Re: RESEARCH - Rheumatologists urged to get arthritics moving

[Guest guest]

In a message dated 4/22/2006 10:04:17 A.M. Eastern Daylight Time,

a54@... writes:

My answer as to how to get arthritics to get moving is better pain

control.

Although exercise in itself is a pain reliever, those with

uncontrolled pain won't be able to exercise in the first place. My

most effective pain reliever is swimming. There is no drug on the

market that comes close.

Exactly. Who has the want to get up and moving when you ache all the time.

better pain management is a start. Treating the depression that goes along with

this nasty disease (for some not all) should be considered too i think. I'm

glad that swimming relieves your pain.... may even try it myself if i can get

my heffer butt in a bathing suit lol hugs

[Guest guest]

My answer as to how to get arthritics to get moving is better pain

control.

Although exercise in itself is a pain reliever, those with

uncontrolled pain won't be able to exercise in the first place. My

most effective pain reliever is swimming. There is no drug on the

market that comes close.

a

On Apr 22, 2006, at 8:52 AM, wrote:

> Rheumatologists urged to get arthritics moving

>

> Rheumawire

> April 20, 2006

> Janis

>

> Los Angeles, CA - Strength training and aerobic exercise benefit

> people with

> osteoarthritis (OA) or rheumatoid arthritis (RA), but surprisingly few

> arthritis patients are incorporating reasonable levels of physical

> activity

> into their daily lives, reports Dr Margaret Shih (Los Angeles County

> Department of Health Services, CA) [1]. In an analysis of data from

> the 2002

> National Health Interview Survey, Shih and colleagues write in the

> May 2006

> issue of the American Journal of Preventive Medicine that more than

> one

> third of adults with arthritis were inactive and the rest were

> significantly

> less likely than nonarthritics to engage in recommended levels of

> moderate

> or vigorous activity.

>

> " The most notable finding was that 37% of adults with arthritis do not

> engage in any leisure-time physical activity, despite the known

> benefits of

> physical activity. One question it raised is how do we get people with

> arthritis more involved in regular physical activity, especially

> women, the

> elderly, and racial/ethnic minorities, and also how can we increase

> adherence to exercise programs, " Shih told rheumawire.

>

>

> Counseling, pain management, treatment of comorbid anxiety/

> depression might

> help Shih and colleagues estimated the proportion of adults with

> arthritis

> who met four physical-activity recommendations from the Healthy People

> 2010(HP2010) initiative and one arthritis-specific recommendation.

> The four

> general recommendations were engaging in some regular leisure-time

> physical

> activity; 30 minutes per day of moderate activity; 20 minutes of

> vigorous

> physical activity on at least three days per week; and exercise that

> promotes strength and endurance. The arthritis-specific activity

> was 30

> minutes of moderate-intensity physical activity at least three days

> a week.

>

> " Patients with arthritis are not getting enough physical activity,

> even

> though moderate-intensity physical activity is safe for most

> patients with

> arthritis who do not have severe functional limitations. Physical

> activity

> can decrease arthritis-related pain, improve physical functioning,

> and delay

> disability in patients with arthritis. Clinicians should provide

> physical-activity counseling in conjunction with pain-management

> measures

> when treating patients with arthritis. Clinicians should be aware

> of the

> availability of evidence-based interventions such as the Arthritis

> Self-Help

> Course, the Arthritis Foundation Exercise Program (formerly known

> as 'People

> with Arthritis Can Exercise'), and the Arthritis Foundation Aquatics

> Program, " Shih said.

>

> Adults with arthritis were not significantly less likely than

> nonarthritics

> to report inactivity (37% arthritis, 38% no arthritis), to

> participate in

> strengthening exercise (20% both), or to meet the arthritis-specific

> recommendation (37% arthritis vs 39% no arthritis). Adults with

> arthritis

> were significantly less likely to meet the recommended levels for

> moderate/vigorous exercise (30% vs 33%, p=0.05) or vigorous

> activity (21% vs

> 24%, p=0.006). Patients with four or more functional limitations,

> one or

> more social/leisure limitations, a need for special equipment, or

> who lacked

> access to a fitness facility were most likely to report inactivity,

> as were

> those with frequent anxiety or depression.

>

> " Rheumatologists should ask their arthritis patients directly

> whether or not

> they are physically active and what type of activities they are

> involved in,

> so they can engage their patients in a discussion of the importance of

> physical activity and what types of exercise might be most

> appropriate for

> individual patients. It would also be an opportunity to address any

> concerns

> the patient might have about starting an exercise program (eg,

> concerns

> about worsened pain or potential damage to joints) and to connect

> them to

> local self-management or exercise programs, " Shih said.

