A. Why is it necessary to carry out functional exercises?
A: 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 rheumatoid arthritis patients, 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, and appropriate functional exercise should be selected as early as possible according to the condition.
Second, why should joint exercises be performed as early as possible?
A: Early functional exercise of the joints can promote the absorption of inflammation. At the same time, the damaged tissues are continuously regenerated and repaired, and this repair is carried out according to the joint activity state. Therefore, early functional exercise of the joint is beneficial to the functional recovery of the joint and usually has a better prognosis.
When is the most appropriate time to start joint exercises?
A: Joint exercise for rheumatoid arthritis is a form 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 below 50 mm/h; body temperature is within the normal range; acute active joint inflammation subsides, any patient who fully possesses these 3 items should perform appropriate functional exercises regardless of the degree of joint pain. 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.
Fourth, which aspects of joint exercises are included?
A: According to the situation of the joint, 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 the joint with the tendency of contracture.
2, active exercise: the patient relies on their own joint muscle strength to complete the movement, when the basic control of joint inflammation, active exercise can be carried out. 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.
V. Should I still exercise when the joint redness and pain are serious?
A: During the period of obvious joint redness, swelling and pain, functional exercise of the joints should not be carried out, not only that, but also to limit the activities of the joints, especially weight-bearing activities, in order to reduce the inflammatory response and relieve pain.
Six, rheumatoid arthritis patients in the activities of how to grasp the amount of activity?
A: When should 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 done first and then active exercise, at least 2 times a day for 30 minutes each time.
3.Don’t be strenuous at the beginning, 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 exercise under the premise of local insulation, exercise before the first hot compress or warm bath, to promote blood circulation to reduce pain.
6.Progressive, persistent.
Seven, what should be noted when the activity exercise?
A: Functional joint exercise is a treatment for rheumatoid arthritis, and has a very important role in its prognosis. Through joint exercises, muscle strength can be increased, preserving the mobility of joints, 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, joint function exercise, the amount of activity should be appropriate, from less to more, gradually increase, moderate and stop. 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 jumping rope, weight lifting, etc..
4, the morning air is fresh, full of energy, the whole body muscles and organs have been fully rested, the exercise effect is better at this time.
Eight, rheumatoid arthritis patients in the functional exercise how to choose the exercise program?
A: Rheumatoid arthritis patients in the selection of exercise programs should not be too much, generally choose only 1 to 2 targeted exercise, and must be persistent. The amount of activity has less to more, step by step. Try to reduce the pressure on the weight-bearing joints (such as the hip, knee, ankle and spine) activities, such as jumping rope, weight lifting, etc. Functional exercise location, should choose a place with less air pollution and more greenery, such as the park boulevard, lawn, etc.
Nine, rheumatoid arthritis patients why to strengthen the lower limb muscle exercise?
A: The muscle strength of rheumatoid arthritis patients 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.
X. How can patients with rheumatoid arthritis exercise the muscles of the lower limbs?
A: 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 side of the lower limb straight up 10 degrees, 5 seconds after rest, 10 to 20 times after the left and right to do in turn, several times a day.
2, positioning training: without moving the lower limb, force contraction of the muscles above the knee, insist on 5 seconds and then rest, 10 to 20 times in a row, several times a day.
Eleven, rheumatoid arthritis patients how to exercise the upper limbs?
A: 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.Front extension and back flexion: Take a semi-squatting position, make a fist with both hands in the waist, straighten the upper limb forward and retract it with force. Left and right alternately, repeated several times.
2.Inside and outside rotation: Half-squatting position, fist in both hands, elbow flexion, forearm rotation, using the forearm back and forth in a semicircle for shoulder joint internal rotation and external rotation activities, alternating between the two arms, repeated several times.
3.Elbow flexion and extension: sitting position, the affected limb on the pillow of the table, hands clenched fist, forcefully flexing and extending the elbow, repeatedly.
12, rheumatoid arthritis patients should do when the hand joint pain and swelling?
A: 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 its normal function, we can perform hand function exercise exercises, a total of 4 sections, a total of 10 to 20 minutes, once a day in the morning and afternoon, preferably after waking up before doing.
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 is no longer tight, then stretch it out as much as possible and do it for 5 minutes.
3.Hand joint movement: ensure that each joint moves according to its physiological functional state, mainly the proximal interphalangeal joint, do 5 minutes.
4.Wrist joint mobility training: slow rotation of the wrist joint in both positive and negative directions for 5 turns each.
Thirteen, rheumatoid arthritis patients in daily activities should be how to protect the function of the joints?
A: Rheumatoid arthritis is often common with symmetrical small joint involvement, how should we use small joints in our daily activities to ensure that they are fully active, but also to protect them from injury, there can be the following methods.
1, should try to use the larger and stronger joints, to avoid excessive strong use of small joints.
2, when lifting heavy objects, try not to use the fingers but the arm and elbow joints.
3, practice using the left hand to unscrew the cap of a bottle, use the right hand to unscrew the cap to prevent the ruler from deviating, or palm with pressure to screw. Not only use 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, feet should be flat on the ground.
5, avoid prolonged finger flexion, such as writing, knitting, typing, repair, should stop from time to time to rest and stretch the fingers. When you feel joint pain during the activity, you should immediately stop the activity and check whether the activity method is improper.
6.Use tools as much as possible to reduce bending, climbing high, squatting and other movements.