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Bewegung und rheumatologische Erkrankungen

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Körperliche Aktivität und Gesundheit
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Zusammenfassung

Rheuma, eine heterogene Gruppe von sich lokal und systemisch manifestierenden Erkrankungen, stellt eine erhebliche Belastung der Gesundheitssysteme dar. Die Pathogenese der meisten Beschwerdebilder ist noch nicht abschließend geklärt, wenngleich vordringlich genetische, umwelt- und verhaltensbedingte (z. B. Rauchen) Ursachen vermutet werden. Die Verschreibung von Bewegungstherapie ist in den meisten Fällen indiziert. Neben Krafttraining erzielt hier vor allem aerobes Ausdauertraining krankheitslindernde Effekte. Konkrete Empfehlungen und internationale Guidelines zur Intensität und optimalen Dosierung des Trainings liegen bis dato jedoch noch nicht vor.

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Literatur

  • Alaranta H, Karppi SL, Voipio-Pulkki LM (1983) Performance capacity of trunk muscles in ankylosing spondylitis. Clin Rheumatol 2: 251–257

    Google Scholar 

  • Al-Qubaeissy KY, Fatoye FA, Goodwin PC, Yohannes AM (2013) The Effectiveness of Hydrotherapy in the Management of Rheumatoid Arthritis: A Systematic Review. Musculoskelet Care 11: 3–18

    Google Scholar 

  • Andrianakos A, Trontzas P, Christoyannis F, Dantis P, Voudouris C et al. (2002) Prevalence of rheumatic diseases in Greece. A cross-sectional population based epidemiological study. The ESORDIG study. J Rheumatol 30:1589–1601

    Google Scholar 

  • Aydog E, Depedibi R, Bal A, Eksioglu E, Unlu E, Cakci A (2006) Dynamic postural balance in ankylosing spondylitis patients. Rheumatology (Oxford) 45: 445–448

    Google Scholar 

  • Bachasson D, Guinot M, Wuyam B et al. (2013) Neuromuscular fatigue and exercise capacity in fibromyalgia syndrome. Arthritis Care Res 65: 432–440

    Google Scholar 

  • Baillet A, Vaillant M, Guinot M, Juvin R, Gaudin P (2012) Efficacy of resistance exercises in rheumatoid arthritis: meta-analysis of randomized controlled trials. Rheumatology 51: 519–527

    Google Scholar 

  • Bardal EM, Olsen TV, Ettema G, Mork PJ (2013) Metabolic rate, cardiac response, and aerobic capacity in fibromyalgia: a case–control study. Scand J Rheumatol 42: 417–420

    Google Scholar 

  • Behrouz R (2014) The risk of ischemic stroke in major rheumatic disorders. J Neuroimmunol 277: 1–5

    Google Scholar 

  • Bellato E, Marini E, Castoldi F et al. (2012) Fibromyalgia Syndrome: Etiology, Pathogenesis, Diagnosis, and Treatment. Pain Res Treat 2012: 1–17

    Google Scholar 

  • Bidonde J, Busch AJ, Webber SC et al. (2014) Aquatic exercise training for fibromyalgia. Cochrane Database Syst Rev 10: CD011336

    Google Scholar 

  • Brenton-Rule A, Dalbeth N, Bassett S, Menz HB, Rome K (2015) The incidence and risk factors for falls in adults with rheumatoid arthritis: A systematic review. Seminars in Arthritis and Rheumatism 44: 389–398

    Google Scholar 

  • Brosseau L, Wells GA, Tugwell P et al. (2008a) Ottawa Panel Evidence-Based Clinical Practice Guidelines for Aerobic Fitness Exercises in the Management of Fibromyalgia: Part 1. Physical Therapy 88: 857–871

    Google Scholar 

  • Brosseau L, Wells GA, Tugwell P et al. (2008b) Ottawa Panel Evidence-Based Clinical Practice Guidelines for Strengthening Exercises in the Management of Fibromyalgia: Part 2. Physical Therapy 88: 873–886

