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Physiotherapy and Rehabilitation for People with Rheumatic and Musculoskeletal Diseases
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Physiotherapy and Rehabilitation for People with Rheumatic and Musculoskeletal Diseases

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Sports Medicine".

Deadline for manuscript submissions: closed (31 January 2024) | Viewed by 9294

Special Issue Editors

Dr. Rikke Helene Moe

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Guest Editor
National Advisory Unit for Rehabilitation in Rheumatology, REMEDY-Center for treatment of Rheumatic and Musculoskeletal Diseases, Diakonhjemmet Hospital, Oslo, Norway
Interests: rheumatic and musculoskeletal diseases; clinical care; clinical research; epidemiology; patient engagement; rehabilitation and non-pharmacological care
Prof. Dr. Thea P.M. Vliet Vlieland

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Guest Editor
1. Department of Orthopaedics, Rehabilitation and Physical Therapy, Leiden University Medical Center, Leiden, The Netherlands
2. Basalt Rehabilitation, Leiden/The Hague, The Netherlands
Interests: physiotherapy; rehabilitation; arthritis; clinical trials; health services research; implementation science; patient perspective

Special Issue Information

Dear Colleagues,

Rheumatic and musculoskeletal diseases (RMDs) include more than 200 different diseases affecting structures such as joints, bones, tendons, nerves, muscles, and in some cases, internal organs. Well-known diagnoses range from low back pain, osteoarthritis, and osteoporosis, to systemic autoimmune diseases such as rheumatoid arthritis and spondylarthropathies, or to even more rare conditions such as scleroderma or vasculitis. These diseases benefit from early diagnosis and prompt drug treatment. However, several of the diseases are complex and warrant biopsychosocial approaches and well-designed interdisciplinary cooperation over time. Rehabilitative strategies are not only needed to decrease symptoms and disability, but are also essential for secondary prevention.

Rehabilitation can be defined as a multimodal, person-centered, collaborative process that includes interventions targeting a person’s capacity and/or contextual factors related to experiencing disability, a person likely to experience disability, or a person with disability. An increasing amount of people are living longer with long-term diseases and disability, as recent challenges such as armed military conflicts, and the COVID-19 and obesity pandemics increase the demand for rehabilitation. It is estimated that more than one third of people in the world will need rehabilitation during their life-span, and more than 70% of the years lived with disability are due to conditions for which rehabilitation may be beneficial. The World Health Organization, WHO, states that rehabilitation is essential to meet health needs and ensure healthy lives for all citizens.

The key features of rehabilitation include individually tailored approaches alongside multidisciplinary team collaborations to facilitate the achievement of personalized rehabilitation goals. There is ample evidence that rehabilitation is effective for people with disability, as there are documented beneficial effects of many modalities or strategies. Such evidence is also available for RMDs specifically. This includes, in particular, evidence on the effectiveness of patient education, self-management and psychosocial support, and cornerstones of rehabilitative interventions for people with RMDs, i.e., active physiotherapy, encompassing exercises and the promotion of physical activity.

To more efficiently meet the future challenges of people with RMDs, more research is needed to find successful rehabilitative strategies for prevention, secondary preventions, and to treat and reduce the burden of RMDs and to implement them in daily clinical practice. The scope of this Special Issue is to provide an overview of the recent advances and cutting edge research in the field of RMD rehabilitation and physiotherapy. Therefore, researchers in the field of RMDs are encouraged to submit an original article or review to this Special Issue (case reports and short reviews are not accepted).

Dr. Rikke Helene Moe
Prof. Dr. Thea P.M. Vliet Vlieland
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • rehabilitation
  • multidisciplinary
  • interdisciplinary
  • inflammation
  • outcomes
  • patient participation

Published Papers (6 papers)

