Designing Exercise Prescriptions for Individuals with Arthritis and Other Comorbidities: What are the Considerations?

Session Type: ARHP Concurrent Sessions
Tuesday, November 8, 2011: 4:30 PM-6:00 PM
W476 (McCormick Place West)
Clinical  Patient Safety  SessionSelect

Session Overview:
Chronic disease can affect the quality and longevity of an individual’s life. In the United States, arthritis is the leading cause of disability and can affect an individual’s ability to be active, which has consequences to general well-being. Coexisting comorbidities can add to the challenges associated with improving health in individuals with arthritis through increased activity levels. For example, estimates indicate there is a higher prevalence of arthritis in individuals with heart disease than in the general population. Individuals with arthritis and heart disease demonstrate higher levels of disability than those with arthritis or heart disease alone. Physical activity, often incorporated as a prescribed exercise program, can reduce the effects of arthritis as well as positively impact other concurrent conditions such as obesity, cardiovascular disease, and pre-diabetes. Special considerations are required when prescribing exercise programs for individuals with arthritis and other comorbidities. A thorough understanding of risk factor stratification and guidelines for exercise testing and prescription is required to minimize risk to the individual. Considerations related to each chronic condition must be incorporated into decisions related to exercise in order to promote a positive outcome.

Upon completion of this session, participants should be able to:

  • identify consequences of physical activity for persons with arthritis in combination with other comorbidities
  • examine the current evidence related to prescribing exercise in individuals with arthritis and other comorbidities
  • discuss recommendations for exercise testing and prescription, based on risk stratification

Moderator: Nadine M. Fisher, EdD, SUNY at Buffalo
Talks:
4:30 PM
Risk Factor Stratification/Guidelines for Exercise Testing and Prescription: General Considerations for Individuals with Arthritis and Cardiovascular Disease
Mary E. Christenson, Regis University, Denver, CO
5:00 PM
Exercise Prescription for Individuals with Rheumatoid Arthritis and Comorbidities
Maura D. Iversen, Northeastern University, Department of Physical Therapy and Brigham & Women's Hospital, Harvard Medical School, Boston, MA
5:30 PM
Case Studies Considering Comorbid Conditions: Osteoarthritis and Obesity, and Osteoarthritis and Pre-diabetes
Mary E. Christenson, Regis University, Denver, CO and Maura D. Iversen, Northeastern University, Department of Physical Therapy and Brigham & Women's Hospital, Harvard Medical School, Boston, MA
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