>

> The authors also point to " the need for healthcare providers to

> counsel on

> physical activity, to manage pain adequately, and to recognize the

> risk from

> comorbid mental-health disorders. "

>

>

> Source

>

> 1. Shih M, Hootman JM, Kruger J, et al. Physical

> activity in

> men and women with arthritis. National Health Interview Survey,

> 2002. Am J

> Prev Med 2006; 30:385-393.

>

>

>

>

>

>

> Not an MD

>

> I'll tell you where to go!

>

> Mayo Clinic in Rochester

> http://www.mayoclinic.org/rochester

>

> s Hopkins Medicine

> http://www.hopkinsmedicine.org

>

>

>

>

[Guest guest]

Three cheers for swimming! I just quit a busy YMCA that was a 15-

minute drive--I was having a hard time making myself go because of

the distance and the increasing number of people competing for swim

lanes. This week I joined an adult-only center just half a mile from

where I work. I went twice after work and it was so convenient! (Very

helpful to go while still hyped up from work instead of tying to get

motivated after dinner when the fatigue sets in.) I know I'll get

exercise on a regular basis now.

Swimming's THE BEST!

Sierra

>

> > Rheumatologists urged to get arthritics moving

> >

> > Rheumawire

> > April 20, 2006

> > Janis

> >

> > Los Angeles, CA - Strength training and aerobic exercise benefit

> > people with

> > osteoarthritis (OA) or rheumatoid arthritis (RA), but

surprisingly few

> > arthritis patients are incorporating reasonable levels of

physical

> > activity

> > into their daily lives, reports Dr Margaret Shih (Los Angeles

County

> > Department of Health Services, CA) [1]. In an analysis of data

from

> > the 2002

> > National Health Interview Survey, Shih and colleagues write in

the

> > May 2006

> > issue of the American Journal of Preventive Medicine that more

than

> > one

> > third of adults with arthritis were inactive and the rest were

> > significantly

> > less likely than nonarthritics to engage in recommended levels

of

> > moderate

> > or vigorous activity.

> >

> > " The most notable finding was that 37% of adults with arthritis

do not

> > engage in any leisure-time physical activity, despite the known

> > benefits of

> > physical activity. One question it raised is how do we get people

with

> > arthritis more involved in regular physical activity, especially

> > women, the

> > elderly, and racial/ethnic minorities, and also how can we

increase

> > adherence to exercise programs, " Shih told rheumawire.

> >

> >

> > Counseling, pain management, treatment of comorbid anxiety/

> > depression might

> > help Shih and colleagues estimated the proportion of adults with

> > arthritis

> > who met four physical-activity recommendations from the Healthy

People

> > 2010(HP2010) initiative and one arthritis-specific

recommendation.

> > The four

> > general recommendations were engaging in some regular leisure-

time

> > physical

> > activity; 30 minutes per day of moderate activity; 20 minutes of

> > vigorous

> > physical activity on at least three days per week; and exercise

that

> > promotes strength and endurance. The arthritis-specific activity

> > was 30

> > minutes of moderate-intensity physical activity at least three

days

> > a week.

> >

> > " Patients with arthritis are not getting enough physical

activity,

> > even

> > though moderate-intensity physical activity is safe for most

> > patients with

> > arthritis who do not have severe functional limitations.

Physical

> > activity

> > can decrease arthritis-related pain, improve physical

functioning,

> > and delay

> > disability in patients with arthritis. Clinicians should provide

> > physical-activity counseling in conjunction with pain-management

> > measures

> > when treating patients with arthritis. Clinicians should be

aware

> > of the

> > availability of evidence-based interventions such as the

Arthritis

> > Self-Help

> > Course, the Arthritis Foundation Exercise Program (formerly

known

> > as 'People

> > with Arthritis Can Exercise'), and the Arthritis Foundation

Aquatics

> > Program, " Shih said.

> >

> > Adults with arthritis were not significantly less likely than

> > nonarthritics

> > to report inactivity (37% arthritis, 38% no arthritis), to

> > participate in

> > strengthening exercise (20% both), or to meet the arthritis-

specific

> > recommendation (37% arthritis vs 39% no arthritis). Adults with

> > arthritis

> > were significantly less likely to meet the recommended levels for

> > moderate/vigorous exercise (30% vs 33%, p=0.05) or vigorous

> > activity (21% vs

> > 24%, p=0.006). Patients with four or more functional

limitations,

> > one or

> > more social/leisure limitations, a need for special equipment,

or

> > who lacked

> > access to a fitness facility were most likely to report

inactivity,

> > as were

> > those with frequent anxiety or depression.

> >

> > " Rheumatologists should ask their arthritis patients directly

> > whether or not

> > they are physically active and what type of activities they are

> > involved in,

> > so they can engage their patients in a discussion of the

importance of

> > physical activity and what types of exercise might be most

> > appropriate for

> > individual patients. It would also be an opportunity to address

any

> > concerns

> > the patient might have about starting an exercise program (eg,

> > concerns

> > about worsened pain or potential damage to joints) and to

connect

> > them to

> > local self-management or exercise programs, " Shih said.

