Deviation in the recovery of the lower limb and respiratory muscles of patients with polymyositis: a preliminary clinical study
[Purpose] The purposes of this study were to quantify the serial changes in lower limb and respiratory muscle strengths and to evaluate the acute effects of physiotherapy in polymyositis patients. [Subjects and Methods] Five patients (57.6 ± 9.0 years, 50 to 72; four females) received physiotherapy...
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| Published in | Journal of Physical Therapy Science Vol. 28; no. 9; pp. 2652 - 2655 |
|---|---|
| Main Authors | , , , , , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Japan
The Society of Physical Therapy Science
01.09.2016
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| ISSN | 0915-5287 2187-5626 2187-5626 |
| DOI | 10.1589/jpts.28.2652 |
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| Abstract | [Purpose] The purposes of this study were to quantify the serial changes in lower limb and respiratory muscle strengths and to evaluate the acute effects of physiotherapy in polymyositis patients. [Subjects and Methods] Five patients (57.6 ± 9.0 years, 50 to 72; four females) received physiotherapy five days a week for four weeks. The lower limb and respiratory muscle strength, the % vital capacity, and the Barthel index were evaluated at baseline and after the intervention. [Results] The patient’s symptoms and creatine kinase values did not change, and after four weeks, all of the patients exhibited significantly increased outcomes compared with the baseline. However, the inspiratory muscle strength of the patients presented smaller improvements than the expiratory muscle strength. [Conclusion] Differential changes in inspiratory and expiratory muscle strength were observed following physiotherapy, and an unbalanced muscle distribution may explain the pathological and therapeutic effects. |
|---|---|
| AbstractList | [Purpose] The purposes of this study were to quantify the serial changes in lower limb
and respiratory muscle strengths and to evaluate the acute effects of physiotherapy in
polymyositis patients. [Subjects and Methods] Five patients (57.6 ± 9.0 years, 50 to 72;
four females) received physiotherapy five days a week for four weeks. The lower limb and
respiratory muscle strength, the % vital capacity, and the Barthel index were evaluated at
baseline and after the intervention. [Results] The patient’s symptoms and creatine kinase
values did not change, and after four weeks, all of the patients exhibited significantly
increased outcomes compared with the baseline. However, the inspiratory muscle strength of
the patients presented smaller improvements than the expiratory muscle strength.
[Conclusion] Differential changes in inspiratory and expiratory muscle strength were
observed following physiotherapy, and an unbalanced muscle distribution may explain the
pathological and therapeutic effects. [Purpose] The purposes of this study were to quantify the serial changes in lower limb and respiratory muscle strengths and to evaluate the acute effects of physiotherapy in polymyositis patients. [Subjects and Methods] Five patients (57.6 ± 9.0 years, 50 to 72; four females) received physiotherapy five days a week for four weeks. The lower limb and respiratory muscle strength, the % vital capacity, and the Barthel index were evaluated at baseline and after the intervention. [Results] The patient's symptoms and creatine kinase values did not change, and after four weeks, all of the patients exhibited significantly increased outcomes compared with the baseline. However, the inspiratory muscle strength of the patients presented smaller improvements than the expiratory muscle strength. [Conclusion] Differential changes in inspiratory and expiratory muscle strength were observed following physiotherapy, and an unbalanced muscle distribution may explain the pathological and therapeutic effects. |
| Author | Takahashi, Tetsuya Ueda, Kazuyuki Maruyama, Hirofumi Nishikawa, Yuichi Ueno, Hiroki Ochi, Kazuhide Matsumoto, Masayasu Hosomi, Naohisa Kurashige, Takashi Orita, Naoya Kimura, Hiroaki |
