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Balance training (proprioceptive training) for patients with rheumatoid arthritis

  1. Kelson NG Silva1,*,
  2. Aline Mizusaki Imoto1,
  3. Gustavo JM Almeida2,
  4. Álvaro N Atallah3,
  5. Maria Stella Peccin4,
  6. Virginia Fernandes Moça Trevisani5

Editorial Group: Cochrane Musculoskeletal Group

Published Online: 12 MAY 2010

Assessed as up-to-date: 27 JUN 2009

DOI: 10.1002/14651858.CD007648.pub2

Database Title

Additional Information

How to Cite

Silva KNG, Mizusaki Imoto A, Almeida GJM, Atallah ÁN, Peccin MS, Fernandes Moça Trevisani V. Balance training (proprioceptive training) for patients with rheumatoid arthritis. Cochrane Database of Systematic Reviews 2010, Issue 5. Art. No.: CD007648. DOI: 10.1002/14651858.CD007648.pub2.

Author Information

  1. 1

    Brazilian Cochrane Centre, Sao Paulo, SP, Brazil

  2. 2

    University of Pittsburgh, Department of Physical Therapy, Pittsburgh, Pennsylvania, USA

  3. 3

    Universidade Federal de São Paulo / Escola Paulista de Medicina, Brazilian Cochrane Centre, São Paulo, SP, Brazil

  4. 4

    Federal University of São Paulo, Health Sciences Department, Santos, São Paulo, Brazil

  5. 5

    Universidade Federal de São Paulo, Rheumatology/Internal Medicine and Therapeutics, São Paulo, São Paulo, Brazil

*Kelson NG Silva, Brazilian Cochrane Centre, 598, Pedro Toledo Street, Vila Clementino, Sao Paulo, SP, 04039-001, Brazil. kelson_fisio@hotmail.com. kelson.silva@unifesp.br.

