Tags

Type your tag names separated by a space and hit enter

Effects of dynamic strength training on physical function, Valpar 9 work sample test, and working capacity in patients with recent-onset rheumatoid arthritis.
Arthritis Rheum. 2003 Feb 15; 49(1):71-7.AR

Abstract

OBJECTIVE

To study the impact of 24 months of strength training on the physical function of patients with early rheumatoid arthritis (RA).

METHODS

Seventy patients were assigned to either the strength training (experimental) group (n = 35) or the control group (n = 35). Patients in the experimental group performed strength training for 24 months, and control patients were instructed to perform range of motion exercises. Maximal strength of the knee extensors, trunk flexors, and extensors, as well as grip strength were recorded with dynamometers. Disease activity was assessed by the erythrocyte sedimentation rate and Ritchie's articular index, joint damage was determined by the Larsen x-ray index, and functional capacity was assessed using the Valpar 9 test and the Stanford Health Assessment Questionnaire (HAQ). The employment status of each patient was recorded.

RESULTS

In the experimental group, strength training led to significant increases (19-59%) in maximal strength of the trained muscles. Such increases in the control group varied from 1% to 31%. There was a clear training effect on muscular strength in favor of the experimental group, but significant improvements in the HAQ indices as well as in the Valpar 9 test were seen also in control patients. Results of the Valpar 9 and the HAQ were statistically significantly better in patients who remained gainfully employed compared with patients who retired preterm during followup. However, compared with patients who remained in the work force, patients who retired were older, and their work was physically more demanding.

CONCLUSION

As expected, strength training led to increased muscle strength, but this increase did not correlate with improved physical function as assessed by the Valpar 9 work sample test. The increased muscle performance did not prevent a substantial proportion of patients from retiring preterm. The 2 items from the Valpar 9 test that were applied were not sensitive enough to differentiate the patients according to their working status.

Authors+Show Affiliations

Central Finland Health Care District, Jyväskylä, Finland. arja.hakkinen@ksshp.fiNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

12579596

Citation

Häkkinen, Arja, et al. "Effects of Dynamic Strength Training On Physical Function, Valpar 9 Work Sample Test, and Working Capacity in Patients With Recent-onset Rheumatoid Arthritis." Arthritis and Rheumatism, vol. 49, no. 1, 2003, pp. 71-7.
Häkkinen A, Sokka T, Lietsalmi AM, et al. Effects of dynamic strength training on physical function, Valpar 9 work sample test, and working capacity in patients with recent-onset rheumatoid arthritis. Arthritis Rheum. 2003;49(1):71-7.
Häkkinen, A., Sokka, T., Lietsalmi, A. M., Kautiainen, H., & Hannonen, P. (2003). Effects of dynamic strength training on physical function, Valpar 9 work sample test, and working capacity in patients with recent-onset rheumatoid arthritis. Arthritis and Rheumatism, 49(1), 71-7.
Häkkinen A, et al. Effects of Dynamic Strength Training On Physical Function, Valpar 9 Work Sample Test, and Working Capacity in Patients With Recent-onset Rheumatoid Arthritis. Arthritis Rheum. 2003 Feb 15;49(1):71-7. PubMed PMID: 12579596.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Effects of dynamic strength training on physical function, Valpar 9 work sample test, and working capacity in patients with recent-onset rheumatoid arthritis. AU - Häkkinen,Arja, AU - Sokka,Tuulikki, AU - Lietsalmi,Anna-Maria, AU - Kautiainen,Hannu, AU - Hannonen,Pekka, PY - 2003/2/13/pubmed PY - 2003/3/19/medline PY - 2003/2/13/entrez SP - 71 EP - 7 JF - Arthritis and rheumatism JO - Arthritis Rheum VL - 49 IS - 1 N2 - OBJECTIVE: To study the impact of 24 months of strength training on the physical function of patients with early rheumatoid arthritis (RA). METHODS: Seventy patients were assigned to either the strength training (experimental) group (n = 35) or the control group (n = 35). Patients in the experimental group performed strength training for 24 months, and control patients were instructed to perform range of motion exercises. Maximal strength of the knee extensors, trunk flexors, and extensors, as well as grip strength were recorded with dynamometers. Disease activity was assessed by the erythrocyte sedimentation rate and Ritchie's articular index, joint damage was determined by the Larsen x-ray index, and functional capacity was assessed using the Valpar 9 test and the Stanford Health Assessment Questionnaire (HAQ). The employment status of each patient was recorded. RESULTS: In the experimental group, strength training led to significant increases (19-59%) in maximal strength of the trained muscles. Such increases in the control group varied from 1% to 31%. There was a clear training effect on muscular strength in favor of the experimental group, but significant improvements in the HAQ indices as well as in the Valpar 9 test were seen also in control patients. Results of the Valpar 9 and the HAQ were statistically significantly better in patients who remained gainfully employed compared with patients who retired preterm during followup. However, compared with patients who remained in the work force, patients who retired were older, and their work was physically more demanding. CONCLUSION: As expected, strength training led to increased muscle strength, but this increase did not correlate with improved physical function as assessed by the Valpar 9 work sample test. The increased muscle performance did not prevent a substantial proportion of patients from retiring preterm. The 2 items from the Valpar 9 test that were applied were not sensitive enough to differentiate the patients according to their working status. SN - 0004-3591 UR - https://www.unboundmedicine.com/medline/citation/12579596/Effects_of_dynamic_strength_training_on_physical_function_Valpar_9_work_sample_test_and_working_capacity_in_patients_with_recent_onset_rheumatoid_arthritis_ L2 - https://doi.org/10.1002/art.10902 DB - PRIME DP - Unbound Medicine ER -