Self-reported adherence to a home-based exercise program among patients affected by psoriatic arthritis with minimal disease activity.
More than half of all patients with psoriatic arthritis (PsA) exhibit progressive erosive arthritis, associated with severe functional impairment and psychosocial disability. Biologics have been suggested to be more effective in inducing minimal disease activity" (MDA) than disease-modifying antirheumatic drugs (DMARDs). Behavioral patient education appears to be more effective in encouraging patients to increase their physical activity (PA) levels. The aim of the study was to evaluate the benefits of home-based exercises program on disease activity and quality of life in MDA-PsA patients treated with an anti-tumor necrosis factor (TNF) and DMARD therapy. We observed a self-reported adherence rate to home-based exercise of 76.6% and data showed the impact of the exercise program on self-reported health and mental assessment. A positive relationship between patient and therapist is crucial, influencing the quality of the performance, the emotional support, and increasing motivation in PsA patients.
Rheumatology, Allergology and Clinical Immunology, Department of "Medicina dei Sistemi,", University of Rome "Tor Vergata,", 00133, Roma, Italy.
Maria Sole
MS
Chimenti
Paola
P
Triggianese
Paola
P
Conigliaro
Matteo
M
Santoro
Ramona
R
Lucchetti
Roberto
R
Perricone
D000328:Adult; D018501:Antirheumatic Agents / Q000627:therapeutic use; D015535:Arthritis, Psoriatic / Q000188:drug therapy / Q000628:therapy*; D003131:Combined Modality Therapy; D004359:Drug Therapy, Combination; D005081:Exercise Therapy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010349:Patient Compliance / Q000706:statistics & numerical data*; D011788:Quality of Life; D057566:Self Report; D014409:Tumor Necrosis Factor-alpha / Q000037:antagonists & inhibitors
D018501:Antirheumatic Agents; D014409:Tumor Necrosis Factor-alpha
anti-tumor necrosis factor (anti-TNF); minimal disease activity; physical activity; psoriatic arthritis