> >

> > The authors also point to " the need for healthcare providers to

> > counsel on

> > physical activity, to manage pain adequately, and to recognize

the

> > risk from

> > comorbid mental-health disorders. "

> >

> >

> > Source

> >

> > 1. Shih M, Hootman JM, Kruger J, et al. Physical

> > activity in

> > men and women with arthritis. National Health Interview Survey,

> > 2002. Am J

> > Prev Med 2006; 30:385-393.

> >

> >

> >

> >

> >

> >

> > Not an MD

> >

> > I'll tell you where to go!

> >

> > Mayo Clinic in Rochester

> > http://www.mayoclinic.org/rochester

> >

> > s Hopkins Medicine

> > http://www.hopkinsmedicine.org

> >

> >

> >

> >

[Guest guest]

Do you think I can swim with the right arm immobile (sp) or maybe jump or

something?

Sharon

snowdrift52003 <snowdrift52003@...> wrote:

Three cheers for swimming! I just quit a busy YMCA that was a 15-

minute drive--I was having a hard time making myself go because of

the distance and the increasing number of people competing for swim

lanes. This week I joined an adult-only center just half a mile from

where I work. I went twice after work and it was so convenient! (Very

helpful to go while still hyped up from work instead of tying to get

motivated after dinner when the fatigue sets in.) I know I'll get

exercise on a regular basis now.

Swimming's THE BEST!

Sierra

>

> > Rheumatologists urged to get arthritics moving

> >

> > Rheumawire

> > April 20, 2006

> > Janis

> >

> > Los Angeles, CA - Strength training and aerobic exercise benefit

> > people with

> > osteoarthritis (OA) or rheumatoid arthritis (RA), but

surprisingly few

> > arthritis patients are incorporating reasonable levels of

physical

> > activity

> > into their daily lives, reports Dr Margaret Shih (Los Angeles

County

> > Department of Health Services, CA) [1]. In an analysis of data

from

> > the 2002

> > National Health Interview Survey, Shih and colleagues write in

the

> > May 2006

> > issue of the American Journal of Preventive Medicine that more

than

> > one

> > third of adults with arthritis were inactive and the rest were

> > significantly

> > less likely than nonarthritics to engage in recommended levels

of

> > moderate

> > or vigorous activity.

> >

> > " The most notable finding was that 37% of adults with arthritis

do not

> > engage in any leisure-time physical activity, despite the known

> > benefits of

> > physical activity. One question it raised is how do we get people

with

> > arthritis more involved in regular physical activity, especially

> > women, the

> > elderly, and racial/ethnic minorities, and also how can we

increase

> > adherence to exercise programs, " Shih told rheumawire.

> >

> >

> > Counseling, pain management, treatment of comorbid anxiety/

> > depression might

> > help Shih and colleagues estimated the proportion of adults with

> > arthritis

> > who met four physical-activity recommendations from the Healthy

People

> > 2010(HP2010) initiative and one arthritis-specific

recommendation.

> > The four

> > general recommendations were engaging in some regular leisure-

time

> > physical

> > activity; 30 minutes per day of moderate activity; 20 minutes of

> > vigorous

> > physical activity on at least three days per week; and exercise

that

> > promotes strength and endurance. The arthritis-specific activity

> > was 30

> > minutes of moderate-intensity physical activity at least three

days

> > a week.

> >

> > " Patients with arthritis are not getting enough physical

activity,

> > even

> > though moderate-intensity physical activity is safe for most

> > patients with

> > arthritis who do not have severe functional limitations.

Physical

> > activity

> > can decrease arthritis-related pain, improve physical

functioning,

> > and delay

> > disability in patients with arthritis. Clinicians should provide

> > physical-activity counseling in conjunction with pain-management

> > measures

> > when treating patients with arthritis. Clinicians should be

aware

> > of the

> > availability of evidence-based interventions such as the

Arthritis

> > Self-Help

> > Course, the Arthritis Foundation Exercise Program (formerly

known

> > as 'People

> > with Arthritis Can Exercise'), and the Arthritis Foundation

Aquatics

> > Program, " Shih said.

> >

> > Adults with arthritis were not significantly less likely than

> > nonarthritics

> > to report inactivity (37% arthritis, 38% no arthritis), to

> > participate in

> > strengthening exercise (20% both), or to meet the arthritis-

specific

> > recommendation (37% arthritis vs 39% no arthritis). Adults with

> > arthritis

> > were significantly less likely to meet the recommended levels for

> > moderate/vigorous exercise (30% vs 33%, p=0.05) or vigorous

> > activity (21% vs

> > 24%, p=0.006). Patients with four or more functional

limitations,

> > one or

> > more social/leisure limitations, a need for special equipment,

or

> > who lacked

> > access to a fitness facility were most likely to report

inactivity,

> > as were

> > those with frequent anxiety or depression.

