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Effectiveness of functional training versus resistance exercise in patients with psoriatic arthritis: randomized controlled trial
Silva, Diego Roger; Meireles, Sandra Mara; Brumini, Christine; Natour, Jamil.
  • Silva, Diego Roger; Universidade Federal de São Paulo. Rheumatology Division. Escola Paulista de Medicina. São Paulo. BR
  • Meireles, Sandra Mara; Universidade Federal de São Paulo. Rheumatology Division. Escola Paulista de Medicina. São Paulo. BR
  • Brumini, Christine; Universidade Federal de São Paulo. Rheumatology Division. Escola Paulista de Medicina. São Paulo. BR
  • Natour, Jamil; Universidade Federal de São Paulo. Rheumatology Division. Escola Paulista de Medicina. São Paulo. BR
Adv Rheumatol ; 63: 58, 2023. tab, graf
Article in English | LILACS-Express | LILACS | ID: biblio-1527660
ABSTRACT
Abstract Objective This study aims to evaluate the effect of functional versus resistance exercise training on the functional capacity and quality of life of psoriatic arthritis patients. Methods Forty-one psoriatic arthritis patients (18 to 65 years old) were randomized into two groups: functional training group and resistance exercise group. The functional training group underwent functional exercises with elastic band and the functional training group underwent machine resistance exercise twice a week for 12 weeks. Outcome measures were: The Bath Ankylosing Spondylitis Functional Index (BASFI) and Health Assessment Questionnaire for the Spondyloarthropathies (HAQ-S) for functional capacity and functional status, one-repetition maximum test for muscle strength, the Short Form 36 health survey questionnaire (SF-36) for quality of life, and the Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) and the Disease Activity Score 28 (DAS-28) for disease activity. Analyzes were performed by a blinded evaluator at baseline (T0), six (T6) and twelve (T12) weeks after the beginning of the exercise. Results At baseline, the groups were homogeneous in the clinical and demographic characteristics. There was a statistical intra-group improvement for both groups in the BASFI, BASDAI, HAQ-s, and DAS-28. In the quality-of-life assessment, both groups showed statistical intra-group improvements for all domains except the "emotional aspect" domain in the resistance exercise group. In the muscle strength, there was a statistical improvement for all exercises in both groups, except for the "alternate biceps (bilateral)" exercise. Conclusion Functional training and resistance exercise are similarly effective in improving functional capacity, functional status, disease activity, general quality of life, and muscle strength in patients with psoriatic arthritis. Trial Registration ClinicalTrials.gov: NCT04304326. Registered 11 March 2020, https://clinicaltrials.gov/ct2/show/NCT04304326?term=NCT04304326&draw=2&rank=1.


Full text: Available Index: LILACS (Americas) Type of study: Controlled clinical trial Language: English Journal: Adv Rheumatol Journal subject: Artrite / Reumatologia Year: 2023 Type: Article Affiliation country: Brazil Institution/Affiliation country: Universidade Federal de São Paulo/BR

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Full text: Available Index: LILACS (Americas) Type of study: Controlled clinical trial Language: English Journal: Adv Rheumatol Journal subject: Artrite / Reumatologia Year: 2023 Type: Article Affiliation country: Brazil Institution/Affiliation country: Universidade Federal de São Paulo/BR