Spondyloarthritis & psoriatic arthritis
Tolerability of low to moderate biomechanical stress during leisure sport activity in patients with psoriasis and psoriatic arthritis
Authors' conclusion
Low to moderate physical strain, as in the context of leisure sport activity, seems well tolerated in psoriatic patients without increases in tenderness, pain and ultrasound-proven inflammation.
Study context
- Population
- Patients with psoriasis and PsA undergoing a 60 min badminton training session
- Participants
- 16 patients196 entheseal US scans
- Exposure
- Before vs after a 60 min badminton training session
- PsAn = 7
- Psoriasisn = 9
- Outcome
- VAS pain and tender entheses before vs after training
- Follow-up
- After training
Methodological detailssingle-group, before-after
- Single-group
- Before-after
Main finding
As reported in the abstract
after training
- Median Visual Analogue Scale (VAS) pain (IQR) at baseline
- 0.5 cm (0-2.3)
- Median VAS pain (IQR) after training
- 0.0 cm (0.0-2.0)
- Tender entheses at baseline
- 12/464
- Tender entheses after training
- 13/464
- Patients developing grade-1 power Doppler signal (at six entheses, remaining non-tender)
- 4
Observational data: associations, not effects.
Further findings
Median VAS pain · 1 week
- Median VAS pain remained stable
- 0.0 cm (0.0-3.0); p>0.05
Safety
Increased arthralgias in three joints · 1 week
- Participants with active PsA at baseline reporting increased arthralgias
- 1
Original publication
Tolerability of low to moderate biomechanical stress during leisure sport activity in patients with psoriasis and psoriatic arthritis. RMD Open. Published 1 December 2023. doi:10. 1136/ rmdopen-2023-003612
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