> >

> > " Rheumatologists should ask their arthritis patients directly

> > whether or not

> > they are physically active and what type of activities they are

> > involved in,

> > so they can engage their patients in a discussion of the

importance of

> > physical activity and what types of exercise might be most

> > appropriate for

> > individual patients. It would also be an opportunity to address

any

> > concerns

> > the patient might have about starting an exercise program (eg,

> > concerns

> > about worsened pain or potential damage to joints) and to

connect

> > them to

> > local self-management or exercise programs, " Shih said.

> >

> > The authors also point to " the need for healthcare providers to

> > counsel on

> > physical activity, to manage pain adequately, and to recognize

the

> > risk from

> > comorbid mental-health disorders. "

> >

> >

> > Source

> >

> > 1. Shih M, Hootman JM, Kruger J, et al. Physical

> > activity in

> > men and women with arthritis. National Health Interview Survey,

> > 2002. Am J

> > Prev Med 2006; 30:385-393.

> >

> >

> >

> >

> >

> >

> > Not an MD

> >

> > I'll tell you where to go!

> >

> > Mayo Clinic in Rochester

> > http://www.mayoclinic.org/rochester

> >

> > s Hopkins Medicine

> > http://www.hopkinsmedicine.org

> >

> >

> >

> >

[Guest guest]

hmm, since my sons eye injury we stay at hotels weekly. and we go in pools. I

find usually the water feels good and movement is usually easier. Even if some

part of me is flaring it can do good being in the water. BUT--sometimes I seem

to cause a flare from being in the pool. Problem is I never seem to catch

myself in time.

I do go in the water even if I am on crutches or cannot move an arm etc....I use

the graduated steps down into the pool and sometimes I just sit or stand at

pools edge and move my non flaring parts. BUT- um, LOL, I am " the water person "

and I am known for prescribing a bath for any ailment as the first attempt to

feel better. Does not matter what your complaint is I will usually say go soak

in a tub....fever, coldm headache, soreness, tiredness, insomnia, I send

everything to the bathtub. LOL.

I think mostly I hafta be most careful of getting chilled.

But I think even if you do not aggressively exercise in a traditional way, a

pool is still a great place to encourage movement.

And I know that on days when I am flaring, if I can manage to begin to move, it

often helps- but- some days there simply is N way I am gonna be able to move AT

ALL. and my biggest complaint some days is I scream at my husband- MOVE MY BODY

PART EVEN IF I KILL YOU.....it hurts from not moving! Boy does he look at me

weird. LOL. Poor man, he then cannot decide if he wants to follow my request

and make my non moveable body part move and hurt me or listen to me beg him to

move it cuz I can't. LOL.

[Guest guest]

Yes--jumping would be good, or speed walking laps in the shallow

end...you could use a kickboard with one arm...I'm sure there's a lot

you could do.

Sierra

> >

> > > Rheumatologists urged to get arthritics moving

> > >

> > > Rheumawire

> > > April 20, 2006

> > > Janis

> > >

> > > Los Angeles, CA - Strength training and aerobic exercise

benefit

> > > people with

> > > osteoarthritis (OA) or rheumatoid arthritis (RA), but

> surprisingly few

> > > arthritis patients are incorporating reasonable levels of

> physical

> > > activity

> > > into their daily lives, reports Dr Margaret Shih (Los Angeles

> County

> > > Department of Health Services, CA) [1]. In an analysis of data

> from

> > > the 2002

> > > National Health Interview Survey, Shih and colleagues write in

> the

> > > May 2006

> > > issue of the American Journal of Preventive Medicine that more

> than

> > > one

> > > third of adults with arthritis were inactive and the rest were

> > > significantly

> > > less likely than nonarthritics to engage in recommended levels

> of

> > > moderate

> > > or vigorous activity.

> > >

> > > " The most notable finding was that 37% of adults with arthritis

> do not

> > > engage in any leisure-time physical activity, despite the

known

> > > benefits of

> > > physical activity. One question it raised is how do we get

people

> with

> > > arthritis more involved in regular physical activity,

especially

> > > women, the

> > > elderly, and racial/ethnic minorities, and also how can we

> increase

> > > adherence to exercise programs, " Shih told rheumawire.

> > >

> > >

> > > Counseling, pain management, treatment of comorbid anxiety/

> > > depression might

> > > help Shih and colleagues estimated the proportion of adults

with

> > > arthritis

> > > who met four physical-activity recommendations from the Healthy

> People

> > > 2010(HP2010) initiative and one arthritis-specific

> recommendation.

