Stenström C H
Physical Therapy Department, Kullbergska Hospital, Katrineholm, Sweden.
J Rheumatol. 1994 Apr;21(4):627-34.
To evaluate the effects of a 12-week home exercise and cognitive treatment program in functionally independent patients with rheumatoid arthritis.
Forty-two patients were assessed with the Arthritis Self-efficacy Scale, the Stanford Health Assessment Questionnaire, the Ritchie articular index, measurement of joint mobility, and registration of capacity and pain in functional tasks. The patients were then randomized to either a "goal-setting" subgroup, in which individual goals for the exercise were set and exercise encouraged despite pain, or to a "pain attention" subgroup, where advice to decrease exercise load in case of pain was given. All patients used the same home exercise program aiming at improved range of motion, muscle function and aerobic capacity.
After the intervention period, exercise had conferred better self-efficacy for "other symptoms," increased capacity in most functional tasks, decreased activity induced pain, lowered Ritchie index, and increased joint mobility. Some improvements regarding pain were larger in the goal-setting subgroup.
Home exercise influences self-efficacy for mood and fatigue, physical capacity, and pain. Additional cognitive treatment seems to positively influence the perception of pain.
评估一项为期12周的家庭锻炼和认知治疗方案对功能独立的类风湿性关节炎患者的效果。
采用关节炎自我效能量表、斯坦福健康评估问卷、里奇关节指数、关节活动度测量以及功能任务中的能力和疼痛记录对42名患者进行评估。然后将患者随机分为“目标设定”亚组，该亚组设定锻炼的个人目标并鼓励患者不顾疼痛坚持锻炼，或分为“疼痛关注”亚组，该亚组在疼痛时给予减少锻炼负荷的建议。所有患者都使用相同的家庭锻炼方案，旨在改善关节活动范围、肌肉功能和有氧能力。
干预期后，锻炼在“其他症状”方面带来了更好的自我效能感，提高了大多数功能任务中的能力，减轻了活动引起的疼痛，降低了里奇指数，并增加了关节活动度。在目标设定亚组中，一些关于疼痛的改善更为明显。
家庭锻炼会影响情绪和疲劳的自我效能感、身体能力和疼痛。额外的认知治疗似乎对疼痛感知有积极影响。
