Rheumatology Practitioners’ View of Exercise in Adults With Systemic Sclerosis or Systemic Lupus Erythematosus

Frade, Stephanie and Cameron, Melainie ORCID: https://orcid.org/0000-0001-5788-8790 and O'Neill, Sean and Greene, David (2021) Rheumatology Practitioners’ View of Exercise in Adults With Systemic Sclerosis or Systemic Lupus Erythematosus. Journal of Clinical Exercise Physiology, 10 (4). pp. 134-141. ISSN 2165-6193


Background: Exercise is part of the general recommendations for care of people with most arthropathies or connective tissue diseases, but it does not feature specifically in the clinical guidelines for management of systemic lupus erythematosus (SLE) and systemic sclerosis (SSc) by rheumatology practitioners. In this study, we sought to explore rheumatologists’ (RHs’) and rheumatology nurses’ (RNs’) perspectives and use of exercise interventions for adults with SLE or SSc. Methods: Semistructured interviews were conducted with Australian RHs and RNs online using Zoom (video conferencing software). Interviews were transcribed verbatim, then coded and analyzed using NVivo for content analysis of themes. Results: Seventeen participants completed the interviews (RHs n = 12, RNs n = 5). Five themes were identified: rheumatology practitioners perceive that (1) exercise is beneficial for adults with SLE or SSc, especially in managing fatigue, pain, and wellbeing; (2) exercise presents some general, structural, and disease-related barriers for adults with SLE or SSc; (3) rheumatology practitioners are confident in providing general exercise advice but lack time and confidence in prescribing exercise; (4) rheumatology practitioners’ concerns about exercise are limited to those with heart and lung disease, inflamed joints, ulcerated fingertips, and severe contractures; and (5) to facilitate safe and attainable exercise, rheumatology practitioners recommend long-term, supervised, gradual, and affordable exercise options. There were no clear differences identified between the views of RNs and RHs. Conclusion: Rheumatology practitioners require information and options for long-term and affordable exercise for adults with SLE or SSc that are supervised, individualized, and focus on a gradual progressive approach.

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Item Type: Article (Commonwealth Reporting Category C)
Refereed: Yes
Item Status: Live Archive
Faculty/School / Institute/Centre: Historic - Faculty of Health, Engineering and Sciences - School of Health and Wellbeing (1 Jan 2015 - 31 Dec 2021)
Faculty/School / Institute/Centre: Current - Institute for Resilient Regions - Centre for Health Research (1 Apr 2020 -)
Date Deposited: 01 Mar 2022 03:49
Last Modified: 17 Mar 2022 03:34
Uncontrolled Keywords: rheumatologists, rheumatology nurses, exercise physiologists, autoimmune disease, physical activity
Fields of Research (2008): 11 Medical and Health Sciences > 1103 Clinical Sciences > 110321 Rehabilitation and Therapy (excl. Physiotherapy)
11 Medical and Health Sciences > 1103 Clinical Sciences > 110322 Rheumatology and Arthritis
11 Medical and Health Sciences > 1106 Human Movement and Sports Science > 110699 Human Movement and Sports Science not elsewhere classified
Fields of Research (2020): 42 HEALTH SCIENCES > 4207 Sports science and exercise > 420799 Sports science and exercise not elsewhere classified
42 HEALTH SCIENCES > 4201 Allied health and rehabilitation science > 420199 Allied health and rehabilitation science not elsewhere classified
Socio-Economic Objectives (2008): C Society > 92 Health > 9201 Clinical Health (Organs, Diseases and Abnormal Conditions) > 920116 Skeletal System and Disorders (incl. Arthritis)
C Society > 92 Health > 9202 Health and Support Services > 920201 Allied Health Therapies (excl. Mental Health Services)
Socio-Economic Objectives (2020): 20 HEALTH > 2003 Provision of health and support services > 200301 Allied health therapies (excl. mental health services)
Identification Number or DOI: doi:10.31189/2165-6193-10.4.134
URI: http://eprints.usq.edu.au/id/eprint/46123

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