    Google Scholar 

  • Busch AJ, Schachter CL, Overend TJ, Peloso PM, Barber KAR (2008) Exercise for fibromyalgia: a systematic review. J Rheumatol 35: 1130–1144

    Google Scholar 

  • Busch AJ, Webber SC, Richards RS et al. (2013) Resistance exercise training for fibromyalgia. Cochrane Database Syst Rev 12: CD010884

    Google Scholar 

  • Cakir N, Pamuk ÖN, Dervis E, Imeryüz N, Uslu H et al. (2012) The prevalence of some rheumatic diseases in western turkey. Havsa study. Rheumatol Int 32: 895–908

    Google Scholar 

  • Carmona L, Ballina J, Gabriel R, Laffon A (2001) The burden of musculoskeletal diseases in the general population of Spain. Results from a national survey. Ann Rheum Dis 60: 1040–1045.

    Google Scholar 

  • Carter R, Riantawan P, Banham SW, Sturrock RD (1999) An investigation of factors limiting aerobic capacity in patients with ankylosing spondylitis. Respir Med 93: 700–708

    Google Scholar 

  • Chopra A, Patil J, Billempelly V, Relwani J, Tandle HS (2001) Prevalence of rheumatic diseases in a rural population in western India. A WHO-ILAR COPCORD study. J Assoc Physicians India 49: 240–246

    Google Scholar 

  • Chou CT, Pei L, Chang DM, Lee CF, Schumacher HR, Liang MH (1994) Prevalence of rheumatic diseases in Taiwan. A population study of urban, suburban, rural differences. J Rheumatol 21: 302-306

    Google Scholar 

  • Choy E (2012) Understanding the dynamics: pathways involved in the pathogenesis of rheumatoid arthritis. Rheumatology 51, Suppl 5: v3-11

    Google Scholar 

  • Cooney JK, Law R, Matschke V et al. (2011) Benefits of exercise in rheumatoid arthritis. J Aging Res 2011: 681640

    Google Scholar 

  • Dagfinrud H, Hagen KB, Kvien TK (2008) Physiotherapy interventions for ankylosing spondylitis. Cochrane Database Syst Rev 23: CD002822

    Google Scholar 

  • Dean LE, Jones GT, MacDonald AG, Downham C, Sturrock RD, Macfarlane GJ (2014) Global prevalence of ankylosing spondylitis. Rheumatology 53: 650–657

    Google Scholar 

  • Di Giuseppe D, Discacciati A, Orsini N, Wolk A (2014) Cigarette smoking and risk of rheumatoid arthritis: a dose-response meta-analysis. Arthritis Res Ther 16: R61

    Google Scholar 

  • Duruturk N, Tuzun EH, Culhaoglu B (2015) Is balance exercise training as effective as aerobic exercise training in fibromyalgia syndrome? Rheumatol Int 35: 845–854

    Google Scholar 

  • Ekdahl C, Broman G (1992) Muscle strength, endurance, and aerobic capacity in rheumatoid arthritis: a comparative study with healthy subjects. Ann Rheum Dis 51: 35–40

    Google Scholar 

  • Fuchs J, Rabenberg M, Scheidt-Nave (2013) Prävalenz ausgewählter muskuloskelettaler Erkrankungen. Ergebnisse der Studie uir Gesundheit Erwachsener in Deutschland (DEGS1). Bundesgesundheitsbl 56: 678–686

    Google Scholar 

  • Góes SM, Leite N, Shay BL, Homann D, Stefanello JM, Rodacki AL (2012) Functional capacity, muscle strength and falls in women with fibromyalgia. Clin Biomech 27: 578–583

    Google Scholar 

  • Halvorsen S, Vollestad NK, Fongen C et al. (2012) Physical Fitness in Patients With Ankylosing Spondylitis: Comparison With Population Controls. Phys Ther 92: 298–309

    Google Scholar 

  • Häuser W, Klose P, Langhorst J et al. (2010) Efficacy of different types of aerobic exercise in fibromyalgia syndrome: a systematic review and meta-analysis of randomised controlled trials. Arthritis Res Ther 12: R79