> > > The four

> > > general recommendations were engaging in some regular leisure-

> time

> > > physical

> > > activity; 30 minutes per day of moderate activity; 20 minutes

of

> > > vigorous

> > > physical activity on at least three days per week; and exercise

> that

> > > promotes strength and endurance. The arthritis-specific

activity

> > > was 30

> > > minutes of moderate-intensity physical activity at least three

> days

> > > a week.

> > >

> > > " Patients with arthritis are not getting enough physical

> activity,

> > > even

> > > though moderate-intensity physical activity is safe for most

> > > patients with

> > > arthritis who do not have severe functional limitations.

> Physical

> > > activity

> > > can decrease arthritis-related pain, improve physical

> functioning,

> > > and delay

> > > disability in patients with arthritis. Clinicians should provide

> > > physical-activity counseling in conjunction with pain-

management

> > > measures

> > > when treating patients with arthritis. Clinicians should be

> aware

> > > of the

> > > availability of evidence-based interventions such as the

> Arthritis

> > > Self-Help

> > > Course, the Arthritis Foundation Exercise Program (formerly

> known

> > > as 'People

> > > with Arthritis Can Exercise'), and the Arthritis Foundation

> Aquatics

> > > Program, " Shih said.

> > >

> > > Adults with arthritis were not significantly less likely than

> > > nonarthritics

> > > to report inactivity (37% arthritis, 38% no arthritis), to

> > > participate in

> > > strengthening exercise (20% both), or to meet the arthritis-

> specific

> > > recommendation (37% arthritis vs 39% no arthritis). Adults

with

> > > arthritis

> > > were significantly less likely to meet the recommended levels

for

> > > moderate/vigorous exercise (30% vs 33%, p=0.05) or vigorous

> > > activity (21% vs

> > > 24%, p=0.006). Patients with four or more functional

> limitations,

> > > one or

> > > more social/leisure limitations, a need for special equipment,

> or

> > > who lacked

> > > access to a fitness facility were most likely to report

> inactivity,

> > > as were

> > > those with frequent anxiety or depression.

> > >

> > > " Rheumatologists should ask their arthritis patients directly

> > > whether or not

> > > they are physically active and what type of activities they

are

> > > involved in,

> > > so they can engage their patients in a discussion of the

> importance of

> > > physical activity and what types of exercise might be most

> > > appropriate for

> > > individual patients. It would also be an opportunity to address

> any

> > > concerns

> > > the patient might have about starting an exercise program (eg,

> > > concerns

> > > about worsened pain or potential damage to joints) and to

> connect

> > > them to

> > > local self-management or exercise programs, " Shih said.

> > >

> > > The authors also point to " the need for healthcare providers

to

> > > counsel on

> > > physical activity, to manage pain adequately, and to recognize

> the

> > > risk from

> > > comorbid mental-health disorders. "

> > >

> > >

> > > Source

> > >

> > > 1. Shih M, Hootman JM, Kruger J, et al. Physical

> > > activity in

> > > men and women with arthritis. National Health Interview

Survey,

> > > 2002. Am J

> > > Prev Med 2006; 30:385-393.

> > >

> > >

> > >

> > >

> > >

> > >

> > > Not an MD

> > >

> > > I'll tell you where to go!

> > >

> > > Mayo Clinic in Rochester

> > > http://www.mayoclinic.org/rochester

> > >

> > > s Hopkins Medicine

> > > http://www.hopkinsmedicine.org

> > >

> > >

> > >

> > >

[Guest guest]

Sierra

Thank you! I will go Monday and work out the details~It looks like it's for

me. RA is hard enough with out Stroke/aphasia too.

snowdrift52003 <snowdrift52003@...> wrote:

Yes--jumping would be good, or speed walking laps in the shallow

end...you could use a kickboard with one arm...I'm sure there's a lot

you could do.

Sierra

> >

> > > Rheumatologists urged to get arthritics moving

> > >

> > > Rheumawire

> > > April 20, 2006

> > > Janis

> > >

> > > Los Angeles, CA - Strength training and aerobic exercise

benefit

> > > people with

> > > osteoarthritis (OA) or rheumatoid arthritis (RA), but

> surprisingly few

> > > arthritis patients are incorporating reasonable levels of

> physical

> > > activity

> > > into their daily lives, reports Dr Margaret Shih (Los Angeles

> County

> > > Department of Health Services, CA) [1]. In an analysis of data

> from

> > > the 2002

> > > National Health Interview Survey, Shih and colleagues write in

> the

> > > May 2006

> > > issue of the American Journal of Preventive Medicine that more

> than

> > > one

> > > third of adults with arthritis were inactive and the rest were

> > > significantly

> > > less likely than nonarthritics to engage in recommended levels

> of

> > > moderate

> > > or vigorous activity.

