dc.contributor.author
Zernicke, Jan
dc.contributor.author
Kedor, Claudia
dc.contributor.author
Mueller, Angela
dc.contributor.author
Burmester, Gerd-Ruediger
dc.contributor.author
Reisshauer, Anett
dc.contributor.author
Feist, Eugen
dc.date.accessioned
2018-06-08T10:38:03Z
dc.date.available
2017-05-08T08:52:07.620Z
dc.identifier.uri
https://refubium.fu-berlin.de/handle/fub188/20788
dc.identifier.uri
http://dx.doi.org/10.17169/refubium-24087
dc.description.abstract
Background Physical exercises and physiotherapy are of great importance for
maintenance of joint function in patients with rheumatoid arthritis (RA).
However, many RA patients complain about problems to receive prescriptions or
have a lack of access to physiotherapy. Recent reports have shown positive
effects of the Wii game console on physical and psychosocial conditions of
patients with other underlying diseases. The primary objectives of this
prospective controlled pilot study were to investigate feasibility and
patients’ assessment using an animated home-based exercise program. Method
This pilot study was conducted as a single-center, cross-over trial with two
treatment arms over 24 weeks. Eligibility criteria included patients with RA
reaching low disease activity under therapy with a biological disease
modifying anti-rheumatic drug (bDMARD). After detailed instruction, 15
patients started with a conventional home-based physical exercise program and
15 patients began with a predefined animated exercise program by using the Wii
game console for 12 weeks. Afterwards, patients were crossed-over to the other
treatment arm for another period of 12 weeks. Multi-methodical assessments
were performed by qualitative analysis of the interview-data as well as
statistical analysis of functional tests and patient reported outcomes
(PRO’s). Results Evaluation of the interviews indicated feasibility and
usefulness of the chosen animated home-based exercise program. Forefoot
disabilities were identified as a main limiting factor for performing some of
the animated exercises. After 12 weeks, both treatment arms showed improvement
of functional tests without significant differences between groups: Overall
muscle strength improved for a mean value of 10 Newton (+12 %) and the mean
6-min walk test (6-MWT) distance increased for 28 meters (+5 %). Conclusion
This study showed that an animated home-based exercise program by using a Wii
game console was feasible and beneficial for RA patients. Compared to standard
physical home exercises, similar effects were observed indicating that such an
animated program might be an alternative supportive option for RA patients.
Trial registration ClinicalTrials.gov ID: NCT02658370 (19-Jan-2016).
en
dc.rights.uri
http://creativecommons.org/licenses/by/4.0/
dc.subject.ddc
600 Technik, Medizin, angewandte Wissenschaften::610 Medizin und Gesundheit
dc.title
A prospective pilot study to evaluate an animated home-based physical exercise
program as a treatment option for patients with rheumatoid arthritis
dc.type
Wissenschaftlicher Artikel
dcterms.bibliographicCitation
BMC Musculoskeletal Disorders. - 17 (2016), Artikel Nr. 351
dcterms.bibliographicCitation.doi
10.1186/s12891-016-1208-3
dcterms.bibliographicCitation.url
http://bmcmusculoskeletdisord.biomedcentral.com/articles/10.1186/s12891-016-1208-3
refubium.affiliation
Charité - Universitätsmedizin Berlin
de
refubium.mycore.fudocsId
FUDOCS_document_000000026965
refubium.note.author
Der Artikel wurde in einer reinen Open-Access-Zeitschrift publiziert.
refubium.resourceType.isindependentpub
no
refubium.mycore.derivateId
FUDOCS_derivate_000000008148
dcterms.accessRights.openaire
open access