Rheumatology Advance Access published online on April 16, 2003
Rheumatology, doi:10.1093/rheumatology/keg289
Rheumatology © British Society for Rheumatology 2003; all rights reserved
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Original Papers
1 Bone and Joint Research Unit
* Corresponding author. E-mail: colin.tench3{at}which.net.
Received 29 April 2002
; accepted 28 January 2003
Objective. To test the efficacy of a graded aerobic exercise programme in treating fatigue in systemic lupus erythematosus. Methods. Ninety-three patients with systemic lupus erythematosus without active disease in any major organ were randomized, using a minimization protocol, to 12 weeks of graded exercise therapy, relaxation therapy or no intervention. Results. Analysis by intention to treat showed that 16 of the 33 (49%) patients in the exercise group rated themselves as ‘much' or ‘very much' better compared with eight out of 29 (28%) in the relaxation group and five out of 32 (16%) in the control group ( Conclusion. These findings support the use of appropriately prescribed graded aerobic exercise in the management of patients with fatigue and systemic lupus erythematosus.
Key words: Fatigue, Exercise, SLE, Randomized controlled trial.
Fatigue in systemic lupus erythematosus: a randomized controlled trial of exercise
2 National Sports Medicine Institute
3 Barts and The London NHS Trust, London, UK
4 Department of Psychological Medicine, Barts and The London, Queen Mary's School of Medicine and Dentistry
2=8.3, df=2, P=0.02). Fatigue improved significantly on one out of three measures after exercise therapy and there was a trend for fatigue to improve on all measures after exercise.![]()
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