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Walking is a Feasible Physical Activity for People with Rheumatoid Arthritis: A Feasibility Randomized Controlled Trial.

Musculoskeletal care
March 1, 2016
Susan V Baxter et al. (6 authors)
Journal ArticleRandomized Controlled TrialHuman StudyClinical
Study Details

Study Goal

The researchers aimed to determine if a designed walking program for people with rheumatoid arthritis (RA) could facilitate regular physical activity without increasing pain levels.

Results Summary

The walking program was feasible, acceptable, and safe, with no reported adverse effects or increased pain. The intervention group showed improvements in self-efficacy and global well-being, though no statistically significant between-group differences were observed.

Population

Thirty-three people with rheumatoid arthritis recruited from rheumatology outpatient clinics.

Effective Dosage

Walking route with three loops, completed 3-4 times per week.

Duration

Six weeks.

Interactions

None mentioned.

Extracted Claims (8)
InterventionDirectionEndpointPopulationDosageImpactClaim #
walking programme
increase
regular physical activity
people with RA
-
successfully facilitated regular physical activity
#1
walking programme
no change
pain levels
people with RA
-
without detriment to pain levels
#2
walking intervention
no change
daily pain levels
walking intervention group
-
did not have higher daily pain levels than the control group
#3
walking intervention
increase
self-efficacy
walking intervention group
-
showed a pattern of improvements
#4
walking intervention
increase
global well-being
walking intervention group
-
showed a pattern of improvements
#5
control group
no change
self-efficacy
control group
-
no changes in these outcomes were noted
#6
control group
no change
global well-being
control group
-
no changes in these outcomes were noted
#7
walking intervention
no change
all outcome measures
walking intervention group vs control group
-
No outcome measure showed statistically significant between-group differences
#8
Abstract

BACKGROUND: Exercise has been recognized as important in the management of rheumatoid arthritis (RA). Walking is a low-cost and low-impact activity, requiring little supervision. It requires no specialist training, is suited to a variety of environments and is inherently a clinically meaningful measure of independence. The aim of the present study was to determine whether a designed walking programme for people with RA successfully facilitated regular physical activity in participants, without detriment to pain levels. METHODS: Thirty-three people with RA were recruited from Dunedin Hospital rheumatology outpatient clinics and enrolled in a walking randomized controlled trial (RCT) feasibility study. Participants were randomly allocated to the walking intervention (n = 11) or control (n = 22) groups. Control participants received a nutrition education session, and the walking intervention group received instructions on a walking route with three loops, to be completed 3-4 times per week. The walking route shape was designed so that the length of the walk could be tailored by participants. Both groups were assessed at baseline and six weeks later. The primary outcome measures were feasibility, acceptability and safety. The principal secondary outcome was change in walking speed after the intervention. Additional outcome measures were a step-up test, activity limitations (on the Health Assessment Questionnaire), global well-being (on the European Quality of Life Questionnaire), self-efficacy for managing arthritis symptoms, self-efficacy for physical activity, daily pedometer readings and a daily visual analogue scale for pain. RESULTS: Participants successfully completed the walk for the suggested frequency, indicating feasibility and acceptability. There were no reported adverse effects of participation and the walking intervention group did not have higher daily pain levels than the control group, indicating safety. The walking intervention group showed a pattern of improvements in self-efficacy and global well-being; no changes in these outcomes were noted in the control group. No outcome measure showed statistically significant between-group differences. CONCLUSIONS: Walking appears to be a feasible, acceptable and safe intervention for people with RA. These findings inform the design and power requirements of larger trials of structured walking interventions. Copyright © 2015 John Wiley & Sons, Ltd.

Medical Subject Headings (MeSH)
AgedAged, 80 and overArthritis, RheumatoidFeasibility StudiesHumansMiddle AgedWalking
Study Links
Quality Scores
Safety90
Efficacy65/10
Quality75/10
Citation Metrics
Total Citations21
Citations/Year2.3
Relative Citation Ratio1.22
NIH Percentile57.7%
Research Impact Scores
APT Score0.75
Weight Score1.80
Normalized Score0.77
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