Flash Cards For Relevant Exam Rhematoid Arthritis

1
Q

What are the primary symptoms of rheumatoid arthritis (RA)?

A

Chronic joint inflammation, pain, swelling, and stiffness.

Systemic symptoms include fatigue, depression, and reduced quality of life. Long-term effects can lead to joint deformities and disability.

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2
Q

How does exercise benefit individuals with RA?

A

• Reduces joint pain and stiffness through improved flexibility and strength.
• Enhances physical function and mobility, helping prevent disability.
• Lowers systemic inflammation markers (e.g., IL-6, CRP).
• Improves mental health outcomes (e.g., reduces fatigue and depression).

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3
Q

What types of exercise are most effective for RA management?

A
  1. Aerobic exercise: Low-impact activities like walking, cycling, or swimming (30 min, 3-5 times per week).
  2. Resistance training: 2-3 times per week to strengthen muscles supporting affected joints.
  3. Flexibility exercises: Stretching and yoga to maintain joint range of motion.
  4. Hydrotherapy: Exercises in warm water to reduce joint stress and pain.
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4
Q

What are the barriers to exercise for people with RA?

A

Joint pain and fatigue discourage participation.
Fear of worsening symptoms or causing joint damage.
Lack of tailored exercise programs or professional guidance.
Limited access to facilities or hydrotherapy pools.

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5
Q

What are key outcome measures used in RA exercise studies?

A

Physical function: Joint mobility tests, grip strength, and timed walking tests.

Example measures include timed walking tests and grip strength assessments.

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6
Q

What is a measure for pain and stiffness in RA studies?

A

Patient-reported outcomes (e.g., Visual Analogue Scale).

The Visual Analogue Scale is commonly used to assess pain levels.

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7
Q

What blood-based markers are used to measure inflammation in RA?

A

Blood-based markers (e.g., IL-6, CRP).

IL-6 and CRP are indicators of inflammation in the body.

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8
Q

What scales are used to assess quality of life in RA studies?

A

Mental health scales like the SF-36 or fatigue questionnaires.

The SF-36 is a widely used tool for measuring quality of life.

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9
Q

What are the anti-inflammatory effects of exercise in RA?

A

Reduces cytokines (e.g., IL-6) and improves immune regulation.

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10
Q

How does exercise provide joint protection in RA?

A

Strengthened muscles reduce stress on joints.

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11
Q

What psychological benefits does exercise offer in RA?

A

Exercise improves mood and reduces perceived pain through endorphin release.

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12
Q

What are the gaps in knowledge about exercise for RA?

A

Limited long-term studies on adherence to exercise interventions.

Lack of clarity on the optimal balance of intensity to avoid joint stress.

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13
Q

What is needed for exercise programs for RA?

A

More research on scalable, home-based programs for broader accessibility.

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14
Q

What is the need for research in exercise programs?

A

There is a need for more research on scalable, home-based programs for broader accessibility.

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15
Q

What are the implications of exercise research for RA treatment?

A

Exercise should be an integral part of RA management, alongside pharmacological treatments. Programs should be individualized and include education to address fears of joint damage. Emphasis on community or telehealth programs to ensure accessibility.

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16
Q

What limitations are common in exercise studies on RA?

A

• Small sample sizes or short study durations.
• Over-reliance on self-reported outcomes for pain and fatigue.
• Difficulty isolating the effects of exercise from concurrent treatments like medications.

17
Q

How can adherence to exercise programs for RA be improved?

A

Provide education on the safety and benefits of exercise.

18
Q

What type of activities should be included in exercise programs for RA?

A

Include low-impact, enjoyable activities to minimize joint stress.

19
Q

What support options can enhance exercise adherence for RA?

A

Offer professional guidance, group classes, or peer support.

20
Q

How can technology be utilized to support exercise for RA?

A

Use technology (e.g., apps, wearable devices) to monitor progress and motivate participation.