Häkkinen A, Häkkinen K, Hannonen P
Department of Physiatry, Central Hospital, Jyväskylä, Finland.
Scand J Rheumatol. 1994;23(5):237-42. doi: 10.3109/03009749409103722.
Thirty-nine consecutive patients with recent-onset rheumatoid or psoriatic arthritis were randomly allotted for six months period either to the experimental progressive dynamic strength training group (EG, 10 women and 11 men; 41 +/- 10 yrs), or to the control group (CG, 10 women and 8 men; 45 +/- 11 yrs) who just maintained their habitual physical activities. All patients received antirheumatic medication throughout the experimental period. During the study period significant improvements took place in the EG in maximal muscle strength of all examined muscle groups (31.5% for the knee extensors, p < 0.001; 14.8% and 10.7% for the trunk flexors and extensors, p < 0.01; 27.8% and 20.4% for grip strength, p < 0.001) as well as in erytrocyte sedimentation rate (p < 0.05). Ritchie's articular index (RI) (p < 0.001) and HAQ (p < 0.01). In the CG only the decrease in RI was statistically significant (p < 0.05). Erosive changes in joints increased only slightly and less in the EG than in the CG. The present results suggest that dynamic strength training in early arthritis increases the neuromuscular performance without detrimental effects on disease activity or joint damage.
39例近期发病的类风湿性或银屑病性关节炎患者被随机分配，进行为期6个月的实验，一组为实验性渐进动态力量训练组（EG组，10名女性和11名男性；41±10岁），另一组为对照组（CG组，10名女性和8名男性；45±11岁），对照组仅维持其日常体育活动。在整个实验期间，所有患者均接受抗风湿药物治疗。在研究期间，EG组所有检查肌肉群的最大肌肉力量有显著改善（膝关节伸肌提高31.5%，p<0.001；躯干屈肌和伸肌分别提高14.8%和10.7%，p<0.01；握力分别提高27.8%和20.4%，p<0.001），红细胞沉降率也有改善（p<0.05）。里奇关节指数（RI）（p<0.001）和健康评估问卷（HAQ）（p<0.01）也有改善。在CG组，只有RI的降低具有统计学意义（p<0.05）。关节的侵蚀性变化仅略有增加，EG组比CG组增加得少。目前的结果表明，早期关节炎患者进行动态力量训练可提高神经肌肉性能，而对疾病活动或关节损伤无不利影响。