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12 pages, 1090 KiB  
Article
The Extent and Nature of Functional Limitations According to the Health Assessment Questionnaire Disability Index in Patients with Rheumatoid Arthritis and Severe Functional Disability
by Max M. H. Teuwen, Maria A. T. van Wissen, Wilfred F. Peter, Dirkjan van Schaardenburg, Cornelia H. M. van den Ende, Maaike G. J. Gademan and Salima F. E. van Weely
J. Clin. Med. 2024, 13(2), 379; https://doi.org/10.3390/jcm13020379 - 10 Jan 2024
Cited by 1 | Viewed by 962
Abstract
Background: For a subgroup of people with rheumatoid arthritis (RA) and severe disability, insight into their limitations is crucial for adequate treatment. Aim: To describe the extent and nature of functional limitations in people with RA and severe disability and to explore the [...] Read more.
Background: For a subgroup of people with rheumatoid arthritis (RA) and severe disability, insight into their limitations is crucial for adequate treatment. Aim: To describe the extent and nature of functional limitations in people with RA and severe disability and to explore the associations of the extent of the functional limitations with patient characteristics, disease characteristics, and outcome measures. Methods: Baseline data of 215 participants in an RCT on the (cost-)effectiveness of longstanding physiotherapy were used. Functional limitations were assessed with the Health Assessment Questionnaire Disability Index (HAQ-DI). The total HAQ-DI including eight domain scores were calculated. Associations between high HAQ-DI scores (≥2, yes/no) and other variables were examined using the Student’s t-test or Chi-squared test where appropriate. Results: The participants (90% women, age 58.8 ± 12.8 years) had a mean HAQ-DI score of 1.7 ± 0.5. The majority (56%) showed a moderate-to-severe disability in all domains. Higher HAQ-DI scores seemed to be associated with advanced age, longer disease duration, unemployment, joint replacements, and outcomes for daily functioning and physical quality of life, but not with measures of disease activity. Conclusions: Our findings indicate that a comprehensive assessment of all areas of daily activities in this subgroup is necessary in order to provide appropriate (non-)pharmacological care. Full article
(This article belongs to the Special Issue Physiotherapy and Rehabilitation for People with Rheumatic and Musculoskeletal Diseases)
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13 pages, 460 KiB  
Article
Pain Coping and Healthcare Use in Patients with Early Knee and/or Hip Osteoarthritis: 10-Year Follow-Up Data from the Cohort Hip and Cohort Knee (CHECK) Study
by Meike C. van Scherpenseel, Corelien J. J. Kloek, Cindy Veenhof and Martijn F. Pisters
J. Clin. Med. 2023, 12(23), 7455; https://doi.org/10.3390/jcm12237455 - 1 Dec 2023
Cited by 1 | Viewed by 984
Abstract
Background: Knee and hip osteoarthritis (OA) among older adults account for substantial disability and extensive healthcare use. Effective pain coping strategies help to deal with OA. This study aims to determine the long-term relationship between pain coping style and the course of healthcare [...] Read more.
Background: Knee and hip osteoarthritis (OA) among older adults account for substantial disability and extensive healthcare use. Effective pain coping strategies help to deal with OA. This study aims to determine the long-term relationship between pain coping style and the course of healthcare use in patients with knee and/or hip OA over 10 years. Methods: Baseline and 10-year follow-up data of 861 Dutch participants with early knee and/or hip OA from the Cohort Hip and Cohort Knee (CHECK) cohort were used. The amount of healthcare use (HCU) and pain coping style were measured. Generalized Estimating Equations were used, adjusted for relevant confounders. Results: At baseline, 86.5% of the patients had an active pain coping style. Having an active pain coping style was significantly (p = 0.022) associated with an increase of 16.5% (95% CI, 2.0–32.7) in the number of used healthcare services over 10 years. Conclusion: Patients with early knee and/or hip OA with an active pain coping style use significantly more different healthcare services over 10 years, as opposed to those with a passive pain coping style. Further research should focus on altered treatment (e.g., focus on self-management) in patients with an active coping style, to reduce HCU. Full article
(This article belongs to the Special Issue Physiotherapy and Rehabilitation for People with Rheumatic and Musculoskeletal Diseases)
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17 pages, 544 KiB  
Article
Work Ability in the Year after Rehabilitation—Results from the RehabNytte Cohort