Publication History

  1. Publication Status: New
  2. Published Online: 12 MAY 2010

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References

References to studies excluded from this review

  1. References to studies excluded from this review
  2. Additional references
Andersson 1996 {published data only}
  • Andersson SI, Ekdahl C. Dynamic and static physical training in patients with rheumatoid arthritis: application of a self-appraisal and coping model. Disability and Rehabilitation 1996 Sep;18(9):469-75. [PubMed - indexed for MEDLINE: 8877306]
Bearne 2002 {published data only}
  • Bearne LM, Scott DL, Hurley MV. Exercise can reverse quadriceps sensorimotor dysfunction that is associated with rheumatoid arthritis without exacerbating disease activity. Rheumatology (Oxford) 2002 Feb;41(2):157-66. [PUBMED: 11886964]
Bilberg 2005 {published data only}
  • Bilberg A. Ahlmen M. Mannerkorpi K. Moderately intensive exercise in a temperate pool for patients with rheumatoid arthritis: a randomized controlled study. Rheumatology 2005 Apr;44(4):502-8. [DOI: ]
Brodin 2008 {published data only}
  • Brodin N, Eurenius E, Jensen I, Nisell R, Opava CH, PARA Study Group. Coaching patients with early rheumatoid arthritis to healthy physical activity: a multicenter, randomized, controlled study. Arthritis and Rheumatism 2008 Mar 15;59(3):325-31. [DOI: ]
    Direct Link:
Ekdahl 1990 {published data only}
Eversden 2007 {published data only}
  • Eversden L, Maggs F, Nightingale P, Jobanputra P. A pragmatic randomised controlled trial of hydrotherapy and land exercises on overall well being and quality of life in rheumatoid arthritis. BMC Musculoskeletal Disorders 2007 Mar 1;8(23):1-7. [DOI: ]
Giraudet-Le 2007 {published data only}
  • Giraudet-Le Quintrec JS, Mayoux-Benhamou A, Ravaud P, Champion K, Dernis E, Zerkak D, et al. Effect of a collective educational program for patients with rheumatoid arthritis: a prospective 12-month randomized controlled trial. The Journal of Rheumatology 2007 Aug;34(8):1684-91. [PubMed - indexed for MEDLINE: 17610321]
Hansen 1993 {published data only}
  • Hansen TM, Hansen G, Langgaard AM, Rasmussen JO. Longterm physical training in rheumatoid arthritis. A randomized trial with different training programs and blinded observers. Scandinavian Journal of Rheumatology 1993;22(3):107-12. [DOI: ]
Häkkinen 1994 {published data only}
  • Häkkinen A, Häkkinen K, Hannonen P. Effects of strength training on neuromuscular function and disease activity in patients with recent-onset inflammatory arthritis. Scandinavian Journal of Rheumatology 1994;23(5):237-42. [DOI: ]
Häkkinen 2001 {published data only}
  • Häkkinen A, Sokka T, Kotaniemi A, Hannonen P. A randomized two-year study of the effects of dynamic strength training on muscle strength, disease activity, functional capacity, and bone mineral density in early rheumatoid arthritis. Arthritis and Rheumatism 2001 Mar;44(3):515-22. [PubMed - indexed for MEDLINE: 11263764]
    Direct Link:
Lineker 2001 {published data only}
  • Lineker SC, Bell MJ, Wilkins AL, Badley EM. Improvements following short term home based physical therapy are maintained at one year in people with moderate to severe rheumatoid arthritis. The Journal of Rheumatology 2001 Jan;28(1):165-8. [PubMed - indexed for MEDLINE: 11196519]
Mayoux-Benhamou 2008 {published data only}
  • Mayoux-Benhamou A, Giraudet-Le Quintrec JS, Ravaud P, Champion K, Dernis E, Zerkak D, et al. Influence of patient education on exercise compliance in rheumatoid arthritis: a prospective 12-month randomized controlled trial. The Journal of Rheumatology 2008 Feb;35(2):216-23. [PUBMED: 18085742 - indexed for MEDLINE]
Munneke 2001 {published data only}
  • Munneke M, de Jong Z, Zwinderman AH, Tijhuis GJ, Hazes JM, Vliet Vlieland TP. The value of a continuous ambulatory activity monitor to quantify the amount and intensity of daily activity in patients with rheumatoid arthritis. The Journal of Rheumatology 2001 Apr;28(4):745-50. [PubMed - indexed for MEDLINE: 11327244]
Munneke 2003 {published data only}
  • Munneke M, de Jong Z, Zwinderman AH, Jansen A, Ronday HK, Peter WF, et al. Adherence and satisfaction of rheumatoid arthritis patients with a long-term intensive dynamic exercise program (RAPIT program). Arthritis and Rheumatism Oct 15;49(5):665-72;49(5):665-72. [DOI: ]
    Direct Link:
Nordemar 1981a {published data only}
  • Nordemar R, Ekblom B, Zachrisson L, Lundqvist K. Physical training in rheumatoid arthritis: a controlled long-term study. I. Scandinavian Journal of Rheumatology 1981;10(1):17-23. [DOI: ]
Nordemar 1981b {published data only}
  • Nordemar R. Physical training in rheumatoid arthritis: A controlled long-term study. II. Functional capacity and general attitudes. Scandinavian Journal of Rheumatology 1981;10(1):25-30. [DOI: ]
Suomi 2003 {published data only}
  • Suomi R, Collier D. Effects of arthritis exercise programs on functional fitness and perceived activities of daily living measures in older adults with arthritis. Archives of Physical Medicine and Rehabilitation 2003 Nov;84(11):1589-94. [DOI: ]

