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The British Journal of Rheumatology, Vol 37, 1338-1342, Copyright © 1998 by British Society for Rheumatology

ORIGINAL PAPERS

Benefit of 6 months long-term physical training in polymyositis/dermatomyositis patients

GF Wiesinger, M Quittan, M Graninger, A Seeber, G Ebenbichler, B Sturm, K Kerschan, J Smolen and W Graninger
Department of Physical Medicine and Rehabilitation, University of Vienna, Austria.

OBJECTIVE: The benefit of long-term physical training in patients with chronic polymyositis or dermatomyositis (PM/DM) was studied prospectively. METHODS: Eight patients with chronic PM/DM participated in a training programme for 6 months. A group of five PM/DM patients without any physical training was observed for control purposes. RESULTS: While there was no significant change in serum creatine phosphokinase (CPK) levels, the 'activities of daily living (ADL)' score improved significantly (P < 0.03), peak isometric torque (PIT) generated by muscle groups in the lower extremities rose significantly (P < 0.03) and there was a statistically highly significant increase in peak oxygen uptake (VO2max) relative to body weight (P < 0.02) due to the long-term training. The patients improved their aerobic capacity by 28%, which is clinically significant. In the untrained patients, no improvement in these target parameters was observed. CONCLUSION: In clinically stable DM/PM patients, long-term physical training can safely be performed and is recommended as part of a comprehensive rehabilitation management, particularly in view of the cardiopulmonary risk in these patients.
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