Intensive exercise and a patient in acute phase of polymyositis

Background and objective: Polymyositis (PM) is an idiopathic inflammatory myopathy manifested by proximal limb muscles weakness, elevated creatinin kinase, electromyography changes, and muscle inflammation in biopsy. We report an instance of intensive rehabilitation therapy in a patient with clinica...

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Main Authors: Hejazi, Seyed Majid Akhavan, Engkasan, Julia Patrick, Qomi, Mansooreh Sadat Mojani
Format: Article
Language:English
Published: IOS Press 2012
Online Access:http://psasir.upm.edu.my/id/eprint/40450/1/Intensive%20exercise%20and%20a%20patient%20in%20acute%20phase%20of%20polymyositis.pdf
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author Hejazi, Seyed Majid Akhavan
Engkasan, Julia Patrick
Qomi, Mansooreh Sadat Mojani
author_facet Hejazi, Seyed Majid Akhavan
Engkasan, Julia Patrick
Qomi, Mansooreh Sadat Mojani
author_sort Hejazi, Seyed Majid Akhavan
collection UPM
description Background and objective: Polymyositis (PM) is an idiopathic inflammatory myopathy manifested by proximal limb muscles weakness, elevated creatinin kinase, electromyography changes, and muscle inflammation in biopsy. We report an instance of intensive rehabilitation therapy in a patient with clinically active polymyositis. Case report: A 19-year-old female patient, diagnosed with 'electromyography and biopsy proven' polymyositis for 5 years, suffered from worsening limbs weakness and dysphagia. In her history, she had upper and lower limbs weakness accompanied by dysphagia which was further complicated by right bronchial aspiration 9 months ago. A four-week trial of intensive training and exercise rehabilitation, concurrently accompanied by medications was prescribed for this patient. At the end of therapy she achieved significant improvement in muscle strength, activities of daily living, and ambulation without any disease exacerbation. Conclusion: We concluded that short-term intensive training and exercise may lead to improvements in patients with PM, without causing a progress in the disease. Due to the rarity of PM and difficulty of conducting well-controlled studies to examine the risks and benefits of exercise in these patients, further research is necessary to investigate benefits of exercise training in active phase of disease.
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spelling upm.eprints-404502015-09-18T04:17:17Z http://psasir.upm.edu.my/id/eprint/40450/ Intensive exercise and a patient in acute phase of polymyositis Hejazi, Seyed Majid Akhavan Engkasan, Julia Patrick Qomi, Mansooreh Sadat Mojani Background and objective: Polymyositis (PM) is an idiopathic inflammatory myopathy manifested by proximal limb muscles weakness, elevated creatinin kinase, electromyography changes, and muscle inflammation in biopsy. We report an instance of intensive rehabilitation therapy in a patient with clinically active polymyositis. Case report: A 19-year-old female patient, diagnosed with 'electromyography and biopsy proven' polymyositis for 5 years, suffered from worsening limbs weakness and dysphagia. In her history, she had upper and lower limbs weakness accompanied by dysphagia which was further complicated by right bronchial aspiration 9 months ago. A four-week trial of intensive training and exercise rehabilitation, concurrently accompanied by medications was prescribed for this patient. At the end of therapy she achieved significant improvement in muscle strength, activities of daily living, and ambulation without any disease exacerbation. Conclusion: We concluded that short-term intensive training and exercise may lead to improvements in patients with PM, without causing a progress in the disease. Due to the rarity of PM and difficulty of conducting well-controlled studies to examine the risks and benefits of exercise in these patients, further research is necessary to investigate benefits of exercise training in active phase of disease. IOS Press 2012 Article PeerReviewed application/pdf en http://psasir.upm.edu.my/id/eprint/40450/1/Intensive%20exercise%20and%20a%20patient%20in%20acute%20phase%20of%20polymyositis.pdf Hejazi, Seyed Majid Akhavan and Engkasan, Julia Patrick and Qomi, Mansooreh Sadat Mojani (2012) Intensive exercise and a patient in acute phase of polymyositis. Journal of Back and Musculoskeletal Rehabilitation, 25 (4). pp. 231-234. ISSN 1053-8127; ESSN: 1878-6324 http://content.iospress.com/articles/journal-of-back-and-musculoskeletal-rehabilitation/bmr00340 10.3233/BMR-2012-0340
spellingShingle Hejazi, Seyed Majid Akhavan
Engkasan, Julia Patrick
Qomi, Mansooreh Sadat Mojani
Intensive exercise and a patient in acute phase of polymyositis
title Intensive exercise and a patient in acute phase of polymyositis
title_full Intensive exercise and a patient in acute phase of polymyositis
title_fullStr Intensive exercise and a patient in acute phase of polymyositis
title_full_unstemmed Intensive exercise and a patient in acute phase of polymyositis
title_short Intensive exercise and a patient in acute phase of polymyositis
title_sort intensive exercise and a patient in acute phase of polymyositis
url http://psasir.upm.edu.my/id/eprint/40450/1/Intensive%20exercise%20and%20a%20patient%20in%20acute%20phase%20of%20polymyositis.pdf
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