{"title":"Activité physique chez l’adulte en consultation de l’ostéoporose","authors":"Julien Paccou , Christophe Ribeiro","doi":"10.1016/j.monrhu.2021.01.011","DOIUrl":"10.1016/j.monrhu.2021.01.011","url":null,"abstract":"<div><p>Physical activity is a modifiable risk factor for osteoporosis. Studies on physical activity and bone health have mainly targeted postmenopausal women. Observational studies with fracture outcomes of physical activity interventions in adults older than 40 years found 11-40 % reduced risk of any fracture. There is no randomised controlled trials of exercise with fracture as a primary outcome. However, there is evidence that exercise can reduce fall-related fractures, particularly exercise that includes functional strength and balance training. Exercise recommendations to optimize bone health emphasize moderate-intensity or high-intensity progressive resistance training (PRT), and impact (weight-bearing activities) and balance training in order to reduce falls and improve bone mineral density. Indeed, multicomponent programmes that combine impact exercise with sufficiently dosed, moderate-intensity or high-intensity PRT and that are progressive in nature are the most effective. Professionals should avoid restricting physical activity and exercise unnecessarily according to age. People with osteoporosis should be encouraged to do more rather than less. Important themes for osteoporosis are: strong, steady and straight!</p></div>","PeriodicalId":101125,"journal":{"name":"Revue du Rhumatisme Monographies","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.monrhu.2021.01.011","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86103417","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Activité physique et réentraînement à l’effort chez les patients lombalgiques","authors":"Audrey Petit , Romain Champagne","doi":"10.1016/j.monrhu.2020.11.009","DOIUrl":"10.1016/j.monrhu.2020.11.009","url":null,"abstract":"<div><p>Low back pain (LBP) is a major public health problem in Western countries. The benign nature of LBP regularly contrasts with its impact on quality of life due to its readily recurrent nature and its potential progression to chronicity, a stage at which it is regularly accompanied by a restriction of social and professional participation. Regular physical activity (PA) and exercise (PE) are essential for the management of LBP and the prevention of recurrence. PA is therefore recommended for all stages of LBP. However, pain, mistaken beliefs and inappropriate pain-related behaviours regularly form obstacles to practicing PA. According to the biopsychosocial model, chronic LBP is linked to a set of factors that make its management complex. This observation has led to the establishment of multidisciplinary functional restoration programs including management of the physical, psycho-behavioural and socio-professional components of chronic LBP. The rehabilitation component of programs typically includes muscle strengthening and stretching exercises, aerobic activities and spinal stabilisation. Other aspects of care include improving psychosocial and behavioural parameters, notably through cognitive and behavioural therapies and therapeutic education of the patient. Lastly, most programs also offer socio-professional assessment and support with a view to improving return to work or job retention. The multidisciplinary approach to the management of chronic LBP has shown its effectiveness, particularly in terms of functional disability and pain intensity, while the effects concerning absenteeism and return to work are more heterogeneous. Promoting active behaviours and patient autonomy during the course of supervised care, over the long term, is a crucial issue. This therefore requires, on the one hand, to take into account the patient's preference for the choice of PA and PE, but also to focus on motivational strategies.</p></div>","PeriodicalId":101125,"journal":{"name":"Revue du Rhumatisme Monographies","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.monrhu.2020.11.009","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82390891","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effets physiologiques de l’activité physique","authors":"Frédéric Costes","doi":"10.1016/j.monrhu.2021.01.009","DOIUrl":"10.1016/j.monrhu.2021.01.009","url":null,"abstract":"<div><p>Numerous adaptations have been observed with physical activity (PA), concerning every organ. Among them, skeletal muscle and cardiovascular functions, metabolism, bone mass, mental state, sleep, pain and immunity are the more evident. These beneficial health-related adaptations are associated with an increase in maximal aerobic capacity (VO2max) or muscle strength, which are strong predictors of survival (12 % decrease of death per 3,5 mL/kg/min increase of VO<sub>2</sub>max). These effects and their magnitude are linked to the type of PA performed (leisure time, domestic, occupational tasks) and their duration/frequency. These adaptations are observed during the life span, but are particularly important among the elderly, where they can slow down the aging process by improving cardiovascular risk factors and sarcopenia.