> > >

> > > " The most notable finding was that 37% of adults with arthritis

> do not

> > > engage in any leisure-time physical activity, despite the

known

> > > benefits of

> > > physical activity. One question it raised is how do we get

people

> with

> > > arthritis more involved in regular physical activity,

especially

> > > women, the

> > > elderly, and racial/ethnic minorities, and also how can we

> increase

> > > adherence to exercise programs, " Shih told rheumawire.

> > >

> > >

> > > Counseling, pain management, treatment of comorbid anxiety/

> > > depression might

> > > help Shih and colleagues estimated the proportion of adults

with

> > > arthritis

> > > who met four physical-activity recommendations from the Healthy

> People

> > > 2010(HP2010) initiative and one arthritis-specific

> recommendation.

> > > The four

> > > general recommendations were engaging in some regular leisure-

> time

> > > physical

> > > activity; 30 minutes per day of moderate activity; 20 minutes

of

> > > vigorous

> > > physical activity on at least three days per week; and exercise

> that

> > > promotes strength and endurance. The arthritis-specific

activity

> > > was 30

> > > minutes of moderate-intensity physical activity at least three

> days

> > > a week.

> > >

> > > " Patients with arthritis are not getting enough physical

> activity,

> > > even

> > > though moderate-intensity physical activity is safe for most

> > > patients with

> > > arthritis who do not have severe functional limitations.

> Physical

> > > activity

> > > can decrease arthritis-related pain, improve physical

> functioning,

> > > and delay

> > > disability in patients with arthritis. Clinicians should provide

> > > physical-activity counseling in conjunction with pain-

management

> > > measures

> > > when treating patients with arthritis. Clinicians should be

> aware

> > > of the

> > > availability of evidence-based interventions such as the

> Arthritis

> > > Self-Help

> > > Course, the Arthritis Foundation Exercise Program (formerly

> known

> > > as 'People

> > > with Arthritis Can Exercise'), and the Arthritis Foundation

> Aquatics

> > > Program, " Shih said.

> > >

> > > Adults with arthritis were not significantly less likely than

> > > nonarthritics

> > > to report inactivity (37% arthritis, 38% no arthritis), to

> > > participate in

> > > strengthening exercise (20% both), or to meet the arthritis-

> specific

> > > recommendation (37% arthritis vs 39% no arthritis). Adults

with

> > > arthritis

> > > were significantly less likely to meet the recommended levels

for

> > > moderate/vigorous exercise (30% vs 33%, p=0.05) or vigorous

> > > activity (21% vs

> > > 24%, p=0.006). Patients with four or more functional

> limitations,

> > > one or

> > > more social/leisure limitations, a need for special equipment,

> or

> > > who lacked

> > > access to a fitness facility were most likely to report

> inactivity,

> > > as were

> > > those with frequent anxiety or depression.

> > >

> > > " Rheumatologists should ask their arthritis patients directly

> > > whether or not

> > > they are physically active and what type of activities they

are

> > > involved in,

> > > so they can engage their patients in a discussion of the

> importance of

> > > physical activity and what types of exercise might be most

> > > appropriate for

> > > individual patients. It would also be an opportunity to address

> any

> > > concerns

> > > the patient might have about starting an exercise program (eg,

> > > concerns

> > > about worsened pain or potential damage to joints) and to

> connect

> > > them to

> > > local self-management or exercise programs, " Shih said.

> > >

> > > The authors also point to " the need for healthcare providers

to

> > > counsel on

> > > physical activity, to manage pain adequately, and to recognize

> the

> > > risk from

> > > comorbid mental-health disorders. "

> > >

> > >

> > > Source

> > >

> > > 1. Shih M, Hootman JM, Kruger J, et al. Physical

> > > activity in

> > > men and women with arthritis. National Health Interview

Survey,

> > > 2002. Am J

> > > Prev Med 2006; 30:385-393.

> > >

> > >

> > >

> > >

> > >

> > >

> > > Not an MD

> > >

> > > I'll tell you where to go!

> > >

> > > Mayo Clinic in Rochester

> > > http://www.mayoclinic.org/rochester

> > >

> > > s Hopkins Medicine

> > > http://www.hopkinsmedicine.org

> > >

> > >

> > >

> > >

[Guest guest]

lol I'm 51 and I'm scared to get INTO THE WATER! I'm going to meet with the

director Monday and we'll see what we'll will be doing.

Sharon ribbon54sews@...

dreamer_plus <dreamer_plus@...> wrote:

hmm, since my sons eye injury we stay at hotels weekly. and we go in pools.

I find usually the water feels good and movement is usually easier. Even if

some part of me is flaring it can do good being in the water. BUT--sometimes I

seem to cause a flare from being in the pool. Problem is I never seem to catch

myself in time.

