Rheumatology Practitioners’ View of Exercise in Adults With Systemic Sclerosis or Systemic Lupus Erythematosus

Article

Frade, Stephanie, Cameron, Melainie, O'Neill, Sean and Greene, David. 2021. "Rheumatology Practitioners’ View of Exercise in Adults With Systemic Sclerosis or Systemic Lupus Erythematosus." Journal of Clinical Exercise Physiology. 10 (4), pp. 134-141. https://doi.org/10.31189/2165-6193-10.4.134
Article Title

Rheumatology Practitioners’ View of Exercise in Adults With Systemic Sclerosis or Systemic Lupus Erythematosus

ERA Journal ID213160
Article CategoryArticle
AuthorsFrade, Stephanie (Author), Cameron, Melainie (Author), O'Neill, Sean (Author) and Greene, David (Author)
Journal TitleJournal of Clinical Exercise Physiology
Journal Citation10 (4), pp. 134-141
Number of Pages8
Year2021
PublisherClinical Exercise Physiology Association
Place of PublicationUnited States
ISSN2165-6193
2165-7629
Digital Object Identifier (DOI)https://doi.org/10.31189/2165-6193-10.4.134
Web Address (URL)https://meridian.allenpress.com/jcep/article-abstract/10/4/134/474533/Rheumatology-Practitioners-View-of-Exercise-in?redirectedFrom=fulltext
Abstract

Background: Exercise is part of the general recommendations for care of people with most arthropathies or connective tissue diseases, but it does not feature specifically in the clinical guidelines for management of systemic lupus erythematosus (SLE) and systemic sclerosis (SSc) by rheumatology practitioners. In this study, we sought to explore rheumatologists’ (RHs’) and rheumatology nurses’ (RNs’) perspectives and use of exercise interventions for adults with SLE or SSc. Methods: Semistructured interviews were conducted with Australian RHs and RNs online using Zoom (video conferencing software). Interviews were transcribed verbatim, then coded and analyzed using NVivo for content analysis of themes. Results: Seventeen participants completed the interviews (RHs n = 12, RNs n = 5). Five themes were identified: rheumatology practitioners perceive that (1) exercise is beneficial for adults with SLE or SSc, especially in managing fatigue, pain, and wellbeing; (2) exercise presents some general, structural, and disease-related barriers for adults with SLE or SSc; (3) rheumatology practitioners are confident in providing general exercise advice but lack time and confidence in prescribing exercise; (4) rheumatology practitioners’ concerns about exercise are limited to those with heart and lung disease, inflamed joints, ulcerated fingertips, and severe contractures; and (5) to facilitate safe and attainable exercise, rheumatology practitioners recommend long-term, supervised, gradual, and affordable exercise options. There were no clear differences identified between the views of RNs and RHs. Conclusion: Rheumatology practitioners require information and options for long-term and affordable exercise for adults with SLE or SSc that are supervised, individualized, and focus on a gradual progressive approach.

Keywordsrheumatologists, rheumatology nurses, exercise physiologists, autoimmune disease, physical activity
Related Output
Is part ofExercise for people with systemic sclerosis or systemic lupus erythematosus
ANZSRC Field of Research 2020420799. Sports science and exercise not elsewhere classified
420199. Allied health and rehabilitation science not elsewhere classified
Byline AffiliationsSchool of Health and Wellbeing
University of Southern Queensland
University of Sydney
Australian Catholic University
Institution of OriginUniversity of Southern Queensland
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Cameron, Melainie, French, S. and Minter, W.. 2009. "Chiropractic & Osteopathy." Grimmer-Somers, Karen, Kumar, Saravana, Worley, Anthea and Young, Alexandra (ed.) Practical Tips in Finding the Evidence: An Allied Health Primer. Manila, Philippines. University of Santo Tomas Publishing House. pp. 56-84
Evidence of Effectiveness of Herbal Medicinal Products in the Treatment of Arthritis Part 2: Rheumatoid Arthritis
Cameron, Melainie, Gagnier, Joel J., Little, Christine, Parsons Tessa J., Blumle, Anette and Chrubasik, Sigrun. 2009. "Evidence of Effectiveness of Herbal Medicinal Products in the Treatment of Arthritis Part 2: Rheumatoid Arthritis." Phytotherapy Research. 23 (12), pp. 1647-1662. https://doi.org/10.1002/ptr.3006
Evidence of Effectiveness of Herbal Medicinal Products in the Treatment of Arthritis Part 1: Osteoarthritis
Cameron, Melainie, Gagnier, J., Christine V., L., Parsons, T., J., Blumle, A. and Chrubasik, S.. 2009. "Evidence of Effectiveness of Herbal Medicinal Products in the Treatment of Arthritis Part 1: Osteoarthritis." Phytotherapy Research. 23 (11), pp. 1497-1515. https://doi.org/10.1002/ptr.3007
A systematic review on the effectiveness of willow bark for musculoskeletal pain
Vlachojannis, J., Cameron, M. and Chrubasik, S.. 2009. "A systematic review on the effectiveness of willow bark for musculoskeletal pain." Phytotherapy Research. 23 (7), pp. 897-900. https://doi.org/10.1002/ptr.2747
A pilot program of physical activity promotion among clients receiving home and community care
Cameron, Melainie, Chahine, Natalie, Selig, Steve and Newton, Pam. 2008. "A pilot program of physical activity promotion among clients receiving home and community care." Australian Health Review. 32 (3), pp. 439-450. https://doi.org/10.1071/AH080439