</p></div>","PeriodicalId":101125,"journal":{"name":"Revue du Rhumatisme Monographies","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.monrhu.2021.01.009","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73573675","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Activité physique au cours des rhumatismes inflammatoires","authors":"Athan Baillet , Julie Soulard , Romain Gastaldi , Sébastien Baillieul","doi":"10.1016/j.monrhu.2020.12.009","DOIUrl":"10.1016/j.monrhu.2020.12.009","url":null,"abstract":"<div><p>Patients with chronic inflammatory rheumatic diseases such as rheumatoid arthritis and spondyloarthritis display both dramatically low physical activity engagement and highly frequent sedentary behaviors which both negatively affects disease related outcomes measures and comorbidities. Physical activity has been shown to be safe in rheumatic disease. Besides, its positive effects on pain, function and health-related quality of life, physical activity has been shown to improve most of the canonical comorbidities in the general population <em>(i.e</em>. cardiovascular diseases, infections and cancer) but also chronic pain-related comorbidities such as fibromyalgia, anxiety or sleep disorders. This narrative review emphasizes the need for a global approach, taking into account both physical activity and sedentary behaviors to effectively implement long-term behavioral changes in patients with chronic inflammatory rheumatic diseases.</p></div>","PeriodicalId":101125,"journal":{"name":"Revue du Rhumatisme Monographies","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.monrhu.2020.12.009","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89446889","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Freins et croyances en rhumatologie dans la pratique de l’activité physique","authors":"Thomas Davergne , Violaine Foltz , Florian Bailly , Laure Gossec","doi":"10.1016/j.monrhu.2021.02.005","DOIUrl":"10.1016/j.monrhu.2021.02.005","url":null,"abstract":"<div><p>The challenge for patients with chronic rheumatic disorders is not to carry out a single physical activity, but to maintain a habit over time. A detailed examination of the factors that motivate or hinder physical activity can help to optimise interventions aimed at increasing the activity level of these patients by proposing tailor-made interventions. Questionnaires have been developed and validated to standardise the assessment of physical activity determinants in patients with osteoarthritis or inflammatory arthritis. Once the most impacting determinants have been identified, the use of behavioural change techniques, such as motivational interviewing, shows promising results in these patients.</p></div>","PeriodicalId":101125,"journal":{"name":"Revue du Rhumatisme Monographies","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.monrhu.2021.02.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86162363","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Activités physiques en rhumatologie : c’est possible et nécessaire, confiné ou non ! Les bienfaits de l’activité physique, la lutte contre la sédentarité dans les maladies chroniques","authors":"Anne Tournadre","doi":"10.1016/j.monrhu.2021.04.001","DOIUrl":"10.1016/j.monrhu.2021.04.001","url":null,"abstract":"","PeriodicalId":101125,"journal":{"name":"Revue du Rhumatisme Monographies","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.monrhu.2021.04.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90150364","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Numérique et activités physiques en rhumatologie","authors":"Antsa Rakotozafiarison , Laure Gossec , Hervé Servy , Edwin Rogez , Thomas Davergne","doi":"10.1016/j.monrhu.2021.01.010","DOIUrl":"10.1016/j.monrhu.2021.01.010","url":null,"abstract":"<div><p>All areas of our lives are currently influenced by digitisation. A wide variety of connected tools and health-related websites are currently available. Activity trackers are an effective option for increasing physical activity in patients with chronic rheumatological diseases at risk of inactivity with excellent short-term adherence. Mobile health through smartphone applications is used to support medical practice and assist patients in their care. The applications are used both to evaluate patient practice and to encourage it. These digital devices have certain limitations, such as device adherence or the reliability of their content, which invites reasoned use.