I do go in the water even if I am on crutches or cannot move an arm etc....I use

the graduated steps down into the pool and sometimes I just sit or stand at

pools edge and move my non flaring parts. BUT- um, LOL, I am " the water person "

and I am known for prescribing a bath for any ailment as the first attempt to

feel better. Does not matter what your complaint is I will usually say go soak

in a tub....fever, coldm headache, soreness, tiredness, insomnia, I send

everything to the bathtub. LOL.

I think mostly I hafta be most careful of getting chilled.

But I think even if you do not aggressively exercise in a traditional way, a

pool is still a great place to encourage movement.

And I know that on days when I am flaring, if I can manage to begin to move, it

often helps- but- some days there simply is N way I am gonna be able to move AT

ALL. and my biggest complaint some days is I scream at my husband- MOVE MY BODY

PART EVEN IF I KILL YOU.....it hurts from not moving! Boy does he look at me

weird. LOL. Poor man, he then cannot decide if he wants to follow my request

and make my non moveable body part move and hurt me or listen to me beg him to

move it cuz I can't. LOL.

[Guest guest]

Most health clubs will give you a free one week pass to try the

facility.

Sierra

> hmm, since my sons eye injury we stay at hotels weekly. and we

go in pools. I find usually the water feels good and movement is

usually easier. Even if some part of me is flaring it can do good

being in the water. BUT--sometimes I seem to cause a flare from

being in the pool. Problem is I never seem to catch myself in time.

> I do go in the water even if I am on crutches or cannot move an arm

etc....I use the graduated steps down into the pool and sometimes I

just sit or stand at pools edge and move my non flaring parts. BUT-

um, LOL, I am " the water person " and I am known for prescribing a

bath for any ailment as the first attempt to feel better. Does not

matter what your complaint is I will usually say go soak in a

tub....fever, coldm headache, soreness, tiredness, insomnia, I send

everything to the bathtub. LOL.

> I think mostly I hafta be most careful of getting chilled.

> But I think even if you do not aggressively exercise in a

traditional way, a pool is still a great place to encourage

movement.

> And I know that on days when I am flaring, if I can manage to begin

to move, it often helps- but- some days there simply is N way I am

gonna be able to move AT ALL. and my biggest complaint some days is

I scream at my husband- MOVE MY BODY PART EVEN IF I KILL YOU.....it

hurts from not moving! Boy does he look at me weird. LOL. Poor

man, he then cannot decide if he wants to follow my request and make

my non moveable body part move and hurt me or listen to me beg him to

move it cuz I can't. LOL.

>

>

>

>

>

>

[Guest guest]

mine is yoga . . . . . and we still walk close to three miles every

morning. although if i had something larger than my bathtub, swimming

sounds greyt ! ! ! !

bon/boys

>

> > Rheumatologists urged to get arthritics moving

> >

> > Rheumawire

> > April 20, 2006

> > Janis

> >

> > Los Angeles, CA - Strength training and aerobic exercise benefit

> > people with

> > osteoarthritis (OA) or rheumatoid arthritis (RA), but

surprisingly few

> > arthritis patients are incorporating reasonable levels of

physical

> > activity

> > into their daily lives, reports Dr Margaret Shih (Los Angeles

County

> > Department of Health Services, CA) [1]. In an analysis of data

from

> > the 2002

> > National Health Interview Survey, Shih and colleagues write in

the

> > May 2006

> > issue of the American Journal of Preventive Medicine that more

than

> > one

> > third of adults with arthritis were inactive and the rest were

> > significantly

> > less likely than nonarthritics to engage in recommended levels

of

> > moderate

> > or vigorous activity.

> >

> > " The most notable finding was that 37% of adults with arthritis

do not

> > engage in any leisure-time physical activity, despite the known

> > benefits of

> > physical activity. One question it raised is how do we get people

with

> > arthritis more involved in regular physical activity, especially

> > women, the

> > elderly, and racial/ethnic minorities, and also how can we

increase

> > adherence to exercise programs, " Shih told rheumawire.

> >

> >

> > Counseling, pain management, treatment of comorbid anxiety/

> > depression might

> > help Shih and colleagues estimated the proportion of adults with

> > arthritis

> > who met four physical-activity recommendations from the Healthy

People

> > 2010(HP2010) initiative and one arthritis-specific

recommendation.

> > The four

> > general recommendations were engaging in some regular leisure-

time

> > physical

> > activity; 30 minutes per day of moderate activity; 20 minutes of

> > vigorous

> > physical activity on at least three days per week; and exercise

that

> > promotes strength and endurance. The arthritis-specific activity

> > was 30

> > minutes of moderate-intensity physical activity at least three

days

> > a week.

> >

> > " Patients with arthritis are not getting enough physical

activity,

> > even

> > though moderate-intensity physical activity is safe for most

> > patients with

> > arthritis who do not have severe functional limitations.

