Lower-limb muscle strength in women with rheumatoid arthritis and women without the disease: is there a difference?
DOI:
https://doi.org/10.1590/1809-2950/17000125042018Keywords:
Rheumatoid Arthritis, Muscle Strength, Lower LimbsAbstract
Rheumatoid arthritis (RA) is a systemic inflammatory disease, which is chronic and affects the joints’ synovial membrane. Among the physical aptitude qualities that can be impaired in individuals with RA, muscle strength deserves attention. It is directly associated with the capacity of performing all activities of daily living, from the simplest to the most complex. The aim of this study was to assess the muscle strength of the lower limbs of women with RA. Seventeen volunteers with RA (I, II and III functional classes) and 17 women without the disease, with mean age corresponding to 54.7+6.63 years, underwent the one-maximum repetition test to assess knee flexors and extensors, hip abductors and adductors. We used Student’s T test to analyze the data, considering significant p values < 0.05. In all assessments, the group of women with RA showed lower values when compared with women without the disease. However, there were no statistically significant differences between the groups. The descriptive levels obtained from the comparison between the groups’ muscle strength were: knee extensors, p=0.224; knee flexors, p=0.467; hip abductors, p=0.190 and hip adductors, p=0.127. The muscle strength of the lower limbs does not differ between women with RA (I, II and III functional classes) and women without the disease.
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References
Aletaha D, Neogi T, Silman AJ, Funovits J, Felson DT, Bingham
CO 3rd, et al. 2010 rheumatoid arthritis classification criteria:
an American College of Rheumatology/European League
Against Rheumatism collaborative initiative. Ann Rheum Dis.
;69(9):1580-8. doi: 10.1136/ard.2010.138461
Goeldner I, Skare T, Reason I, Utiyama S. Artrite reumatoide:
uma visão atual. J Bras Patol Med Lab. 2011;47(5):495-503.
doi: 10.1590/S1676-24442011000500002
Emery P. Treatment of rheumatoid arthritis. BMJ. 2006;332:152-
doi: 10.1136/bmj.332.7534.152
American College of Rheumatology, Subcommittee on
rheumatoid arthritis guidelines. Guidelines for the management
of rheumatoid arthritis: 2002 Update. Arthritis Rheum.
;46(2):328-46. doi: 10.1002/art.10148
Ruiz J, Sui X, Lobelo F, Morrow J, Jackson A, Sjöström M, et
al. Association between muscular strength and mortality in
men: prospective cohort study. BMJ. 2008;337(7661):92-5.
doi: 10.1136/bmj.a439
Bjarnason-Wehrens B, Mayer-Berger W, Meister ER, Gielen
S. Recommendations for resistance exercise in cardiac
rehabilitation. Recommendations of the German Federation
for Cardiovascular Prevention and Rehabilitation. Eur J
Cardiovasc Prev Rehabil. 2004;11(4):352-61. doi: 10.1097/01.
hjr.0000137692.36013.27
Arnett FC, Edworthy SM, Bloch DA, McShane DJ, Fries JF,
Cooper NS, et al. The American Rheumatism Association 1987
revised criteria for the classification of rheumatoid arthritis.
Arthritis Rheum. 1988;31(3):315-24. doi: 10.1002/art.1780310302
Hochberg MC, Chang RW, Dwosh I, Lindsey S, Pincus T, Wolfe
F. The American College of Rheumatology 1991 revised criteria
for the classification of global status in Rheumatoid Arthritis.
Arthritis Rheum. 1992;35(5):498-502. doi: 10.1002/art.1780350502
Matsudo SM, Araújo T, Matsudo VR, Andrade D, Andrade E,
Oliveira LC, et al. Questionário Internacional de Atividade física
(IPAQ): estudo de validade e reprodutibilidade no Brasil. Rev
Ativ Fís Saúde. 2001;6(2):5-18. doi: 10.12820/rbafs.v.6n2p5-18
Bruce B, Fries JF. The Health Assessment Questionnaire (HAQ).
Clin Exp Rheumatol. 2005 [cited 2018 Oct 9].;23(5 Suppl
:S14-8. Available from: https://bit.ly/2OhJEEU
Aletaha D, Smolen J. The Simplified Disease Activity Index
(SDAI) and the Clinical Disease Activity Index (CDAI): a review
of their usefulness and validity in rheumatoid arthritis. Clin Exp
Rheumatol. 2005;23(5 Suppl 39):S100-8.
Levinger I, Goodman C, Hare DL, Jerums G, Toia D, Selig S. The
reliability of the 1RM strength test for untrained middle-aged
individuals. J Sci Med Sport. 2009;12(2):310-6. doi: 10.1016/j.
jsams.2007.10.007
Niehoff A, Müller M, Brüggemann L, Savage T, Zaucke F, Eckstein
F, et al. Deformational behavior of knee cartilage and changes
in serum cartilage oligomeric matrix protein (COMP) after
running and drop landing. Osteoarthr Cartil. 2011;19(8):1003-10.
doi: 10.1016/j.joca.2011.04.012
Ekdahl C, Broman G. Muscle strength, endurance, and aerobic
capacity in rheumatoid arthritis patients: a comparative study
with healthy subjects. Ann Rheum Dis. 1992;51(1):35-40.
Hakkinen A, Hannonen P, Hakkinen K. Muscle strength in
healthy people and in patients suffering from recent-onset
inflammatory arthritis. Br J Rheumatol. 1995;34(4):355-60.
Madsen OR, Egsmose C, Hansen B, Sorensen OH. Soft tissue
composition, quadriceps strength, bone quality and bone mass
in rheumatoid arthritis. Clin Exp Rheumatol. 1998;16(1):27-32.
Lemmey AB, Marcora SM, Chester K, Wilson S, Casanova F,
Maddison P. Effects of high-intensity resistance training in
patients with rheumatoid arthritis: a randomized controlled trial.
Arthritis Rheum. 2009;61(12):1726-34. doi: 10.1002/art.24891
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