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© 1983 British Society for Rheumatology

research-article

BED REST, ACTIVITY AND THE INFLAMMATION OF RHEUMATOID ARTHRITIS

G. J. M. ALEXANDER, C. HORTAS and P. A. BACON*

Royal National Hospital for Rheumatic Diseases Bath, BAI IRL, Avon

Correspondence to: Address correspondence to Dr. G.J.M. Alexander, Liver Unit, King's College Hospital, Denmark Hill, London SE5 9RS.

Seventy-five patients with rheumatoid arthritis have been studied in order to assess the relative contributions of bed rest and planned activity on the observed improvement in arthritis during hospitalization. The benefit of bed rest was less than expected; only a third of patients showed significant improvement. A similar number improved during planned activity and although bed rest was superior the advantages were small. The features of those patients who responded to bed rest or planned activity showed small but important differences indicating that more careful selection to one or other regimen may increase the number of patients benefiting from hospitalization

KEY WORDS: Rheumatoid arthritis, Treatment, Bed rest

*Present Address: Rheumatology Department, Rheumatism Research Wing, The Medical School, University of Birmingham, Birmingham B15 2TJ.


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