</p></div>","PeriodicalId":101125,"journal":{"name":"Revue du Rhumatisme Monographies","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.monrhu.2021.01.010","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75584603","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Activités physiques, sédentarité, comorbidités et arthrose","authors":"Bernard Fouquet, Pauline Jaume-Guichard","doi":"10.1016/j.monrhu.2021.03.005","DOIUrl":"10.1016/j.monrhu.2021.03.005","url":null,"abstract":"<div><p>Osteoarthritis (OA) is a global disease of all the structures of a joint. It is heterogeneous due to the different OA phenotypes. If biomechanical constraints with multiples factors can cause damage to the cartilage, the extra cellular matrix and the chondrocyte, physical inactivity and especially a sedentary lifestyle are major risks in our society for the development of OA. Indeed, sedentary lifestyle may be responsible for early, subclinical damage to the cartilage due to metabolic inflexibility and insulin resistance that it causes, well before the classic metabolic complications of related complications (obesity, cardio-vascular diseases, dyslipidemia, type 2 diabetes, atherosclerosis) which will lead to an increased risk of mortality during the course of OA. The prevention of OA without medication relies not only on physical activity but also on the reduction of sedentary periods and on the sedentary behavior. The non pharmacolological prevention of osteoarthritis relies not only on regular physical activities but also on the reduction of long periods of sedentarity during the day and on the change in the sedentary behavior.</p></div>","PeriodicalId":101125,"journal":{"name":"Revue du Rhumatisme Monographies","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.monrhu.2021.03.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73459673","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Ostéosarcopénie : vers la synthèse de deux entités ?","authors":"Roland Chapurlat","doi":"10.1016/j.monrhu.2021.03.006","DOIUrl":"10.1016/j.monrhu.2021.03.006","url":null,"abstract":"<div><p>Osteosarcopenia is defined by the association of sarcopenia and osteoporosis. Possibly, but not necessarily, those two conditions interact biologically, because of the anatomic link between muscle and bone, through mechanical loading, cytokines and hormones. Prevalence increases with age, and might represent 5–10 % of individuals aged 80 and over. Osteosarcopenia is a risk factor for falls, fracture ans is associated with impaired functional capacity and all cause mortality. The clinical geriatric evaluation must be exhaustive and explorations must include the measurement of bone mineral density, establishing diagnostic criteria for sarcopenia and look for secondary causes, such as other chronic diseases, malnutrition, low physical activity and iatrogeny. The treatment includes resistance training, improvement of nutritional deficiencies (e.g., vitamin D), improved protein intake and medications for osteoporosis.</p></div>","PeriodicalId":101125,"journal":{"name":"Revue du Rhumatisme Monographies","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.monrhu.2021.03.006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76024525","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Emmanuel Coudeyre, Cédric Cormier, Paul Gignoux, Maxime Grolier
{"title":"Quelle activité physique dans l’arthrose ?","authors":"Emmanuel Coudeyre, Cédric Cormier, Paul Gignoux, Maxime Grolier","doi":"10.1016/j.monrhu.2021.03.004","DOIUrl":"10.1016/j.monrhu.2021.03.004","url":null,"abstract":"<div><p>The regular practice of physical activity is a major part of osteoarthritis management but it is most often below the WHO recommendations. Regular physical activity has shown to be effective in reducing pain and improving patients’ function. It also contributes to the management of metabolic and cardiovascular co-morbidities. This insufficient practice may be linked to patients’ misrepresentations. It is important to better define patient profiles regarding their relationship to physical activity, in particular to identify the barriers and facilitators in order to offer them appropriate treatment. Practice guidelines for the management of osteoarthritis include both specific exercises and aerobic-type activity. These programs, which have a high level of evidence, should be prescribed as first-line therapy and ideally performed under the supervision of a qualified health care professional. Secondarily, they should be integrated into lifestyle to be done regularly over the medium and long term. Exercise should be offered in a progressive dosage and approach, taking into account the patient's preferences to improve adherence.</p></div>","PeriodicalId":101125,"journal":{"name":"Revue du Rhumatisme Monographies","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.monrhu.2021.03.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91153699","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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