Nordemar R, Ekblom B, Zachrisson L, Lundqvist K
Scand J Rheumatol. 1981;10(1):17-23.
Twenty-three patients with rheumatoid arthritis (RA) have been given physical training for 4 to 8 years. To compare, we have had a control group of equal size and with the same disease severity. The training program consisted of home-training and for most of the patients also group-training led by a physiotherapist. During the observation period we have found a significantly less pronounced progress of X-ray changes in the joints of the active patients compared with control patients. Physiological tests and clinical parameters, including sick-pension and sick-leave, show unanimously a better disease outcome in the active group of patients. There is probably a risk of overuse or disuse of the joints in RA but we believe that it is better to be overactive rather than the reverse. As in many other diseases, the general prescription of rest in RA is not adequate.
23名类风湿性关节炎（RA）患者接受了4至8年的体育训练。作为对照，我们设立了一个规模相同、疾病严重程度相同的对照组。训练项目包括家庭训练，并且对于大多数患者来说，还有由物理治疗师指导的集体训练。在观察期内，我们发现与对照患者相比，积极训练患者关节的X线变化进展明显不那么显著。生理测试和临床参数，包括病假和病休，一致显示积极训练组患者的疾病预后更好。类风湿性关节炎患者可能存在关节过度使用或废用的风险，但我们认为过度活动总比相反情况要好。与许多其他疾病一样，类风湿性关节炎中普遍开具的休息处方并不合适。