Additional references

  1. References to studies excluded from this review
  2. Additional references
Armstrong 2005
Arnett 1988
  • Arnett FC, Edworthy SM, Bloch DA, et al. The American Rheumatism Association 1987 revised criteria for the classification of rheumatoid arthritis. Arthritis and Rheumatism 1988;31(3):315-24. [PUBMED: 3358796]
    Direct Link:
Aydog 2006
  • Aydog E, Bal A, Aydog ST, Cakci A. Evaluation of dynamic postural balance using the Biodex Stability System in rheumatoid arthritis patients. Clinical Rheumatology 2006;25(4):462-7. [PUBMED: 16247584]
Bearne 2002
  • Bearne LM, Scott DL, Hurley MV. Exercise can reverse quadriceps sensorimotor dysfunction that is associated with rheumatoid arthritis without exacerbating disease activity. Rheumatology (Oxford) 2002 Feb;41(2):157-66. [PUBMED: 11886964]
Bernelot 1992
  • Bernelot Moens HJ, van de Laar MA, van der Korst JK. Comparison of the sensitivity and specificity of the 1958 and 1987 criteria for rheumatoid arthritis. Journal of Rheumatology 1992;19(2):198-203. [PUBMED: 1629817]
Brozek 2008
  • Jan Brozek, Andrew Oxman, Holger Schünemann. GRADEpro. 3.2 beta for Windows. Jan Brozek, Andrew Oxman, Holger Schünemann, 2008.
Castro 1999
  • Castro AA, Clark OA, Atallah AN. Optimal search strategy for clinical trials in the Latin American and Caribbean Health Science Literature Database (LILACS database): Update [Letter]. Sao Paulo Medical Journal 1999;117(3):138-9. [PUBMED: 10511734]
Cates 2003
  • Dr. Christopher Cates EBM website. Available from: URL: http://www.nntonline.net/. Email : visularx@nntonline.net. Visual Rx version 2.0. Dr. Christopher Cates EBM website. Available from: URL: http://www.nntonline.net/. Email : visularx@nntonline.net, 2003.
Deeks 2008a
  • Deeks JJ, Higgins JPT, Altman DG. Chapter 9: Analysing data and undertaking meta-analyses. In: Higgins JPT, Green S (editors). Cochrane Handbook for Systematic Reviews of Interventions Version 5.0.0 (updated February 2008); Section 9.6.2. The Cochrane Collaboration, 2008. Available from www.cochrane-handbook.org.
Deeks 2008b
  • Deeks JJ, Higgins JPT, Altman DG. Chapter 9: Analysing data and undertaking meta-analyses. In: Higgins JPT, Green S (editors). Cochrane Handbook for Systematic Reviews of Interventions Version 5.0.0 (updated February 2008); Section 9.7. The Cochrane Collaboration, 2008. Available from www.cochrane-handbook.org.
Deeks 2008c
  • Deeks JJ, Higgins JPT, Altman DG. Chapter 9: Analysing data and undertaking meta-analyses. In: Higgins JPT, Green S (editors). Cochrane Handbook for Systematic Reviews of Interventions Version 5.0.0 (updated February 2008); Section 9.5. The Cochrane Collaboration, 2008. Available from www.cochrane-handbook.org.
Emery 2004
Felson 1995
  • Felson DT, Anderson JJ, Boers M, Bombardier C, Furst D, Goldsmith C, et al. American College of Rheumatology. Preliminary definition of improvement in rheumatoid arthritis. Arthritis and Rheumatism 1995;38(6):727-35. [PUBMED: 7779114]
    Direct Link:
Ferraz 1990
  • Ferraz MB, Oliveira LM, Araujo PMP, Atra E, Walter SD. The EPM-ROM scale: an evaluative instrument to be used in rheumatoid arthritis trials. Clinical and Experimental Rheumatology 1990;8:491-4. [PUBMED: 2261710]
Ferrell 1992
  • Ferrell WR,  Crighton A,  Sturrock RD. Position sense at the proximal interphalangeal joint is distorted in patients with rheumatoid arthritis of finger joints. Experimental Physiology 1992;77(5):675-80. [PUBMED: 1418950]
Gardiner 1993
  • Gardiner PV, Sykes HR, Hassey GA, Walker DJ. An evaluation of the health assessment questionnaire in long-term longitudinal follow-up of disability in rheumatoid arthritis. British Journal of Rheumatology 1993;32:724-8. [PUBMED: 8348276]
Hallert 2006
  • Hallert E, Husberg M, Skogh T. Costs and course of disease and function in early rheumatoid arthritis: a 3-year follow-up (the Swedish TIRA project). Rheumatology (Oxford) 2006;45(3):325-31. [PUBMED: 16287927]
Han 2004
  • Han A, Judd M, Welch V, Wu T, Tugwell P, Wells GA. Tai chi for treating rheumatoid arthritis. Cochrane Database of Systematic Reviews 2004, Issue 3. [DOI: ]
Higgins 2008
  • Higgins JPT, Green S (editors). Cochrane Handbook for Systematic Reviews of Interventions Version 5.0.0 [updated February 2008]. The Cochrane Collaboration, 2008. Available from www.cochrane-handbook.org.
Hootman 2006
Howe 2007