| Author_xml | – sequence: 1 fullname: Ueno, Hiroki organization: Department of Clinical Neuroscience and Therapeutics, Graduate School of Biomedical and Health Sciences, Hiroshima University: 1-2-3 Kasumi, Minami-ku, Hiroshima 734-8551, Japan – sequence: 1 fullname: Maruyama, Hirofumi organization: Department of Clinical Neuroscience and Therapeutics, Graduate School of Biomedical and Health Sciences, Hiroshima University: 1-2-3 Kasumi, Minami-ku, Hiroshima 734-8551, Japan – sequence: 1 fullname: Orita, Naoya organization: Division of Rehabilitation, Department of Clinical Practice and Support, Hiroshima University Hospital, Japan – sequence: 1 fullname: Ueda, Kazuyuki organization: Division of Rehabilitation, Department of Clinical Practice and Support, Hiroshima University Hospital, Japan – sequence: 1 fullname: Hosomi, Naohisa organization: Department of Clinical Neuroscience and Therapeutics, Graduate School of Biomedical and Health Sciences, Hiroshima University: 1-2-3 Kasumi, Minami-ku, Hiroshima 734-8551, Japan – sequence: 1 fullname: Matsumoto, Masayasu organization: Department of Clinical Neuroscience and Therapeutics, Graduate School of Biomedical and Health Sciences, Hiroshima University: 1-2-3 Kasumi, Minami-ku, Hiroshima 734-8551, Japan – sequence: 1 fullname: Ochi, Kazuhide organization: Department of Clinical Neuroscience and Therapeutics, Graduate School of Biomedical and Health Sciences, Hiroshima University: 1-2-3 Kasumi, Minami-ku, Hiroshima 734-8551, Japan – sequence: 1 fullname: Takahashi, Tetsuya organization: Department of Clinical Neuroscience and Therapeutics, Graduate School of Biomedical and Health Sciences, Hiroshima University: 1-2-3 Kasumi, Minami-ku, Hiroshima 734-8551, Japan – sequence: 1 fullname: Nishikawa, Yuichi organization: Division of Rehabilitation, Department of Clinical Practice and Support, Hiroshima University Hospital, Japan – sequence: 1 fullname: Kurashige, Takashi organization: Department of Neurology, National Hospital Organization Kure Medical Center, Japan – sequence: 1 fullname: Kimura, Hiroaki organization: Department of Rehabilitation Medicine, Hiroshima University Hospital, Japan |
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| Keywords | Respiratory muscle strength Polymyositis Rehabilitation |
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| References | 13) Wasserman K, Whipp BJ, Koyl SN, et al.: Anaerobic threshold and respiratory gas exchange during exercise. J Appl Physiol, 1973, 35: 236–243. 20) Teixeira A, Cherin P, Demoule A, et al.: Diaphragmatic dysfunction in patients with idiopathic inflammatory myopathies. Neuromuscul Disord, 2005, 15: 32–39. 16) Alexanderson H, Stenström CH, Jenner G, et al.: The safety of a resistive home exercise program in patients with recent onset active polymyositis or dermatomyositis. Scand J Rheumatol, 2000, 29: 295–301. 14) Kilmer DD, Aitkens SG, Wright NC, et al.: Response to high-intensity eccentric muscle contractions in persons with myopathic disease. Muscle Nerve, 2001, 24: 1181–1187. 8) Pearson CM: Patterns of polymyositis and their responses to treatment. Ann Intern Med, 1963, 59: 827–838. 6) Dastmalchi M, Alexanderson H, Loell I, et al.: Effect of physical training on the proportion of slow-twitch type I muscle fibers, a novel nonimmune-mediated mechanism for muscle impairment in polymyositis or dermatomyositis. Arthritis Rheum, 2007, 57: 1303–1310. 12) American Thoracic Society/European Respiratory Society: ATS/ERS Statement on respiratory muscle testing. Am J Respir Crit Care Med, 2002, 166: 518–624. 19) Lakhanpal S, Lie JT, Conn DL, et al.: Pulmonary disease in polymyositis/dermatomyositis: a clinicopathological analysis of 65 autopsy cases. Ann Rheum Dis, 1987, 46: 23–29. 10) Sonies BC: Evaluation and treatment of speech and swallowing disorders associated with myopathies. Curr Opin Rheumatol, 1997, 9: 486–495. 5) Hejazi SM, Engkasan JP, Qomi MS: Intensive exercise and a patient in acute phase of polymyositis. J Back Musculoskeletal Rehabil, 2012, 25: 231–234. 7) Oh TH, Brumfield KA, Hoskin TL, et al.: Dysphagia in inflammatory myopathy: clinical characteristics, treatment strategies, and outcome in 62 patients. Mayo Clin Proc, 2007, 82: 441–447. 2) Dalakas MC, Hohlfeld R: Polymyositis and dermatomyositis. Lancet, 2003, 362: 971–982. 