Lyngberg K K, Harreby M, Bentzen H, Frost B, Danneskiold-Samsøe B
Department of Clinical Chemistry, Herlev Hospital, Denmark.
Arch Phys Med Rehabil. 1994 Nov;75(11):1189-95. doi: 10.1016/0003-9993(94)90003-5.
The effects of physical training on elderly, fragile patients with rheumatoid arthritis (RA) who are on low-dose steroids were investigated. The controlled study included 24 patients who had been treated with low-dose steroids for 2 years. Each patient was assigned either to a treatment group receiving training or to an untrained control group. The training took place over a 3-month period and was based on a protocol using progressive interval training consisting of bicycle exercises, heel lifts, and step-climbing. The exercises were performed twice weekly for 45 minutes. Comparison of the two groups showed that disease activity did not increase in the trained group and that fewer, but not significantly fewer, swollen joints were observed in this group (p = 0.06). No significant changes were noticed in erythrocyte sedimentation rate, tender joints, or morning stiffness. The work capacity of the trained patients were doubled and the numbers of repetitions increased 76%. Individually adapted exercise programs can therefore be recommended for elderly rheumatoid arthritis patients on steroid treatment.
研究了体育锻炼对使用低剂量类固醇药物的老年体弱类风湿性关节炎（RA）患者的影响。这项对照研究纳入了24名接受低剂量类固醇治疗2年的患者。每位患者被随机分配到接受训练的治疗组或未接受训练的对照组。训练为期3个月，基于一项使用渐进性间歇训练的方案，包括自行车运动、提踵和爬楼梯。这些运动每周进行两次，每次45分钟。两组比较显示，训练组的疾病活动度没有增加，且该组观察到的关节肿胀数量较少，但差异不显著（p = 0.06）。红细胞沉降率、压痛关节或晨僵均未发现显著变化。训练患者的工作能力翻倍，重复次数增加了76%。因此，对于接受类固醇治疗的老年类风湿性关节炎患者，推荐采用个体化的适应性运动方案。
