Future of Rehabilitation Interventions for Rheumatic Patients in the Mediterranean Region

Overview

Journal Mediterr J Rheumatol

Specialty Rheumatology

Date 2020 Mar 19

PMID 32185260

Citations 3

Authors

Aysen Akinci

Gamze Kilic

Affiliations

Soon will be listed here.

Abstract

Chronic rheumatic diseases can commonly lead to significant physical disability, reduced health-related quality of life and high economic burden for the societies. In the last decades and despite the availability of novel, effective medical treatment for specific rheumatic diseases, rehabilitation interventions do have a pivot role in improving function and psychological status in these conditions. Several systematic reviews and evidence based management recommendations suggest nonpharmaceutical rehabilitation management as an adjunct to medical therapy. The composition of rehabilitative interventions may extensively vary including therapeutic exercise, patient education, occupational therapy, orthoses, assistive devices, work rehabilitation and physical modalities. Exercise therapy is the main component of non-pharmacological treatment and strongly recommended in international guidelines but currently there is no consensus regarding intensity, frequency, or type of rehabilitation program for patients with rheumatic diseases. So, rehabilitation should be designed on a patient-centered basis in the context of multidisciplinary approach.

Citing Articles

The Effects of Pilates Exercise Training Combined with Walking on Cardiorespiratory Fitness, Functional Capacity, and Disease Activity in Patients with Non-Radiologically Confirmed Axial Spondylitis.

Zaggelidou E, Theodoridou A, Michou V, Gika H, Panayiotou G, Dimitroulas T J Funct Morphol Kinesiol. 2023; 8(4).

PMID: 37873899 PMC: 10594526. DOI: 10.3390/jfmk8040140.

Autoinflammatory Diseases and Physical Therapy.

Gurcay E, Akinci A Mediterr J Rheumatol. 2020; 28(4):183-191.

PMID: 32185281 PMC: 7046004. DOI: 10.31138/mjr.28.4.183.

Mediterranean Journal of Rheumatology June 2017 Highlights.

Bogdanos D Mediterr J Rheumatol. 2020; 28(2):62-63.

PMID: 32185258 PMC: 7046032. DOI: 10.31138/mjr.28.2.62.

References

Hurkmans E, van der Giesen F, Vliet Vlieland T, Schoones J, Van den Ende E . Dynamic exercise programs (aerobic capacity and/or muscle strength training) in patients with rheumatoid arthritis. Cochrane Database Syst Rev. 2009; (4):CD006853. PMC: 6769170. DOI: 10.1002/14651858.CD006853.pub2. View

Dundar M, Emirogullari E, Kiraz A, Taheri S, Baskol M . Common Familial Mediterranean Fever gene mutations in a Turkish cohort. Mol Biol Rep. 2010; 38(8):5065-9. DOI: 10.1007/s11033-010-0652-7. View

Saketkoo L, Escorpizo R, Keen K, Fligelstone K, Distler O . International Classification of Functioning, Disability and Health Core Set construction in systemic sclerosis and other rheumatic diseases: a EUSTAR initiative. Rheumatology (Oxford). 2012; 51(12):2170-6. DOI: 10.1093/rheumatology/kes185. View

Combe B, Landewe R, Daien C, Hua C, Aletaha D, Alvaro-Gracia J . 2016 update of the EULAR recommendations for the management of early arthritis. Ann Rheum Dis. 2016; 76(6):948-959. DOI: 10.1136/annrheumdis-2016-210602. View

Verges J, Montell E, Tomas E, Cumelles G, Castaneda G, Marti N . Weather conditions can influence rheumatic diseases. Proc West Pharmacol Soc. 2005; 47:134-6. View

Azevedo A, de Sousa H, Monteiro J, Lima A . Future perspectives of Smartphone applications for rheumatic diseases self-management. Rheumatol Int. 2014; 35(3):419-31. DOI: 10.1007/s00296-014-3117-9. View

Roddy E, Zhang W, Doherty M, Arden N, Barlow J, Birrell F . Evidence-based recommendations for the role of exercise in the management of osteoarthritis of the hip or knee--the MOVE consensus. Rheumatology (Oxford). 2004; 44(1):67-73. DOI: 10.1093/rheumatology/keh399. View

