1.Why should I do functional exercise?
Functional exercise has an important role in restoring joint function and preventing muscle atrophy in patients with rheumatoid arthritis. This can not be replaced by drug therapy. Many patients with rheumatoid arthritis, although after regular drug treatment, joint swelling and pain significantly relieved or even disappeared, but because of the lack of attention to functional exercise, resulting in the loss of normal joint function and muscle atrophy. The lesson is profound. Therefore, functional exercise is very important in the treatment of rheumatoid arthritis, should be selected as early as possible according to the condition of the appropriate functional exercise mode.
2. Why should joint exercises be performed as early as possible?
Early functional exercise of the joints can promote the absorption of inflammation. At the same time, damaged tissues are continuously regenerated and repaired, and this repair is carried out according to the state of joint activity, at this time, if in a long-term immobile state, the repaired joints will appear stiff, adhesions, normal function is limited. Therefore, early functional exercise of the joint is beneficial to the functional recovery of the joint, and the prognosis is usually better.
3.When is the most appropriate time to start joint exercises?
Joint exercise for rheumatoid arthritis is a kind of self-therapy using physical exercise to treat the disease. Its purpose is to maintain or improve the function and range of motion of diseased joints, prevent muscle atrophy, and enhance physical strength. When the patient’s blood sedimentation is lower than 50 mm/h; body temperature is within the normal range; acute active joint inflammation subsides, any patient who fully possesses these 3 items, regardless of the degree of joint pain, should perform appropriate functional exercises. Help the patient to do moderate limb exercises in bed, which can be done passively first, that is, with the assistance of the affected side on the healthy side or with the help of others. Instruct patients: not to be passive if they can move actively, and to move more if they can move more.
4.Which aspects of joint exercises are included?
According to the situation of the joint, the passive movement, active movement, passive movement and active movement combined with the relaxation movement and stretching movement of the joint can be carried out.
(1) Passive exercise: the joint can not move by itself, need to completely rely on others or the other side of the limb to help complete the movement, this exercise is mainly used for joints with contracture tendency.
(2) Active exercise: the patient relies on his own joint muscle strength to complete the exercise, when the joint inflammation is basically controlled, active exercise can be performed. Be careful not to cause pain when exercising. General activities of daily living can be the most common form of exercise.
(3) Assisted exercise: between the above two.
5.Should I still exercise when the joint redness and swelling are severe?
Not only that, but you should also limit the activities of the joints, especially weight-bearing activities, in order to reduce the inflammatory response and relieve pain.
6, rheumatoid arthritis patients in the activities of how to grasp the amount of activity?
When do rheumatoid arthritis patients start functional exercise? What is the appropriate amount of activity? The following principles should be followed.
(1) as far as possible in the early stages of the disease, that is, as early as possible in the case of pain tolerable.
(2) Passive exercise can be performed first and then active exercise can be performed at least twice a day for 30 minutes each time.
(3) Do not start with strenuous, but gradually increase the amount of activity.
(4) The amount of activity should be the next day feel mild fatigue, but not exhaustion is appropriate.
(5) It is best to start exercising under the premise of local insulation, and warm compresses or warm baths can be applied before exercising to promote blood circulation and reduce pain.
(6) Gradually, persistently.
7.What should I pay attention to when I exercise?
Joint function exercise is a treatment tool for rheumatoid arthritis, and has a very important role in its prognosis. Through joint exercises, muscle strength can be increased, preserving joint mobility and preventing joint contracture, ankylosis and muscle atrophy. Therefore, it should be performed early and regularly as long as the patient can tolerate it. The following should be noted during exercise.
(1) When exercising the joints, the amount of activity should be appropriate, from less to more, gradually increase, and stop when appropriate. Do not be too hasty, its effectiveness needs to be adhered to after a certain period of time to appear.
(2) Try not to increase the amount of painkillers before the activity, so as not to overload the activity too much damage to the joints.
(3) exercise, should minimize the pressure on the weight-bearing joints (such as the hip, knee, ankle and spine) activities, such as jump rope, weight lifting, etc..
(4) The morning air is fresh and energetic, the whole body muscles and organs have been fully rested, the exercise effect is better at this time.
8, rheumatoid arthritis patients in the functional exercise how to choose the exercise program?