    Google Scholar 

  • Hill KD, Williams SB, Chen J, Moran H, Hunt S, Brand C (2013) Balance and falls risk in women with lower limb osteoarthritis or rheumatoid arthritis. J Clin Gerontol Ger 4: 22–28

    Google Scholar 

  • Hsieh L, Wei JC, Lee H, Chuang C, Jiang J, Chang K (2014) Aerobic capacity and its correlates in patients with ankylosing spondylitis. Int J Rheum Dis: doi 10.1111/1756-185X.12347 [Epub ahead of print]

  • Hurkmans E, van der Giesen FJ, Vliet Vlieland TPM, Schoones J, van den Ende EC (2009) Dynamic exercise programs (aerobic capacity and/or muscle strength training) in patients with rheumatoid arthritis. Cochrane Database Syst Rev 4: CD006853

    Google Scholar 

  • Jones KD, Horak FB, Winters-Stone K, Irvine JM, Bennett RM (2009) Fibromyalgia Is Associated With Impaired Balance and Falls. J Clin Rheumatol 15: 16–21

    Google Scholar 

  • Karapolat H, Eyigor S, Zoghi M, Akkoc Y, Kirazli Y, Keser G (2009) Are swimming or aerobic exercise better than conventional exercise in ankylosing spondylitis patients? A randomized controlled study. Eur J Phys Rehabil Med 45: 449–457

    Google Scholar 

  • Kibar S, Yıldız HE, Ay S, Evcik D, Ergin ES (2015) New Approach in Fibromyalgia Exercise Program: A Preliminary Study Regarding the Effectiveness of Balance Training. Arch Phys Med Rehabil 96: 1576–1582

    Google Scholar 

  • Lawrence RC, Felson DT, Helmick CG, Arnold LM, Choi H, et al. (2008) Estimates of the prevalence of arthritis and other rheumatic conditions in the United States. Part II. Arthritis Rheumatism 58: 26–35.

    Google Scholar 

  • Lemmey AB, Marcora SM, Chester K, Wilson S, Casanova F, Maddison PJ (2009) Effects of high-intensity resistance training in patients with rheumatoid arthritis: A randomized controlled trial. Arthritis Rheum 61: 1726–1734

    Google Scholar 

  • Lima TB, Dias JM, Mazuquin BF et al. (2013) The effectiveness of aquatic physical therapy in the treatment of fibromyalgia: a systematic review with meta-analysis. Clin Rehabil 27: 892–908

    Google Scholar 

  • Liptan GL (2010) Fascia: A missing link in our understanding of the pathology of fibromyalgia. J Bodyw Mov Ther 14: 3–12

    Google Scholar 

  • Maquet D, Croisier J, Renard C, Crielaard J (2002) Muscle performance in patients with fibromyalgia. Joint Bone Spine 69: 293–299

    Google Scholar 

  • McInnes IB, Schett G (2011) The Pathogenesis of Rheumatoid Arthritis. N Engl J Med 365: 2205–2219

    Google Scholar 

  • Meacock R, Dale N, Harrison MJ (2013) The Humanistic and Economic Burden of Systemic Lupus Erythematosus. PharmacoEconomics 31: 49–61

    Google Scholar 

  • Meek IL, Picavet HSJ, Vonkeman HE, Verschuren WMM, van de Laar MAFJ (2012) Increased cardiovascular risk factors in different rheumatic diseases compared with the general population. Rheumatology 52: 210–216

    Google Scholar 

  • Meireles SA, Antero DC, Kulczycki MM, Skare TL (2014) Prevalence of falls in fibromyalgia patients. Acta Ortop Bras 22: 163–166

    Google Scholar 

  • Metsios GS, Stavropoulos-Kalinoglou A, Panoulas VF et al. (2009) Association of physical inactivity with increased cardiovascular risk in patients with rheumatoid arthritis. Eur J Cardiov Prev Rehabil 16: 188–194

    Google Scholar 

  • Millner JR, Barron JS, Beinke KM et al. (2015) Exercise for ankylosing spondylitis: An evidence-based consensus statement. Sem Arthr Rheum: doi 10.1016/j.semarthrit.2015.08.003 [Epub ahead of print]

