Spondyloarthritis & psoriatic arthritis

Tolerability of low to moderate biomechanical stress during leisure sport activity in patients with psoriasis and psoriatic arthritis

RMD OpenPublished Prospective interventional study

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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