Rheumatoid arthritis patients in the selection of exercise programs should not be too much, generally choose only 1 or 2 targeted exercise, and must be persistent. The amount of activity should be small to large and gradual. Minimize the pressure on weight-bearing joints (such as the hip, knee, ankle and spine), such as jumping rope, weight lifting, etc. Functional exercise location, you should choose a place with less air pollution and more greenery, such as the boulevards in the park, lawn, etc.
9, rheumatoid arthritis patients why to strengthen the lower limb muscle exercise?
Rheumatoid arthritis patients’ muscle strength is about 60% of normal people of the same age. Due to atrophy and weakness, muscle strength is reduced, the buffering effect on the joint is weakened, so the joint is often in an unstable state, which increasingly aggravates the damage and destruction of the joint. Hip, knee and other lower limb weight-bearing joints are particularly obvious. Therefore, it is very important to strengthen the lower limb muscle exercise.
10, rheumatoid arthritis patients how to exercise the lower limb muscles?
We can improve muscle contraction by keeping the joints in a certain position and not moving. Methods are as follows.
(1) lower limb leg lift training: lying down, one lower limb straight up 10 degrees, 5 seconds after rest, 10 to 20 times and then do it in turn, several times a day.
(2) Positioning training: without moving the lower limb, forcefully contract the muscles above the knee, hold for 5 seconds and then rest, 10 to 20 times in a row, several times a day.
11, rheumatoid arthritis patients how to exercise the upper limbs?
Rheumatoid arthritis often involves the wrist, elbow and other upper limb joints, in order to maintain the normal function of the shoulder and elbow joints, patients can perform the following functional exercise exercises, a total of 3 sections, 20-30 minutes each time, once a day in the morning and afternoon.
(1) Forward extension and backward flexion: Take a semi-squatting position, make a fist with both hands and place it between the waist, straighten the upper limb forward and retract it with force. Left and right alternately, repeated several times.
(2) Internal and external rotation: take a semi-squatting position, clench your fists with both hands, flex the elbow joint, rotate the forearm back, use the forearm to draw a semicircle back and forth for internal and external rotation of the shoulder joint, alternate between the two arms, repeat several times.
(3) Elbow flexion and extension: sitting position, the affected limb on the pillow of the table, hand clenched fist, forcefully and slowly flexing and extending the elbow, repeatedly.
12, rheumatoid arthritis patients should do when the hand joint pain and swelling?
Hand joint involvement is seen in almost all patients with rheumatoid arthritis. Proximal interphalangeal joints, metacarpophalangeal joints and wrist joints are most commonly involved, and are often the first joints to show symptoms of rheumatoid arthritis. To maintain their normal function, we can perform functional hand exercise exercises, a total of 4 sessions, a total of 10 to 20 minutes, once a day in the morning and once in the afternoon, preferably before getting up after waking up.
(1) Massage: Massage the diseased hand joints and surrounding tissues for 1-3 minutes per joint.
(2) Hand clenching and stretching exercise: clench your fist with maximum strength until it cannot be tightened any more, then stretch it out as far as possible and do it for 5 minutes.
(3) Hand joint movement: ensure that each joint moves according to its physiological function, mainly the proximal interphalangeal joint, for 5 minutes.
(4) Training of wrist joint mobility: slow rotation of the wrist joint in both positive and negative directions for 5 turns each.
13, rheumatoid arthritis patients in daily activities should be how to protect the function of the joints?
Rheumatoid arthritis is often common with symmetrical small joint involvement. How should we use the small joints in our daily activities to ensure that they are fully active and protected from injury?
(1) Larger and stronger joints should be utilized as much as possible, avoiding overly intense use of small joints.
(2) When lifting heavy objects, try not to use the fingers but the arm and elbow joints.
(3) Practice unscrewing the cap of a bottle with your left hand and unscrewing the cap with your right hand to prevent the ruler from deviating, or use the palm with pressure to screw. Do not use only the fingers for support, should be supported by the palm of the hand.
(4) Do not stand for a long time, about half an hour to exchange sitting down to rest, combining work and rest. When sitting, you should often change your sitting position, switch the position of your feet, stretch the muscles and bones of the lower limbs, or get up and walk around. Knees should not be overly flexed, and feet should be flat on the ground.
(5) Avoid prolonged finger flexion, such as writing, knitting, typing, repairing, and should stop from time to time to rest and stretch the fingers. If you feel joint pain when moving, you should immediately stop the activity and check whether the activity method is improper.
(4) Use tools as much as possible to reduce bending, climbing high, squatting low and other movements.