Physical

> > activity

> > can decrease arthritis-related pain, improve physical

functioning,

> > and delay

> > disability in patients with arthritis. Clinicians should provide

> > physical-activity counseling in conjunction with pain-management

> > measures

> > when treating patients with arthritis. Clinicians should be

aware

> > of the

> > availability of evidence-based interventions such as the

Arthritis

> > Self-Help

> > Course, the Arthritis Foundation Exercise Program (formerly

known

> > as 'People

> > with Arthritis Can Exercise'), and the Arthritis Foundation

Aquatics

> > Program, " Shih said.

> >

> > Adults with arthritis were not significantly less likely than

> > nonarthritics

> > to report inactivity (37% arthritis, 38% no arthritis), to

> > participate in

> > strengthening exercise (20% both), or to meet the arthritis-

specific

> > recommendation (37% arthritis vs 39% no arthritis). Adults with

> > arthritis

> > were significantly less likely to meet the recommended levels for

> > moderate/vigorous exercise (30% vs 33%, p=0.05) or vigorous

> > activity (21% vs

> > 24%, p=0.006). Patients with four or more functional

limitations,

> > one or

> > more social/leisure limitations, a need for special equipment,

or

> > who lacked

> > access to a fitness facility were most likely to report

inactivity,

> > as were

> > those with frequent anxiety or depression.

> >

> > " Rheumatologists should ask their arthritis patients directly

> > whether or not

> > they are physically active and what type of activities they are

> > involved in,

> > so they can engage their patients in a discussion of the

importance of

> > physical activity and what types of exercise might be most

> > appropriate for

> > individual patients. It would also be an opportunity to address

any

> > concerns

> > the patient might have about starting an exercise program (eg,

> > concerns

> > about worsened pain or potential damage to joints) and to

connect

> > them to

> > local self-management or exercise programs, " Shih said.

> >

> > The authors also point to " the need for healthcare providers to

> > counsel on

> > physical activity, to manage pain adequately, and to recognize

the

> > risk from

> > comorbid mental-health disorders. "

> >

> >

> > Source

> >

> > 1. Shih M, Hootman JM, Kruger J, et al. Physical

> > activity in

> > men and women with arthritis. National Health Interview Survey,

> > 2002. Am J

> > Prev Med 2006; 30:385-393.

> >

> >

> >

> >

> >

> >

> > Not an MD

> >

> > I'll tell you where to go!

> >

> > Mayo Clinic in Rochester

> > http://www.mayoclinic.org/rochester

> >

> > s Hopkins Medicine

> > http://www.hopkinsmedicine.org

> >

> >

> >

> >

[Guest guest]

maybe i'm naive but i would think that just getting out and going (or

staying in and doing) would help the depression and the pain

management . . . . . by strengthening your body, it would hopefully

eliminate some of the pain and lighten your state of mind and you can

go from there . . . . . .

hugs, bonnie/boys

>

>

> In a message dated 4/22/2006 10:04:17 A.M. Eastern Daylight Time,

> a54@... writes:

>

> My answer as to how to get arthritics to get moving is better

pain

> control.

> Although exercise in itself is a pain reliever, those with

> uncontrolled pain won't be able to exercise in the first place.

My

> most effective pain reliever is swimming. There is no drug on the

> market that comes close.

>

>

>

> Exactly. Who has the want to get up and moving when you ache all

the time.

> better pain management is a start. Treating the depression that

goes along with

> this nasty disease (for some not all) should be considered too i

think. I'm

> glad that swimming relieves your pain.... may even try it myself

if i can get

> my heffer butt in a bathing suit lol hugs

>

>

>

[Guest guest]

Bonnie, I believe that what you are suggesting is true in many instances,

but some people have constant, serious pain which, without proper treatment,

prevents them from doing even simple, everyday tasks.

Not an MD

I'll tell you where to go!

Mayo Clinic in Rochester

http://www.mayoclinic.org/rochester

s Hopkins Medicine

http://www.hopkinsmedicine.org

[ ] Re: RESEARCH - Rheumatologists urged to get arthritics

moving

> maybe i'm naive but i would think that just getting out and going (or

> staying in and doing) would help the depression and the pain

> management . . . . . by strengthening your body, it would hopefully

> eliminate some of the pain and lighten your state of mind and you can

> go from there . . . . . .

>

> hugs, bonnie/boys

>

>

>>

>>

>> In a message dated 4/22/2006 10:04:17 A.M. Eastern Daylight Time,

>> a54@... writes:

>>

>> My answer as to how to get arthritics to get moving is better

> pain

>> control.

>> Although exercise in itself is a pain reliever, those with

>> uncontrolled pain won't be able to exercise in the first place.

> My

>> most effective pain reliever is swimming. There is no drug on the

>> market that comes close.