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Rehabilitation of patients with inflammatory rheumatic diseases and comorbidities: unmet needs

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Abstract

Comorbidities may contribute to inadequate response to therapy and accelerate disability in various rheumatic diseases such as rheumatoid arthritis (RA), systemic lupus erythematosus (SLE), and psoriatic arthritis (PsA). Cardiovascular, oncological, and infectious comorbidities are common in rheumatic patients. The rehabilitation of patients with inflammatory rheumatic diseases (IRDs) with comorbidities requires a multidisciplinary approach to improving patients’ functional mobility, slowing down the disease progression and minimizing the risks of complications. The evidence suggests that cardiac rehabilitation can be implemented in daily practice in patients with IRDs to reduce mortality for those with established risk factors. Physical exercises reduce the severity, improve the clinical course, and reduce hospitalization rates in patients with rheumatic diseases. A rehabilitation program with focused physical therapy can lead to functional improvements and reduction of disease activity in patients with lowered quality of life (QoL). Health professionals should provide evidence-based recommendations for patients with rheumatic diseases and comorbidities to initiate the self-management of their diseases and prevent complications.

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Authors and Affiliations

  1. Department of Pathophysiology, Ivano-Frankivsk National Medical University, Halytska Str. 2, Ivano-Frankivsk, 76018, Ukraine

    Yuliya Fedorchenko

  2. Department of Propaedeutics of Internal Diseases, Avicenna Tajik State Medical University, Dushanbe, Tajikistan

    Khaiyom Mahmudov

  3. Student Polyclinic, Shymkent, Kazakhstan

    Zhumabek Abenov

  4. South Kazakhstan Medical Academy, Shymkent, Kazakhstan

    Zhumabek Abenov

  5. Department of Clinical Rheumatology and Immunology, University Hospital in Krakow, Krakow, Poland

    Olena Zimba

  6. National Institute of Geriatrics, Rheumatology and Rehabilitation, Warsaw, Poland

    Olena Zimba

  7. Department of Internal Medicine N2, Danylo Halytsky Lviv National Medical University, Lviv, Ukraine

    Olena Zimba

  8. Department of Biology and Biochemistry, South Kazakhstan Medical Academy, Shymkent, Kazakhstan

    Marlen Yessirkepov

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  1. Yuliya Fedorchenko
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  2. Khaiyom Mahmudov
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  3. Zhumabek Abenov
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  5. Marlen Yessirkepov
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Conceptualization: FY, ZO. Writing—original draft: FY, ZO. Writing—review & editing: FY, ZO, KM, ZA, MY. Approval—FY, ZO, KM, ZA, MY.

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Correspondence to Yuliya Fedorchenko.

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Fedorchenko, Y., Mahmudov, K., Abenov, Z. et al. Rehabilitation of patients with inflammatory rheumatic diseases and comorbidities: unmet needs. Rheumatol Int 44, 583–591 (2024). https://doi.org/10.1007/s00296-023-05529-6

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