4) Hicks JE, Miller F, Plotz P, et al.: Isometric exercise increases strength and does not produce sustained creatinine phosphokinase increases in a patient with polymyositis. J Rheumatol, 1993, 20: 1399–1401. 15) Varjú C, Pethö E, Kutas R, et al.: The effect of physical exercise following acute disease exacerbation in patients with dermato/polymyositis. Clin Rehabil, 2003, 17: 83–87. 11) Katoh M, Yamasaki H: Test-retest reliability of isometric leg muscle strength measurements made using a hand-held dynamometer restrained by a belt: comparisons during and between sessions. J Phys Ther Sci, 2009, 21: 239–243. 18) Neves LF, Reis MH, Plentz RD, et al.: Expiratory and expiratory plus inspiratory muscle training improves respiratory muscle strength in subjects with COPD: systematic review. Respir Care, 2014, 59: 1381–1388. 1) Ohta A, Nagai M, Nishina M, et al.: Prevalence and incidence of polymyositis and dermatomyositis in Japan. Mod Rheumatol, 2014, 24: 477–480. 9) Cunningham JD Jr, Lowry LD: Head and neck manifestations of dermatomyositis-polymyositis. Otolaryngol Head Neck Surg, 1985, 93: 673–677. 3) Verstraeten AS, Verbrugghe W, Wuyts W: A patient with interstitial lung disease secondary to dermatomyositis: a case report and review of the literature. Acta Clin Belg, 2013, 68: 240–244. 17) Ramos EM, de Toledo-Arruda AC, Fosco LC, et al.: The effects of elastic tubing-based resistance training compared with conventional resistance training in patients with moderate chronic obstructive pulmonary disease: a randomized clinical trial. Clin Rehabil, 2014, 28: 1096–1106. 11 12 13 14 15 16 17 18 19 1 2 3 4 5 6 7 8 9 20 10 11494271 - Muscle Nerve. 2001 Sep;24(9):1181-7 24782553 - Respir Care. 2014 Sep;59(9):1381-8 3932939 - Otolaryngol Head Neck Surg. 1985 Oct;93(5):673-7 8230026 - J Rheumatol. 1993 Aug;20(8):1399-401 24252012 - Mod Rheumatol. 2014 May;24(3):477-80 14511932 - Lancet. 2003 Sep 20;362(9388):971-82 23220804 - J Back Musculoskelet Rehabil. 2012;25(4):231-4 12186831 - Am J Respir Crit Care Med. 2002 Aug 15;166(4):518-624 4723033 - J Appl Physiol. 1973 Aug;35(2):236-43 24647863 - Clin Rehabil. 2014 Nov;28(11):1096-106 24156232 - Acta Clin Belg. 2013 May-Jun;68(3):240-4 15639118 - Neuromuscul Disord. 2005 Jan;15(1):32-9 3813671 - Ann Rheum Dis. 1987 Jan;46(1):23-9 17907213 - Arthritis Rheum. 2007 Oct 15;57(7):1303-10 14082735 - Ann Intern Med. 1963 Dec;59:827-38 11093595 - Scand J Rheumatol. 2000;29(5):295-301 12617382 - Clin Rehabil. 2003 Feb;17(1):83-7 17418072 - Mayo Clin Proc. 2007 Apr;82(4):441-7 9375277 - Curr Opin Rheumatol. 1997 Nov;9(6):486-95 |
| References_xml | – reference: 12) American Thoracic Society/European Respiratory Society: ATS/ERS Statement on respiratory muscle testing. Am J Respir Crit Care Med, 2002, 166: 518–624. – reference: 8) Pearson CM: Patterns of polymyositis and their responses to treatment. Ann Intern Med, 1963, 59: 827–838. – reference: 18) Neves LF, Reis MH, Plentz RD, et al.: Expiratory and expiratory plus inspiratory muscle training improves respiratory muscle strength in subjects with COPD: systematic review. Respir Care, 2014, 59: 1381–1388. – reference: 4) Hicks JE, Miller F, Plotz P, et al.: Isometric exercise increases strength and does not produce sustained creatinine phosphokinase increases in a patient with polymyositis. J Rheumatol, 1993, 20: 1399–1401. – reference: 15) Varjú C, Pethö E, Kutas R, et al.: The effect of physical exercise following acute disease exacerbation in patients with dermato/polymyositis. Clin Rehabil, 2003, 17: 83–87. – reference: 19) Lakhanpal S, Lie JT, Conn DL, et al.: Pulmonary disease in polymyositis/dermatomyositis: a clinicopathological analysis of 65 autopsy cases. Ann Rheum Dis, 1987, 46: 23–29. – reference: 5) Hejazi SM, Engkasan JP, Qomi MS: Intensive exercise and a patient in acute phase of polymyositis. J Back Musculoskeletal Rehabil, 2012, 25: 231–234. – reference: 16) Alexanderson H, Stenström CH, Jenner G, et al.: The safety of a resistive home exercise program in patients with recent onset active polymyositis or dermatomyositis. Scand J Rheumatol, 2000, 29: 295–301. – reference: 9) Cunningham JD Jr, Lowry LD: Head and neck manifestations of dermatomyositis-polymyositis. Otolaryngol Head Neck Surg, 1985, 93: 673–677. – reference: 11) Katoh M, Yamasaki H: Test-retest reliability of isometric