Exercise Rx boosts activity

Document Sample
Exercise Rx boosts activity Powered By Docstoc
					newsline0309.qxp     2/24/2009      2:51 PM     Page 15

       Exercise                                First psoriatic arthritis guidelines
       Rx boosts                               THE FIRST set of international
                                               treatment guidelines for psoriatic
       activity                                arthritis address the five most sig-
                                               nificant clinical manifestations of
       IF YOU want to encourage your           this chronic systemic inflamma-
       patients to exercise more, try          tory disorder, which afflicts ap-
       writing a prescription.The tactic       proximately 10%-30% of people
       has been successful in New              with psoriasis.
       Zealand,a recent study reports.            The Group for Research and              Swollen joints          multiple different tissues, and
         As part of a “green prescription”     Assessment of Psoriasis and Pso-           and yellow nails        varying degrees of severity (Ann
       program, clinicians counsel pa-         riatic Arthritis (GRAPPA) has              are commonly            Rheum Dis.2008;published online
       tients for 7-13 minutes,then write      introduced 19 treatment recom-             seen in patients        ahead of print). Psoriatic arthritis
       their exercise advice on a green        mendations for peripheral arthri-          with psoriatic          manifestations can range from
       script.The prescription is given to     tis,enthesitis (inflammation of the        arthritis.              mild psoriasis to widespread pso-
       the patient and faxed to a local “ex-   entheses, where tendons and liga-                                  riatic plaques, disfiguring nail
       ercise facilitator” who follows up      ments attach to bone), axial dis-                                  disease to disabling joint inflam-
       with three monthly phone calls.         ease, skin and nail psoriasis, and                                 mation and destruction, and in-
         For this study, 1,089 women           dactylitis (uniform swelling of a                                  creased mortality.
       aged 40-74 years were equally di-       digit) in the setting of psoriatic                                   To address these complexities,
       vided into two groups. In one           arthritis.                                                         GRAPPA formulated evidence-
       group, follow-up was extended to           This international consortium                                   based treatment recommendations
       nine months,including an average        of medical professionals and pa-                                   for the five clinical manifestations
       of five 15-minute calls and a 30-       tient representatives notes that al-                               based on literature reviews and
       minute in-office consultation after     though advances in the treatment                                   
Description: A global leader in serving libraries of all types, ProQuest LLC (“ProQuest”) supports the breadth of the information community with innovative discovery solutions that power the business of books and the best in research experience. More than a content provider or aggregator, ProQuest is an information partner, creating indispensable research solutions that connect people and information. Through innovative, user-centered discovery technology, ProQuest offers billions of pages of global content that includes historical newspapers, dissertations, and uniquely relevant resources for researchers of any age and sophistication—including content not likely to be digitized by others.
ProQuest creates specialized information resources and technologies that propel successful research, discovery, and lifelong learning.