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Table 2 Physical exercise in patients with chronic stable dermatomyositis, polymyositis, or both

From: Physical exercise among patients with systemic autoimmune myopathies

Author

Patients (n)

Protocol (Exercises)

Time (week)

Evaluated Components

Inflammatory markers

Results

Hicks et al. [8]

1

Isometric strength

4

Isometric strength

3 MVC

↔ CPK

↑ Isometric strength

Wiesinger et al. [10]

14

Aerobic

6

VO2 peak

Isometric strength Activities of daily living

↔ CPK

↑ VO2 peak

↑ Isometric strength

↑ Activities of daily living

Wiesinger et al. [19]

13

Aerobic

24

VO2 peak

Isometric strength

Activities of daily living

↔ CPK

↑ VO2 peak

↑ Isometric strength

↑ Activities of daily living

Alexanderson et al. [23]

10

Strength

Dynamic

12

Muscle function

Walking distance

Quality of life

↔ CPK

↔ Immune / inflammatory markers

↑ Muscle function

↑ Walking distance

↑ Quality of life

aHeikkilä et al. [44]

22

Strength

Dynamic

3

Functional capacity

Pain

↔ CPK

↑ Muscle function

↔ Pain

bVarvu et al. [45]

19

Strength

Dynamic

3

Respiratory function (Spirometry)

Muscle strength

↔ CPK

↑ Respiratory function

↑ Muscle function

Harris-Love et al. [46]

1

Strength

Eccentric

12

Isometric strength

↔ Muscle enzymes

↑ Isometric strength

↑ Concentric strength

Alexanderson et al. [23]

8

Strength

Dynamic

7

10–15 MVC

Functional capacity

↔ CPK

↑ 10–15 MVC

↔ Disease activity

↔ Functional capacity

Dastmalchi et al. [14]

9

Aerobic

Strength

12

Type of muscle fiber Quality of life

Functional capacity

Not reported

↑ Type I Fiber

↑ Functional Capacity

↑ Quality of Life

Chung et al. [47]

37

Strength

Dynamic

Creatine supplementation

20

Functional capacity Muscle strength

Quality of life

Pain and fatigue

Anxiety and depression

↔ CPK

↑ Functional capacity

↑ Muscle strength

↔ Quality of life

↔ Anxiety and depression

↔ Pain and fatigue

Nader et al. [21]

8

Strength

Dynamic

7

Genes related to inflammation and fibrosis

↓ CPK

↓ Genes related to inflammation and fibrosis

↓ Tissue fibrosis

Munters et al. [12]

9

Aerobic

12

Aerobic capacity

Activity of mitochondrial enzymes

↔ CPK

↑ Aerobic capacity

↑ Activity of mitochondrial enzymes

Munters et al. [20]

11

Aerobic

12

Aerobic capacity Disability

Disease activity

Quality of life

5 MVC

↔ CPK

↓ Disease activity

↑ Muscle strength

↑ Quality of life

↑ Aerobic capacity

↑ Quality of life

Mattar et al. [25]

13

Strength

Dynamic

Vascular occlusion

12

Muscle strength Functional capacity

Quality of life

↔ CPK↔ Aldolase

↑ Muscle strength

↑ Functional capacity

↑ Quality of life

Munters et al. [22]

15

Aerobic

12

Aerobic capacity

Proteomic analysis

Molecular profile

↔ CPK

↑ Aerobic capacity

↑ Genes related to capillary growth, mitochondrial biogenesis, protein synthesis, cytoskeletal remodeling and muscular hypertrophy

↑ Genes related to the immune and inflammatory response and sarcoplasmic reticulum stress

  1. CPK creatine phosphokinase, DM dermatomyositis, PM polymyositis, MVC maximum voluntary contraction, VO 2 peak oxygen consumption, ↑: increase, ↔: no change, ↓: decrease
  2. a included patients with inclusion body myositis
  3. b included patients with active disease