Physical activity interventions for fatigue in rheumatoid arthritis: a systematic review (original) (raw)
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Exercise and fatigue in rheumatoid arthritis
The Israel Medical Association journal : IMAJ, 2014
Fatigue, the enduring sensation of weakness, lack of energy, tiredness or exhaustion, is described by 40%-80% of patients with rheumatoid arthritis as their most disabling symptom with wide-ranging consequences for quality of life. Little attention has been paid to its multidimensional nature or to its reliability as a measure to evaluate progression of the disease. Low impact aerobic exercise affects the level of fatigue, and this same level of fatigue influences the exercise itself. We searched Medline, Cochrane Collaboration Register of Controlled Trials (CCRCT), Lilacs, PubMed and Scopus databases for randomized controlled trials (with appropriate description of methods, materials and results) on the assessment of fatigue and exercise. Review articles, case reports, letters to the editor and editorials were excluded. Of 121 references initially identified, 4 randomized controlled trials met the inclusion criteria. Two studies used the MAF scale (Multidimensional Assessment of Fa...
BMC Musculoskeletal Disorders, 2019
Background: Fatigue is a major symptom of rheumatoid arthritis (RA). There is some evidence that physical activity (PA) may be effective in reducing RA fatigue. However, few PA interventions have been designed to manage fatigue and there is limited evidence of end-user input into intervention development. The aim of this research was to codesign an intervention to support self-management of RA fatigue through modifying PA. Methods: A series of studies used mixed methodological approaches to co-design a fatigue management intervention focused on modifying PA based on UK Medical Research Council guidance, and informed by the Behaviour Change Wheel theoretical framework. Development was based on existing evidence, preferences of RA patients and rheumatology healthcare professionals, and practical issues regarding intervention format, content and implementation. Results: The resulting group-based intervention consists of seven sessions delivered by a physiotherapist over 12 weeks. Each session includes an education and discussion session followed by supervised PA chosen by the participant. The intervention is designed to support modification and maintenance of PA as a means of managing fatigue. This is underpinned by evidence-based behaviour change techniques that might support changes in PA behaviour. Intervention delivery is interactive and aims to enhance capability, opportunity and motivation for PA. Conclusion: This study outlines stages in the systematic development of a theory-based intervention designed through consultation with RA patients and healthcare professionals to reduce the impact of RA fatigue. The feasibility of future evaluation of the intervention should now be determined.
Fatigue and factors related to fatigue in rheumatoid arthritis: a systematic review
2012
ABSTRACT Objective Patients with rheumatoid arthritis (RA) complain about fatigue. However, little is still known about causes and consequences of fatigue. A fully developed theoretical model explaining the experience of fatigue in RA is lacking. Goal of this study was to systematically review studies in RA that examined factors related to fatigue and differences in fatigue between RA patients and other patient groups, to gain more insight in possible causes and consequences of fatigue in RA.
Fatigue in persons with rheumatoid arthritis
2015
Fatigue is a prominent symptom in persons with rheumatoid arthritis (RA) with great impact on daily life. Despite the improvement in pharmacological treatment of RA over the last decades, a large number of persons with RA experience consequences from fatigue. From a patient perspective, fatigue is established as one of the most important symptoms to address in rheumatology. The overall aim of this thesis was to search for deeper knowledge about fatigue in persons with RA of working age and to evaluate a person-centered physical therapy treatment to reduce fatigue and its consequences on daily life. Specific aims of the studies included in the thesis were: To describe how persons with RA experience and manage their fatigue in daily life. To investigate variations in fatigue levels reported by persons with RA at seven different time-points during the four seasons. To investigate how disease-related aspects contribute to the variation in general fatigue and multiple aspects of fatigue ...
Fatigue in persons with rheumatoid arthritis: A person-centred physical therapy approach
2015
Fatigue is a prominent symptom in persons with rheumatoid arthritis (RA) with great impact on daily life. Despite the improvement in pharmacological treatment of RA over the last decades, a large number of persons with RA experience consequences from fatigue. From a patient perspective, fatigue is established as one of the most important symptoms to address in rheumatology. The overall aim of this thesis was to search for deeper knowledge about fatigue in persons with RA of working age and to evaluate a person-centered physical therapy treatment to reduce fatigue and its consequences on daily life. Specific aims of the studies included in the thesis were: To describe how persons with RA experience and manage their fatigue in daily life. To investigate variations in fatigue levels reported by persons with RA at seven different time-points during the four seasons. To investigate how disease-related aspects contribute to the variation in general fatigue and multiple aspects of fatigue ...
BMJ Open, 2019
ObjectivePhysical activity plays an important role in the treatment of persons with rheumatoid arthritis (RA) and is the non-pharmacological intervention with the strongest evidence to reduce fatigue. However, physical activity can be challenging for persons who are fatigued. The aim of this study was to investigate factors of importance for reducing fatigue in persons with RA.DesignThis is a qualitative interview study based on semistructured, indepth individual interviews. Interviews were analysed using qualitative content analysis.ParticipantsParticipants were 12 people with RA recruited from a previous randomised controlled trial of a person-centred treatment model focusing on health-enhancing physical activity and daily balance to lessen fatigue in persons with RA.SettingInterviews were conducted in a hospital setting.ResultsThe analysis resulted in one theme: an intellectual and embodied understanding that sustainable physical activity is important to handle fatigue. This incl...