Arbejdsintensitet svarende til en belastning på 70-84 % af maksimal voluntær kontraktion (MVC), eller af 1 Repetition maksimum (RM)) svarende til 8 - 12 repetitioner for personer < 50-60 år og 10 – 15 repetitioner for personer fra 50-60 år og ældre (tabel 1 (30)).
Alle muskelgrupper inklusiv de afficerede led bør indgå i træningen.
Patienter med leddestruktion i UE bør undgå belastninger over egen vægt ved ben-pres.
Patienter med skulder symptomer bør undgå stor belastning over skulderhøjde (1).
Monitorering
Procesmåling:
Individuelle træningslogs med beskrivelse af træningstilrettelæggelsen herunder øvelsesvalg, intensitet, antal træningspas, progression, varighed og graden af supervision.
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Antallet af patienter, der modtager høj-intensitets træning af aerob kapacitet og/eller styrke træning på en klinik (i primær eller sekundær sektoren) eller træningscenter og træningshyppighed.
Effektmåling:
Ændringer i aerob kapacitet beregnet indirekte eller målt direkte under cykel-, løb- eller gangtest.
Ændringer i maksimal muskelstyrke målt direkte eller beregnet som MVC eller 1 RM.
Sikkerhed målt ud fra VAS eller lignende selv-rapporterende smerteskala.
Ændringer i funktionsevne målt ud fra generiske eller RA specifikke Patient Reported Outcome Measures (PROM)
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Bilag
Bilag 1: Prioritering af måleredskaber
Bilag 2: Søgematrice for kliniske retningslinjer for fysioterapi til patienter med RA
Bilag 3: Appraisal of Guidelines for Research & Evaluation (AGREE) Bilag 4: Søgematrice og resultat af søgning
Bilag 5: AMSTAR og Risk of Bias Tool Bilag 6: Oversigt over inkluderede studier
Bilag 7: Kritisk vurdering af systematisk review og primær studier Bilag 8 a, b, c, d og e: Evidens tabeller: Summary of Findings
Bilag 9: Forest plot Længerevarende land-baseret muskelstyrke træning for patienter med Reumatoid artrit