Sofia Ajeganova, Margareta Wörnert, Ingiäld Hafström
Unit of Rheumatology, Department of Medicine, Karolinska Institutet, HuddingeKarolinska Institutet, Karolinska University Hospital Huddinge, 141 86 Stockholm, Sweden
DOI: 10.2340/16501977-2122

Objective: In the era of biologics, we evaluated the short- and long-term effects of team-rehabilitation in a warm climate in patients with arthritis and an inadequate response to physio-therapy in Sweden.
Methods: A total of 161 patients with peripheral arthritis and spondyloarthritis, 63% treated with biologics, followed team-rehabilitation for a period of 4 weeks. The outcomes assessed pre- and post-rehabilitation and after 3 and 12 months covered the Heath Assessment Questionnaire (HAQ), Bath Ankylosing Spondylitis Functional Index (BASFI), EuroQoL 5-Dimensions (EQ-5D), general health (VAS-GH), pain (VAS-pain) and the International Physical Activity Questionnaire.
Results: HAQ, VAS-GH and VAS-pain improved significantly from pre-rehabilitation to all follow-up time-points, and BASFI and EQ-5D up to 3 months. In patients treated with biologics, the results were similar. At 3 and 12 months the proportions of patients reporting improvement above the minimal clinically important difference were HAQ 62% and 35%, BASFI 73% and 61%, EQ-5D 47% and 39%, VAS-GH 68% and 52%, and VAS-pain 68% and 51%, respectively. Physical activity increased significantly from pre-rehabilitation to 12 months and this increase correlated with an improvement in EQ-5D (r = 0. 20, p = 0. 040).
Conclusion: Team-rehabilitation in a warm climate resulted in clinically meaningful improvements in body function, activities and well-being, and promoted physical activity for up to one year.