by Mari Nilsen Skinnes, Rikke Helene Moe, Thomas Johansen, Peter Solvoll Lyby, Kjersti Dahl, Idun Eid, Tor Christian Fagertun, Andreas Habberstad, Tonje Jossie Johnsen, Ingvild Kjeken, Mari Klokkerud, Anita Dyb Linge, Anne Dorte Lyken, Anders Orpana, Tarja Rajalahti, Ross Wilkie, Till Uhlig and on behalf of the RehabNytte Consortium
J. Clin. Med. 2023, 12(23), 7391; https://doi.org/10.3390/jcm12237391 - 29 Nov 2023
Cited by 1 | Viewed by 2474
Abstract
Background: There is limited knowledge regarding the impact of rehabilitation on work ability. The aim of this study was to explore factors associated with work ability 12 months following a multidisciplinary rehabilitation program in a cohort with different diagnoses. Methods: Of 9108 potentially [...] Read more.
Background: There is limited knowledge regarding the impact of rehabilitation on work ability. The aim of this study was to explore factors associated with work ability 12 months following a multidisciplinary rehabilitation program in a cohort with different diagnoses. Methods: Of 9108 potentially eligible participants for the RehabNytte research project, 3731 were eligible for the present study, and 2649 participants (mean age 48.6 years, 71% female) consented to contribute with work-related data, and were included. Self-perceived work ability was assessed by the Work Ability Score (WAS) (0–10, 10 = best), during the follow-up period using paired t-tests and logistic regression to examine associations between demographic and disease-related factors and work ability at 12-month follow-up. Results: The mean baseline WAS for the total cohort was 3.53 (SD 2.97), and increased significantly to 4.59 (SD 3.31) at 12-month follow-up. High work ability (WAS ≥ 8) at 12 months was associated with high self-perceived health at the baseline (OR 3.83, 95% CI 2.45, 5.96), while low work ability was associated with a higher number of comorbidities (OR 0.26, 95% CI 0.11, 0.61), medium pain intensity (OR 0.56, 95% CI 0.38, 0.83) and being married or cohabiting (OR 0.61, 95% CI 0.43, 0.88). There were no significant differences in work ability between participants receiving occupational and standard rehabilitation. Conclusions: Work ability increased significantly over the follow-up period. High work ability at 12-month follow-up was associated with high self-perceived health at baseline, while being married or cohabiting, having higher number of comorbidities, and experiencing medium baseline pain intensity was associated with lower work ability. Rehabilitation interventions targeting these factors may potentially enhance work ability, leading to a positive impact on work participation among people in need of rehabilitation. Full article
(This article belongs to the Special Issue Physiotherapy and Rehabilitation for People with Rheumatic and Musculoskeletal Diseases)
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12 pages, 559 KiB  
Article
“It’s Like Listening to the Radio with a Little Interference”: A Qualitative Study Describing Pain Management among Patients with Psoriatic Arthritis
by Nina Brodin, Björn Sundström, Mathilda Björk and Emma Swärdh
J. Clin. Med. 2023, 12(23), 7348; https://doi.org/10.3390/jcm12237348 - 27 Nov 2023
Cited by 1 | Viewed by 1153
Abstract
Pain is one of the most important areas to focus on in the assessment and treatment of psoriatic arthritis (PsA), and treatment should be individualized and based on the needs of the patient. Therefore, our aim was to explore and describe the management [...] Read more.
Pain is one of the most important areas to focus on in the assessment and treatment of psoriatic arthritis (PsA), and treatment should be individualized and based on the needs of the patient. Therefore, our aim was to explore and describe the management of pain among patients with PsA. We conducted semi-structured interviews with 11 participants with PsA (3 men and 8 women) and used qualitative content analysis to analyze the text. The results showed a main overarching theme of meaning and three subthemes. They were ‘Taking charge of life despite the constant murmur of pain’ through ‘Sorting out vulnerability’, ‘Reaching acceptance and engagement’, and ‘Directing focus to change’. Nine categories further described the components of pain management: ‘face uncertainty for the future, ‘consider restrictions’, ‘illuminate the invisible’, ‘increase awareness’, ‘find a permissive environment and social support’, ‘enhance inner endurance’, ‘reformulate emotions and thoughts’, ‘use distracting activities’, and ‘adjust activities’. The action components of pain management interpreted from a theoretical perspective highlight the importance for the patients of attaining the satisfaction of three basic psychological needs, i.e., competence, autonomy, and relatedness. Health professionals therefore need to increase the skills required for needs-supportive behaviors as well as facilitating spouse and peer support in the management of pain in PsA. Full article