  • Howe T, Rochester L, Jackson A, Banks P, Blair V. Exercise for improving balance in older people. Cochrane Database of Systematic Reviews 2007 Oct 17, Issue 3. [DOI: ]
Lefebvre 2008
  • Lefebvre C, Manheimer E, Glanville J. Chapter 6: Searching for studies. In: Higgins JPT, Green S (editors). Cochrane Handbook for Systematic Reviews of Interventions Version 5.0.0 (updated February 2008). The Cochrane Collaboration, 2008. Available from www.cochrane-handbook.org.
Lin 2009
  • Lin DH,  Lin CH,  Lin YF,  Jan MH. Efficacy of 2 non-weight-bearing interventions, proprioception training versus strength training, for patients with knee osteoarthritis: a randomized clinical trial. The Journal of Orthopaedic and Sports Physical Therapy 2009;39(6):450-7. [PUBMED: 19531879 ]
Matteson 2000
McMeeken 1999
  • McMeeken J, Stillman B, Story I, Kent P, Smith J. The effects of knee extensor and flexor muscle training on the timed-up-and-go test in individuals with rheumatoid arthritis. Physiotherapy Research International 1999;4(1):55-67. [PUBMED: 10368839]
OMERACT 1993
  • OMERACT. Conference on Outcome Measures in Rheumatoid Arthritis Clinical Trials. The Journal of Rheumatology 1993;20(3):527-91. [PUBMED: 8097535]
Plant 2005
  • Plant MJ, O'Sullivan MM, Lewis PA, Camilleri JP, Coles EC, Jessop JD. What factors influence functional ability in patients with rheumatoid arthritis. Do they alter over time?. Rheumatology (Oxford) 2005;44(9):1181-5. [PUBMED: 15972357]
Schultz 1992
Schünemann 2008a
  • Schünemann HJ, Oxman AD, Vist GE, Higgins JPT, Deeks JJ, Glasziou P, et al. Chapter 12: Interpreting results and drawing conclusions. In: Higgins JPT, Green S (editors). Cochrane Handbook for Systematic Reviews of Interventions Version 5.0.0 (updated February 2008); Section 12.2. The Cochrane Collaboration, 2008. Available from www.cochrane-handbook.org.
Schünemann 2008b
  • Schünemann HJ, Oxman AD, Vist GE, Higgins JPT, Deeks JJ, Glasziou P, et al. Chapter 12: Interpreting results and drawing conclusions. In: Higgins JPT, Green S (editors). Cochrane Handbook for Systematic Reviews of Interventions Version 5.0.0 (updated February 2008); Section 12.5. The Cochrane Collaboration, 2008. Available from www.cochrane-handbook.org.
Schünemann 2008c
  • Schünemann HJ, Oxman AD, Vist GE, Higgins JPT, Deeks JJ, Glasziou P, et al. Chapter 12: Interpreting results and drawing conclusions. In: Higgins JPT, Green S (editors), Cochrane Handbook for Systematic Reviews of Interventions Version 5.0.0 (updated February 2008); Section 12.6. The Cochrane Collaboration, 2008. Available from www.cochrane-handbook.org.
Teixeira 2009
  • Teixeira LE,  Silva KN,  Imoto AM,  Teixeira TJ,  Kayo AH,  Montenegro-Rodrigues R,  et al. Progressive load training for the quadriceps muscle associated with proprioception exercises for the prevention of falls in postmenopausal women with osteoporosis: a randomized controlled trial. Osteoporosis International 2010 Apr;21(4):589-96. [PUBMED: 19562243]
Tijhuis 2003
  • Tijhuis GJ, Kooiman KG, Zwinderman AH, Hazes JM, Breedveld FC, Vliet Vlieland TP. Validation of a novel satisfaction questionnaire for patients with rheumatoid arthritis receiving outpatient clinical nurse specialist care, inpatient care, or day patient team care. Arthritis and Rheumatism 2003;49(2):193-9. [PUBMED: 12687510]
    Direct Link:
van der Heijde 1990
  • van der Heijde DM, van't Hof MA, van Riel PL, Theunisse LA, Lubberts EW, van Leeuwen MA, et al. Judging disease activity in clinical practice in rheumatoid arthritis: first step in the development of a disease activity score. Annals of the Rheumatic Diseases 1990;49(11):916-20. [PUBMED: 2256738]
Verhagen 2004
  • Verhagen AP, Bierma-Zeinstra SMA, Boers M, Cardoso JR, Lambeck J, de Bie R, et al. Balneotherapy for rheumatoid arthritis. Cochrane Database of Systematic Reviews 2004, Issue 1. [DOI: ]
Willems 2002
  • Willems T, Witvrouw E, Verstuyft J, Vaes P, De Clercq D. Proprioception and muscle strength in subjects with a history of ankle sprains and chronic instability. Journal of Athletic Training 2002;37(4):487-93. [PUBMED: 12937572]
Wolfson 1996
  • Wolfson L, Whipple R, Derby C, Judge J, King M, Amerman P, et al. Balance and strength training in older adults: intervention gains and Tai Chi maintenance. Journal of the American Geriatrics Society 1996;44(5):498-506. [PUBMED: 8617896]
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