leg muscle strength measurements made using a hand-held dynamometer restrained by a belt: comparisons during and between sessions. J Phys Ther Sci, 2009, 21: 239–243. – reference: 14) Kilmer DD, Aitkens SG, Wright NC, et al.: Response to high-intensity eccentric muscle contractions in persons with myopathic disease. Muscle Nerve, 2001, 24: 1181–1187. – reference: 3) Verstraeten AS, Verbrugghe W, Wuyts W: A patient with interstitial lung disease secondary to dermatomyositis: a case report and review of the literature. Acta Clin Belg, 2013, 68: 240–244. – reference: 17) Ramos EM, de Toledo-Arruda AC, Fosco LC, et al.: The effects of elastic tubing-based resistance training compared with conventional resistance training in patients with moderate chronic obstructive pulmonary disease: a randomized clinical trial. Clin Rehabil, 2014, 28: 1096–1106. – reference: 1) Ohta A, Nagai M, Nishina M, et al.: Prevalence and incidence of polymyositis and dermatomyositis in Japan. Mod Rheumatol, 2014, 24: 477–480. – reference: 7) Oh TH, Brumfield KA, Hoskin TL, et al.: Dysphagia in inflammatory myopathy: clinical characteristics, treatment strategies, and outcome in 62 patients. Mayo Clin Proc, 2007, 82: 441–447. – reference: 13) Wasserman K, Whipp BJ, Koyl SN, et al.: Anaerobic threshold and respiratory gas exchange during exercise. J Appl Physiol, 1973, 35: 236–243. – reference: 20) Teixeira A, Cherin P, Demoule A, et al.: Diaphragmatic dysfunction in patients with idiopathic inflammatory myopathies. Neuromuscul Disord, 2005, 15: 32–39. – reference: 6) Dastmalchi M, Alexanderson H, Loell I, et al.: Effect of physical training on the proportion of slow-twitch type I muscle fibers, a novel nonimmune-mediated mechanism for muscle impairment in polymyositis or dermatomyositis. Arthritis Rheum, 2007, 57: 1303–1310. – reference: 10) Sonies BC: Evaluation and treatment of speech and swallowing disorders associated with myopathies. Curr Opin Rheumatol, 1997, 9: 486–495. – reference: 2) Dalakas MC, Hohlfeld R: Polymyositis and dermatomyositis. Lancet, 2003, 362: 971–982. – ident: 1 doi: 10.3109/14397595.2013.844308 – ident: 8 doi: 10.7326/0003-4819-59-6-827 – ident: 4 – ident: 12 doi: 10.1164/rccm.166.4.518 – ident: 17 doi: 10.1177/0269215514527842 – ident: 18 doi: 10.4187/respcare.02793 – ident: 19 doi: 10.1136/ard.46.1.23 – ident: 15 doi: 10.1191/0269215503cr572oa – ident: 14 doi: 10.1002/mus.1130 – ident: 3 doi: 10.2143/ACB.3276 – ident: 11 doi: 10.1589/jpts.21.239 – ident: 13 doi: 10.1152/jappl.1973.35.2.236 – ident: 5 doi: 10.3233/BMR-2012-0340 – ident: 6 doi: 10.1002/art.22996 – ident: 20 doi: 10.1016/j.nmd.2004.09.006 – ident: 16 doi: 10.1080/030097400447679 – ident: 10 doi: 10.1097/00002281-199711000-00003 – ident: 7 doi: 10.4065/82.4.441 – ident: 9 – ident: 2 doi: 10.1016/S0140-6736(03)14368-1 – reference: 4723033 - J Appl Physiol. 1973 Aug;35(2):236-43 – reference: 3932939 - Otolaryngol Head Neck Surg. 1985 Oct;93(5):673-7 – reference: 12617382 - Clin Rehabil. 2003 Feb;17(1):83-7 – reference: 3813671 - Ann Rheum Dis. 1987 Jan;46(1):23-9 – reference: 15639118 - Neuromuscul Disord. 2005 Jan;15(1):32-9 – reference: 24252012 - Mod Rheumatol. 2014 May;24(3):477-80 – reference: 23220804 - J Back Musculoskelet Rehabil. 2012;25(4):231-4 – reference: 8230026 - J Rheumatol. 1993 Aug;20(8):1399-401 – reference: 9375277 - Curr Opin Rheumatol. 1997 Nov;9(6):486-95 – reference: 14511932 - Lancet. 2003 Sep 20;362(9388):971-82 – reference: 24156232 - Acta Clin Belg. 2013 May-Jun;68(3):240-4 – reference: 11093595 - Scand J Rheumatol. 2000;29(5):295-301 – reference: 11494271 - Muscle Nerve. 2001 Sep;24(9):1181-7 – reference: 12186831 - Am J Respir Crit Care Med. 2002 Aug 15;166(4):518-624 – reference: 24782553 - Respir Care. 2014 Sep;59(9):1381-8 – reference: 17907213 - Arthritis Rheum. 2007 Oct 15;57(7):1303-10 – reference: 17418072 - Mayo Clin Proc. 2007 Apr;82(4):441-7 – reference: 14082735 - Ann Intern Med. 1963 Dec;59:827-38 – reference: 24647863 - Clin Rehabil. 2014 Nov;28(11):1096-106 |
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| Title | Deviation in the recovery of the lower limb and respiratory muscles of patients with polymyositis: a preliminary clinical study |
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