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Samenvatting paper - Musculoskeletale revalidatie (L08D1a)

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Samenvatting paper uit Arthritis & Rheuamtism (Arthritis Care & Research) door Andrew B. Lemmey: “Effects of High-Intensity Resistance Training in Patients With Rheumatoid Arthritis: A randomized Controlled Trial”

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Uit Arthritis & Rheuamtism (Arthritis Care & Research) door Andrew B. Lemmey: “Effects of
High-Intensity Resistance Training in Patients With Rheumatoid Arthritis: A randomized
Controlled Trial”

 P: Populatie
o 28 patiënten met gecontroleerde reumatoïde arthritis
 I: interventie (n=13)
o 24 weken: 2x/week PRT in een open fitnes onder toezicht van
inspanningsfyioloog. Training volume en intesiteit warmen optimal voor
hypertrofie.
o 1RM verden hertest elke 4 weken
o Elke sessie bevatten een warm up en cooldown met 10in aan low insensity ROM
excerciises.
o 3 sets van 8 herhalingen met respectievelijke 80% vd 1RM met 1-2 min rust voor
de volgende machines
 Leg press
 Chest press
 Leg extensions
 Seated rowing
 Leg curl
 Triceps extension
 Standig calf raises
 Bicep curl
o Voor adaptatie
 Tijdens week 1 maar 1 set/oefening, week 2: 2 sets/oefening, daarna
volgens protocol
 Week 1-4: 15 herhalingen aan 60% vd 1RM
 Week 5-6: 12 herhalingen aan 70%, daarna volgens protocol
o Hielden training diary bij voor bijwerkingen en neveneffecten
 C: Controlegroep (n=15)
o Thuisoefeningen (n=15) van 10min ROM oefeningen 2x/week
o Dit werd gekozen omdat het te weinig intensiteit bevatten voor spierhypertrofie
te stiuleren
o Hielden training diary bij voor bijwerkingen en neveneffecten
o Werden 2x per week gebeld
 O: Outcome: metingen pre- en posttest, de patiënten deden de test nuchter en hadden in
de afgelopen 24 uur geen krachttraining gedaan
o Compliance, training effect en safety: lezen in paper
o Lichaamssamenstelling: totale en regionale lean mass (LBM) en vetmassa werd
gemeten mbv een full body pencil beam DXA-scan
 Bepalen van ALM (proxy maatstaf voor de totale skeletspiermassa, de relatieve
skeletale spiermassa index en vetpercentage. De geel gearceerde werden gebruikt
om te bepalen of de deelnemer cahexie (extreem mager), obees of cahexie-obees
was volgens de Baumgartner definitie
 LBM en ALM stegen voor PRT
 Controlegroep verloren respectievelijke 400 gm en 160gm in LBM en ALM

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