  • Munsterman T, Takken T, Wittink H (2012) Are persons with rheumatoid arthritis deconditioned? A review of physical activity and aerobic capacity. BMC Musculoskelet Disord 13: 202

    Google Scholar 

  • Murray HC, Elliott C, Barton SE, Murray A (2000) Do patients with ankylosing spondylitis have poorer balance than normal subjects? Rheumatology (Oxford) 39: 497–500

    Google Scholar 

  • Niedermann K, Sidelnikov E, Muggli C et al. (2013) Effect of cardiovascular training on fitness and perceived disease activity in people with ankylosing spondylitis. Arthritis Care Res (Hoboken) 65: 1844–1852

    Google Scholar 

  • Nordesjo LO, Nordgren B, Wigren A, Kolstad K (1983) Isometric strength and endurance in patients with severe rheumatoid arthritis or osteoarthrosis in the knee joints. A comparative study in healthy men and women. Scand J Rheumatol 12: 152–156

    Google Scholar 

  • O’Dwyer T, O’Shea F, Wilson F (2015) Decreased health-related physical fitness in adults with ankylosing spondylitis: a cross-sectional controlled study. Physiotherapy: doi 10.1016/j.physio.2015.05.003 [Epub ahead of print]

  • O’Dwyer T, Rafferty T, O’Shea F, Gissane C, Wilson F (2014) Physical activity guidelines: is the message getting through to adults with rheumatic conditions? Rheumatology 53: 1812–1817

    Google Scholar 

  • Oliveira SCG, Oliveira LM, Jones A, Natour J (2015) Avaliação isocinética do tornozelo de pacientes com artrite reumatoide. Revista Brasileira de Reumatologia 55: 318–324

    Google Scholar 

  • Oliver JE, Silman AJ (2009) What epidemiology has told us about risk factors and aetiopathogenesis in rheumatic diseases. Arthritis Res Ther 11: 223

    Google Scholar 

  • Ottawa Panel (2004) Ottawa Panel evidence-based clinical practice guidelines for therapeutic exercises in the management of rheumatoid arthritis in adults. Phys Ther 84: 934–972

    Google Scholar 

  • Ozgocmen S, Akgul O, Altay Z et al. (2012) Expert opinion and key recommendations for the physical therapy and rehabilitation of patients with ankylosing spondylitis. Int J Rheumatic Dis 15: 229–238

    Google Scholar 

  • Panton LB, Kingsley JD, Toole T et al. (2006) A comparison of physical functional performance and strength in women with fibromyalgia, age- and weight-matched controls, and older women who are healthy. Phys Ther 86: 1479–1488

    Google Scholar 

  • Pelaez-Ballestas I, Sanin LH, Moreno-Montoya J, Nemegyei JA, Burgos-Vargas R, et al. (2011) Epidemiology of the rheumatic diseases in mexico. A study of 5 regions based on the COPCORD methodology. J Rehumatol 86:3-8.

    Google Scholar 

  • Perandini LA, Sá-Pinto AL de, Roschel H et al. (2012) Exercise as a therapeutic tool to counteract inflammation and clinical symptoms in autoimmune rheumatic diseases. Autoimm Rev 12: 218–224

    Google Scholar 

  • Puig-Junoy J, Ruiz Zamora A (2015) Socio-economic costs of osteoarthritis: A systematic review of cost-of-illness studies. Sem Arthr Rheumatism 44: 531–541

    Google Scholar 

  • Reyes-Llerena GA, Guibert-Toledano M, Penedo-Coello A, Perez-Rodriguez A, Baez-Duenas R, et al. (2009) Community-based study to estimate prevalence and burden of illness of rheumatic diseases in cuba. A COPCORD study. J Clin Rheumatol 15: 51–55

    Google Scholar 

  • Rongen-van Dartel SAA, Repping-Wuts H, Flendrie M et al. (2015) Effect of Aerobic Exercise Training on Fatigue in Rheumatoid Arthritis: A Meta-Analysis. Arthritis Care & Research 67: 1054–1062

