Thursday, December 13, 2012

Basic Principles of Exercise for Arthritis Patients

It is a common misconception that people with arthritis cannot exercise because pain associated with the disease is so restrictive. Contrary to this belief, the American College of Rheumatology and the National Institute of Arthritis and Musculoskeletal and Skin Diseases state that regular, appropriate exercise is safe and beneficial for people with arthritis. Exercise:
·         Reduces joint pain and stiffness
·         Increases flexibility
·         Improves muscle strength
·         Improves cardiac fitness and endurance

Long-term studies have confirmed that people with inflammatory forms of arthritis (such as rheumatoid arthritis) can participate in moderate-intensity, weight-bearing exercise without increasing pain or disease activity. Less bone loss and joint damage are positive outcomes that can result from exercise for inflammatory arthritis patients. For patients with osteoarthritis, a combination of aerobic and strengthening exercises can improve joint health and function, strength, balance, and coordination.
The key is for exercise to be appropriate for each individual. If you can no longer participate in high-intensity exercise such as athletics, or have to pare back recreational exercise such as distance walking, therapeutic exercise should still have a place in your daily routine. Range-of-motion exercises, strengthening exercises, and aerobic exercises are three types of exercise that are very beneficial for people with arthritis. If you haven't been exercising but you are beginning to realize the importance of it, you may be wondering how to start. Start with your doctor.
Discuss your plan to begin exercising with your doctor. Your doctor can help you decide how to build an exercise regimen designed specifically for you, or you may be referred to a physical therapist or occupational therapist for an evaluation of your physical limitations that will support their recommendations. Once what exercises you should be doing has been determined, start slow and stick with it!
Range-of-Motion Exercises
Range-of-motion exercise, exactly as its name implies, takes each of your joints through their full range of normal movement. On a daily basis, range-of-motion exercises maintain normal movements, help to relieve joint stiffness, and increase flexibility. Range-of-motion exercise consists of gentle, stretching movements and can be done on land or in the water.
The Arthritis Foundation recommends that you should do range-of-motion exercise daily and build up to fifteen minutes per day. When you are able to do fifteen continuous minutes of range-of-motion exercises, you may be able to add some strengthening and aerobic exercises into your routine. Some people find it helpful to do range-of-motion exercises in the morning to quell bothersome morning stiffness.
Strengthening Exercises
People with arthritis must maintain muscle strength by exercising. Strong muscles protect your joints and also support joints weakened by arthritis. Your ability to move depends on your muscle strength.
Isometric and isotonic exercises are two types of strengthening exercises. Isometric exercises tighten the muscles without moving the joint. Isotonic exercises strengthen muscles by moving the joints.
The American College of Rheumatology suggests doing a set of eight to ten exercises (targeting each major muscle group) two to three times a week. Most people with arthritis should perform eight to twelve repetitions of each exercise. Latex or rubber thera-bands, weights, or using a weight machine at a gym can provide resistance. You may find it better to increase the number of repetitions, while decreasing resistance. The Arthritis Foundation recommends that strengthening exercises be done every other day after warming up with range-of-motion exercises.
Alert
Remember, your exercise routine must be tailored to you. Have a health professional or certified trainer help you construct an exercise program. If you have made up your own routine, have a professional review it to be sure you are on the right course and not risking injury.
Aerobic Exercises
Aerobic exercise is also known as cardiovascular exercise or endurance exercise. Aerobic exercise includes physical activities that use the large muscles of the body in repetitive, rhythmic, and continuous motions. With aerobic exercise, you are working to make your heart, lungs, blood vessels, and muscles work as efficiently as possible. People with arthritis experience side benefits from aerobic exercise, such as weight control, better sleep, less anxiety and depression, and better overall fitness.
Examples of aerobic exercise include walking, aquatic exercise, bicycling, treadmill, and aerobic dance. If done at a moderate pace, everyday activities such as walking the dog, leaf raking, or golfing may be considered aerobic exercise.
The American College of Rheumatology recommends that aerobic exercise consist of thirty to sixty minutes of moderate intensity exercise, three to five days a week. It need not occur in one session, however. The recommended time can be divided into ten-minute segments throughout the day or week.
If your pain level is high, do shorter sessions. Determine your individual tolerance for the exercises planned: If you feel an adjustment should be made to your routine, discuss it with your doctor or the person serving as your exercise advisor. Exercise routines can be adapted and modified, but realize that exercise belongs in your daily routine. You are doing yourself a disservice if you choose to ignore the importance of exercise.
by Carol Eustice
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