ACR Meeting Abstracts

ACR Meeting Abstracts

Abstract Number: 689

Association of Kinesiophobia, Aerobic Exercise, Functional Impairment and Disease Activity of Patients with Rheumatoid Arthritis and Spondyloarthritis

Daniele Peres1, Nicolas Tordi2, Daniel Wendling3, Yoshimasa Sagawa4 and Clément Prati5, 1EA 4267 PEPITE (FHU INCREASE) – Plateforme EPSI, Université de Bourgogne Franche-Comté, Besançon,, France, 2PEPITE EA 4267, Bourgogne Franche-Comté University, Besançon, France, 3Rheumatology, University Hospital - Bourgogne Franche Comté University, Besançon, France, 4Laboratoire de l'Exploration Fonctionnelle et Clinique du Mouvement (LEFCM), BESANCON, France, 5Rheumatology, University Hospital - Bourgogne Franche Comté University, Besancon, France

Meeting: 2018 ACR/ARHP Annual Meeting

Keywords: ,

Session Information

Date: Sunday, October 21, 2018

Session Title: Spondyloarthritis Including Psoriatic Arthritis – Clinical Poster I: Imaging, Clinical Studies, and Treatment

Session Type: ACR Poster Session A

Session Time: 9:00AM-11:00AM

Association of kinesiophobia, aerobic exercise, functional impairment and disease activity of patients with rheumatoid arthritis and spondyloarthritis.

Background/Purpose:

 Rheumatoid arthritis (RA) and spondyloarthritis (SA) are the most common chronic inflammatory rheumatism, leading to functional disability, but also cardiovascular mortality. Aerobic exercise (AE) is one of the most effective non-pharmacological resources for cardiovascular rehabilitation  while the patients RA and SA have difficulty to join the practice of physical exercise. It can be explained by the presence of kinesiophobia, fear that the movement exacerbates the pain and disease

The objective was to compare the level of AE of patients with RA and SA with healthy subjects and to verify the association between kinesiophobia, the level of activity of the disease and the functional disability.

Methods:

Fifty RA patients and fifty SA patients followed by the rheumatology department of the University Hospital of Besançon and fifty healthy age-matched subjects were included. The main inclusion criteria: between 18 and 80 years old and without orthopedic surgery <1 year. The disease activity (DAS-28 and ASDAS), the functional disability (HAQ and BASFI), the level of AE (SQUASH questionnaire) and kinesiophobia (TSK questionnaire) were evaluated. The control group answered to the SQUASH questionnaire. The t-test was used to compare inflammatory rheumatism groups with the control group (healthy subjects). The Pearson Correlation Test for each group (RA and SA) was used to verify the associations between variables.

Table 1: Demographic Characteristics of Patients with RA and SA and Healthy Subjects.

RA

SA

Healthy Subjects

Age (years)

62.8 (10.8)

47.3 (12.7)

55.7 (13.4)

  Height (m)

1.66 (0.10)

1.70 (0.1)

1.70 (0.1)

Weight (Kg)

72.4 (16.5)

71.8 (14.7)

71.7 (14.8)

Aerobic Exercises (SQUASH)

3706.9 (2958.3)

5448.0 (3655.6)

5503.5 (3095.9)

Kinesiophobie (TSK )

42.7 (7.8)

40.6 (7.5)

–

Functional disability (HAQ/BASFI)

1.0 (0.6)

4.3 (2.4)

–

Disease activity (DAS28/ASDAS)

3.0 (1.1)

1.6 (1.1)

–

Results:

 The level of AE is significantly higher in healthy subjects (p = 0.022). In the RA group, kinesiophobia is associated with disease activity, functional disability and level of AE. In the SA group, kinesiophobia is associated only with the functional disability.

Table 2: Results of Pearson Correlation Test between variables

* p <0.005; ** p < 0,005

Aerobic Exercice

Kinesiophobie

Functional Disability

Disease Activity

RA

Aerobic Exercise

–

r = -0.280*

r = -0.414**

r = -0.149

Kinesiophobie

r = -0.280*

–

r = 0.522**

r = 0.327*

Functional Disability

r = -0.414**

r = 0.522**

–

r = 0.531*

SA

Aerobic Exercise

–

r = -0.165

r = -0.40

r = -0.064

Kinesiophobie

r = -0.165

–

r = 0.345*

r = 0.224

Functional Disability

r = -0.040

r = 0.345*

–

r = 0.737**

Patients have a low level of AE compared to healthy subjects. However, only the RA group has an association between kinesiophobia and AE. In the SA group, functional disability appears to be a factor limiting the practice of AE.

Conclusion:

RA and SA patients need to be encouraged and better informed about the benefits of physical exercise.

Disclosure: D. Peres, None; N. Tordi, None; D. Wendling, None; Y. Sagawa, None; C. Prati, None.

To cite this abstract in AMA style:

Peres D, Tordi N, Wendling D, Sagawa Y, Prati C. Association of Kinesiophobia, Aerobic Exercise, Functional Impairment and Disease Activity of Patients with Rheumatoid Arthritis and Spondyloarthritis [abstract]. Arthritis Rheumatol. 2018; 70 (suppl 10). https://acrabstracts.org/abstract/association-of-kinesiophobia-aerobic-exercise-functional-impairment-and-disease-activity-of-patients-with-rheumatoid-arthritis-and-spondyloarthritis/. Accessed December 10, 2019.

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