RA. Addition of clinical pilates exercises to the routine treatment of RA may enhance the success of rehabilitation. Trial registration NCT03836820.
类风湿关节炎（RA）是一种以侵蚀性滑膜炎和多发性关节炎为特征的风湿病。运动被认为可以改善 RA 患者的许多症状。
本研究旨在比较普拉提运动、有氧运动和包括普拉提与有氧运动相结合的综合训练对疲劳、抑郁、有氧能力、疼痛、睡眠质量和生活质量的影响。
本研究纳入了 30 名自愿参加的 RA 患者。患者被平均分为三组，每组接受 8 周的治疗。第一组进行普拉提运动，第二组进行有氧运动，第三组进行综合训练。使用疲劳严重程度量表（FSS）、贝克抑郁量表（BDI）、6 分钟步行试验（6MWT）、麦吉尔疼痛问卷-短表（MPQ-SF）、匹兹堡睡眠质量指数（PSQI）和类风湿关节炎生活质量（RAQoL）评估疲劳、抑郁、有氧能力、疼痛、睡眠质量和生活质量。
本研究结果表明，第一组在疲劳、抑郁、有氧能力和生活质量方面有显著改善（p<0.05）。第二组和第三组除疼痛外，所有参数均有改善（p<0.05）。此外，治疗组之间的评估无统计学差异（p>0.05）。
普拉提运动可能与 RA 患者的有氧运动具有相似的效果。在 RA 的常规治疗中加入临床普拉提运动可能会提高康复的成功率。试验注册号：NCT03836820。