(This article belongs to the Special Issue Physiotherapy and Rehabilitation for People with Rheumatic and Musculoskeletal Diseases)
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15 pages, 1473 KiB  
Article
Criterion Validity and Responsiveness of Estimated Cardiorespiratory Fitness Models in Patients with Inflammatory Joint Disease
by Kristine Røren Nordén, Hanne Dagfinrud, Anne Grete Semb, Jonny Hisdal, George S. Metsios, Joseph Sexton, Camilla Fongen, Emilie Andrea Bakke and Anne Therese Tveter
J. Clin. Med. 2023, 12(21), 6753; https://doi.org/10.3390/jcm12216753 - 25 Oct 2023
Viewed by 1183
Abstract
Cardiorespiratory fitness (CRF) is an excellent marker of overall health. This study aimed to assess criterion validity and responsiveness of estimated CRF models (eCRF) in patients with inflammatory joint disease (IJD). CRF was measured directly as peak oxygen uptake (VO2peak) by [...] Read more.
Cardiorespiratory fitness (CRF) is an excellent marker of overall health. This study aimed to assess criterion validity and responsiveness of estimated CRF models (eCRF) in patients with inflammatory joint disease (IJD). CRF was measured directly as peak oxygen uptake (VO2peak) by a Cardiopulmonary Exercise Test (CPET), while one generic eCRF model (eCRFGEN) and two disease-specific eCRF models (eCRFALT and eCRFPGA) were used to estimate CRF at baseline and after 3 months in 55 Norwegian patients with IJD. Moderate correlations were observed between eCRFGEN, eCRFALT, eCRFPGA, and VO2peak at baseline (ICC 0.60, 0.64 and 0.62, respectively) and 3 months (ICC 0.62, 0.65 and 0.57, respectively). All eCRF models overestimated measured VO2peak, and there was large variability in agreement of individual measurements at baseline and at 3 months. Weak correlations were observed for responsiveness of eCRFGEN (ICC 0.39), eCRFALT (ICC 0.40) and eCRFPGA (ICC 0.39). Mean differences between change in eCRF models and change in VO2peak were small, but the wide limits of agreement exceeded the pre-defined clinically acceptable margins. The eCRF models possessed adequate ability to detect ≥3.5 mL/kg/min improvement in VO2peak. eCRF may suffice for group-level assessment, but caution is advised when applying eCRF to individual patients with IJD. Full article
(This article belongs to the Special Issue Physiotherapy and Rehabilitation for People with Rheumatic and Musculoskeletal Diseases)
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10 pages, 493 KiB  
Brief Report
Let’s Get Physical! A Comprehensive Review of Pre- and Post-Surgical Interventions Targeting Physical Activity to Improve Pain and Functional Outcomes in Spine Surgery Patients
by Bethany D. Pester, Jihee Yoon, Jolin B. Yamin, Lauren Papianou, Robert R. Edwards and Samantha M. Meints
J. Clin. Med. 2023, 12(7), 2608; https://doi.org/10.3390/jcm12072608 - 30 Mar 2023
Cited by 5 | Viewed by 1774
Abstract
The goal of this comprehensive review was to synthesize the recent literature on the efficacy of perioperative interventions targeting physical activity to improve pain and functional outcomes in spine surgery patients. Overall, research in this area does not yet permit definitive conclusions. Some [...] Read more.
The goal of this comprehensive review was to synthesize the recent literature on the efficacy of perioperative interventions targeting physical activity to improve pain and functional outcomes in spine surgery patients. Overall, research in this area does not yet permit definitive conclusions. Some evidence suggests that post-surgical interventions may yield more robust long-term outcomes than preoperative interventions, including large effect sizes for disability reduction, although there are no studies directly comparing these surgical approaches. Integrated treatment approaches that include psychosocial intervention components may supplement exercise programs by addressing fear avoidance behaviors that interfere with engagement in activity, thereby maximizing the short- and long-term benefits of exercise. Efforts should be made to test brief, efficient programs that maximize accessibility for surgical patients. Future work in this area should include both subjective and objective indices of physical activity as well as investigating both acute postoperative outcomes and long-term outcomes. Full article
(This article belongs to the Special Issue Physiotherapy and Rehabilitation for People with Rheumatic and Musculoskeletal Diseases)
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