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Intensive exercise and a patient in acute phase of polymyositis


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

Abstract / Synopsis

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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Additional Metadata

Item Type: Article
Divisions: Faculty of Medicine and Health Science
DOI Number:
Publisher: IOS Press
Keywords: Creatinin kinase; Electromyography; Idiopathic inflammatory myopathy; Polymyositis; Rehabilitation
Depositing User: Nabilah Mustapa
Date Deposited: 18 Sep 2015 12:17
Last Modified: 18 Sep 2015 12:17
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