Psoriatic Arthritis
Conditions
Keywords
Functional training, Physical exercise, Psoriatic arthritis, Quality of life
Brief summary
The aim of this study was to assess the effectiveness of Functional training versus resistance training in improving functional capacity, muscle strength, quality of life and disease activity in patients with PSA.
Detailed description
The Functional Training Group (FT) used elastic bands and the Resistance Exercise Group (RE) used weight training machines. The FT patients performed functional training and RE performed resistance exercises for the following muscles group: upper limbs, lower limbs and trunk. It was used a machine leg extension for the training on the lower limbs. For upper limbs the investigators used a pulley triceps machine and front pull in addition to free weights (dumbbells). In order to perform the exercise program, the study followed all the recommendations established by the American College of Sports Medicine (ACSM) (Ratamess et al., 2009). It was carried out two exercises for major muscle groups and one exercise for small muscles. The exercises were divided in 3 sets of 12 repetitions for each muscle group. The intensity of the exercises was 60% of one-maximum repetition (1RM). The exercise program involved pectoral exercises: crucifix and seat supine; biceps: alternated screw; triceps: triceps pulley; back: standing handsaw and pulled ahead; quadriceps: leg extensor and finally gluteus: standing hips extension. The patients were instructed to maintain their daily activities and to avoid any other nonpharmacological treatment.
Interventions
OTHERResistence Exercise
Underwent resistance exercise twice a week, for twelve weeks for the following muscles group: upper limbs, lower limbs and trunk. It was carried out two exercises for major muscle groups and one exercise for small muscles. The exercises were divided in 3 sets of 12 repetitions for each muscle group. The intensity of the exercises was 60% of one-maximum repetition (1RM). The exercise program involved pectoral exercises: crucifix and seat supine; biceps: alternated screw; triceps: triceps pulley; back: standing handsaw and pulled ahead; quadriceps: leg extensor and finally gluteus: standing hips extension.
Sponsors
Federal University of São Paulo
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
SINGLE (Outcomes Assessor)
Masking description
Single (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
Confirmed diagnosis of psoriatic arthritis, according to the CASPAR criteria * Between 18 and 65 years of age, of both genders who agreed and signed the consent form. * Patients should be-modifying drugs (DMARDs) on stable doses for at least three months and doses of non-steroidal anti-inflammatory drugs and corticosteroids stable for at least 4 weeks
Exclusion criteria
* Patients were excluded: * Uncontrolled cardiovascular disease * Decompensated diabetes mellitus; diseases * Severe psychiatric * Fibromyalgia * Other medical conditions that most disabling EA * History of regular exercise (at least 30 minutes 2 times per week) during the last 6 months * Arthroplasties of the hip and / or knee in the last 12 months; AND * Any other medical condition that prevents the patient from performing resistance exercises
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in the functional capacity | Baseline, after 45 and 90 days | Evaluated by HAQ-S Health Assessment Questionnaire for the Spondyloarthropathies. There are 20 questions where the score ranges from zero to three. The higher the score, the greater the degree of functional impairment of the patient. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in the quality of life | Baseline, after 45 and 90 days | Evaluated by the SF-36 questionnaire; The SF-36 consists of eight scaled scores, which are the weighted sums of the questions in their section. Each scale is directly transformed into a 0-100 scale, where the higher the score the less disability. |
Countries
Brazil
Outcome results
None listed