Exercise training and dexamethasone iontophoressis in rheumatoid arthritis: A case study

Scott Hasson, G. H. Henderson, J. C. Daniels, D. A. Schieb

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

This case study was designed to evaluate the effectiveness of dexamethasone iontophoresis alone and with a supervised exercise training program on muscular strength, joint performance and cardiorespiratory endurance in a 37-year-old woman with rheumatoid arthritis. Phase I of the treatment (8 weeks) was developed to determine the effectiveness of dexamethasone iontophoresis to the knee joint (3 X each week), with one knee joint receiving the dexamethasone and the other knee receiving a placebo. In phase II (48 weeks) the subject had both knee joints phoresed with dexamethasone and received range of motion exercises (without resistance) to both knee joints. The supervised training program, phase III (12 weeks) consisted of cycle ergometry, low-resistent knee exercise and continued iontophoresis to both knee joints. The subject was assessed before and after each phase. Muscle strength improved in phase I and III with the greatest increase in phase III. Range of motion and swelling improved during all phases. Cardiorespiratory endurance improved only in phase III. Further research in this area involving a larger number of patients and a variety of joints is needed to determine the true effectiveness of the regimen.

Original languageEnglish (US)
Pages (from-to)11-14
Number of pages4
JournalPhysiotherapy Canada
Volume43
Issue number2
StatePublished - Jan 1 1991

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Knee Joint
Dexamethasone
Rheumatoid Arthritis
Iontophoresis
Exercise
Articular Range of Motion
Knee
Education
Ergometry
Muscle Strength
Joints
Placebos
Research
Therapeutics

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation

Cite this

Hasson, S., Henderson, G. H., Daniels, J. C., & Schieb, D. A. (1991). Exercise training and dexamethasone iontophoressis in rheumatoid arthritis: A case study. Physiotherapy Canada, 43(2), 11-14.

Exercise training and dexamethasone iontophoressis in rheumatoid arthritis : A case study. / Hasson, Scott; Henderson, G. H.; Daniels, J. C.; Schieb, D. A.

In: Physiotherapy Canada, Vol. 43, No. 2, 01.01.1991, p. 11-14.

Research output: Contribution to journalArticle

Hasson, S, Henderson, GH, Daniels, JC & Schieb, DA 1991, 'Exercise training and dexamethasone iontophoressis in rheumatoid arthritis: A case study', Physiotherapy Canada, vol. 43, no. 2, pp. 11-14.
Hasson S, Henderson GH, Daniels JC, Schieb DA. Exercise training and dexamethasone iontophoressis in rheumatoid arthritis: A case study. Physiotherapy Canada. 1991 Jan 1;43(2):11-14.
Hasson, Scott ; Henderson, G. H. ; Daniels, J. C. ; Schieb, D. A. / Exercise training and dexamethasone iontophoressis in rheumatoid arthritis : A case study. In: Physiotherapy Canada. 1991 ; Vol. 43, No. 2. pp. 11-14.
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