Cramp F, Hewlett S, Almeida C, Kirwan J, Choy E, Chalder T . Non-pharmacological interventions for fatigue in rheumatoid arthritis. Cochrane Database Syst Rev. 2013; 8):CD008322. PMC: 11748118. DOI: 10.1002/14651858.CD008322.pub2. View

Majeed H, El-Khateeb M, El-Shanti H, Rabaiha Z, Tayeh M, Najib D . The spectrum of familial Mediterranean fever gene mutations in Arabs: report of a large series. Semin Arthritis Rheum. 2005; 34(6):813-8. DOI: 10.1016/j.semarthrit.2005.01.010. View

10.

Vliet Vlieland T, Zwinderman A, Vandenbroucke J, Breedveld F, Hazes J . A randomized clinical trial of in-patient multidisciplinary treatment versus routine out-patient care in active rheumatoid arthritis. Br J Rheumatol. 1996; 35(5):475-82. DOI: 10.1093/rheumatology/35.5.475. View

11.

de Almeida P, Pontes T, Matheus J, Muniz L, Mota L . [Occupational therapy in rheumatoid arthritis: what rheumatologists need to know?]. Rev Bras Reumatol. 2014; 55(3):272-80. DOI: 10.1016/j.rbr.2014.07.008. View

12.

Zhang W, Moskowitz R, Nuki G, Abramson S, Altman R, Arden N . OARSI recommendations for the management of hip and knee osteoarthritis, Part II: OARSI evidence-based, expert consensus guidelines. Osteoarthritis Cartilage. 2008; 16(2):137-62. DOI: 10.1016/j.joca.2007.12.013. View

13.

Allaire S . Update on work disability in rheumatic diseases. Curr Opin Rheumatol. 2001; 13(2):93-8. DOI: 10.1097/00002281-200103000-00001. View

14.

Rauch A, Cieza A, Boonen A, Ewert T, Stucki G . Identification of similarities and differences in functioning in persons with rheumatoid arthritis and ankylosing spondylitis using the International Classification of Functioning, Disability and Health (ICF). Clin Exp Rheumatol. 2009; 27(4 Suppl 55):S92-101. View

15.

Uhlig T, Bjorneboe O, Kroll F, Palm O, Olsen I, Grotle M . Involvement of the multidisciplinary team and outcomes in inpatient rehabilitation among patients with inflammatory rheumatic disease. BMC Musculoskelet Disord. 2016; 17:18. PMC: 4711082. DOI: 10.1186/s12891-016-0870-9. View

16.

Fransen M, McConnell S, Hernandez-Molina G, Reichenbach S . Exercise for osteoarthritis of the hip. Cochrane Database Syst Rev. 2014; (4):CD007912. PMC: 10898220. DOI: 10.1002/14651858.CD007912.pub2. View

17.

Steultjens E, Dekker J, Bouter L, van Schaardenburg D, van Kuyk M, van den Ende C . Occupational therapy for rheumatoid arthritis. Cochrane Database Syst Rev. 2004; (1):CD003114. PMC: 7017227. DOI: 10.1002/14651858.CD003114.pub2. View

18.

de Buck P, Schoones J, Allaire S, Vliet Vlieland T . Vocational rehabilitation in patients with chronic rheumatic diseases: a systematic literature review. Semin Arthritis Rheum. 2003; 32(3):196-203. DOI: 10.1053/sarh.2002.34609. View

19.

Li S, Kay S, Hardicker N . Virtual reality: towards a novel treatment environment for ankylosing spondylitis. Stud Health Technol Inform. 2007; 127:190-6. View

20.

Ward M, Deodhar A, Akl E, Lui A, Ermann J, Gensler L . American College of Rheumatology/Spondylitis Association of America/Spondyloarthritis Research and Treatment Network 2015 Recommendations for the Treatment of Ankylosing Spondylitis and Nonradiographic Axial Spondyloarthritis. Arthritis Rheumatol. 2015; 68(2):282-98. PMC: 5123840. DOI: 10.1002/art.39298. View