    Google Scholar 

  • Sahin N, Ozcan E, Baskent A, Karan A, Ekmeci O, Kasikcioglu E (2011a) Isokinetic evaluation of ankle muscle strength and fatigue in patients with ankylosing spondylitis. Eur J Phys Rehabil Med 47: 399–405

    Google Scholar 

  • Sahin N, Ozcan E, Baskent A, Karan A, Kasikcioglu E (2011b) Muscular kinetics and fatigue evaluation of knee using by isokinetic dynamometer in patients with ankylosing spondylitis. Acta Reumatol Port 36: 252–259

    Google Scholar 

  • Salaffi F, De Angelis R, Grassi W (2005) Prevalence of musculoskeletal conditions in an Italian population sample. Results of a regional community-based study. I. The MAPPING study. Clin Exp Rheumatol 23: 819-828

    Google Scholar 

  • Sanada K, Díez MA, Valero MS et al. (2015) Effects of non-pharmacological interventions on inflammatory biomarker expression in patients with fibromyalgia: a systematic review. Arthritis Res Ther 17: 19

    Google Scholar 

  • Sangha O (2000) Epidemiology of rheumatic diseases. Rheumatology 39: 3–12

    Google Scholar 

  • Scarvell J, Elkins MR (2011) Aerobic exercise is beneficial for people with rheumatoid arthritis. Br J Sports Med 45: 1008–1009

    Google Scholar 

  • Schleip R, Klingler W, Lehmann-Horn F (2005) Active fascial contractility: Fascia may be able to contract in a smooth muscle-like manner and thereby influence musculoskeletal dynamics. Med Hypotheses 65: 273–277

    Google Scholar 

  • Senna ER, De Barros AL, Silva EO, Costa IF, Pereira LVB, et al. (2004) Prevalence of rheumatic diseases in brazil. A study using the COPCORD approach. J Rheumatol 31: 594-597.

    Google Scholar 

  • Shamji MF, Bafaquh M, Tsai E (2008) The pathogenesis of ankylosing spondylitis. Neurosurg Focus 24: E3

    Google Scholar 

  • Silva KN, Mizusaki Imoto A, Almeida GJ, Atallah AN, Peccin MS, Fernandes Moça Trevisani V (2010) Balance training (proprioceptive training) for patients with rheumatoid arthritis. Cochrane Database Syst Rev 12:CD007648

    Google Scholar 

  • Smith JA (2015) Update on ankylosing spondylitis. Current concepts in pathogenesis. Curr Allergy Asthma Rep 15: 489

    Google Scholar 

  • Sokka T, Häkkinen A, Kautiainen H et al. (2008) Physical inactivity in patients with rheumatoid arthritis: Data from twenty-one countries in a cross-sectional, international study. Arthritis Rheum 59: 42–50

    Google Scholar 

  • Speck-Hernandez CA, Montoya-Ortiz G (2012) Silicon, a Possible Link between Environmental Exposure and Autoimmune Diseases: The Case of Rheumatoid Arthritis. Arthritis 2012: 1–11

    Google Scholar 

  • Swinkels A, Dolan P (2004) Spinal position sense in ankylosing spondylitis. Spine 29: 413–420

    Google Scholar 

  • van den Berg MH, Boer IG de, Le Cessie S, Breedveld FC, Vliet Vlieland TP (2007) Are Patients With Rheumatoid Arthritis Less Physically Active Than the General Population? J Clin Rheumatol 13: 181–186

    Google Scholar 

  • van Elske den Akker-van Marle M, Chorus AM, Vliet Vlieland TP, van den Hout WB (2012) Cost of rheumatic disorders in the Netherlands. Best Practice & Research Clinical Rheumatology 26: 721–731

    Google Scholar 

  • Zeng QY, Chen R, Darmawan J, Xiao ZY, Chen SB, et al. (2008) Rheumatic diseases in china. Arthritis Res Ther 10:R17

    Google Scholar 

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Wilke, J., Banzer, W. (2017). Bewegung und rheumatologische Erkrankungen. In: Banzer, W. (eds) Körperliche Aktivität und Gesundheit. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-50335-5_22

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