An evaluation of progressive blood flow restricted resistance training and exercise preferences in individuals with Rheumatoid Arthritis.

Abstract

This two-part study examined the attitudes and preferences of people with rheumatoid arthritis (RA) toward blood flow restricted resistance training (BFR-RT), and assessed the acceptability and impact of a progressive upper and lower body BFR-RT intervention. Part one was a cross-sectional survey (<i>N</i> = 97) examining exercise preferences of people with RA, and their openness to BFR-RT. Part two was a single group trial (<i>N</i> = 12) examining the feasibility, acceptability, and impact of BFR-RT on muscle strength, functional capacity, quality of life, and pain, in people with RA. Survey results indicated people with RA would prefer BFR-RT if it was supervised by an exercise professional, be no more than three sessions per week, and commence at low-to-moderate intensity. The BFR-RT intervention in part two aligned with the part one results, had high acceptability (100% "liked" the program), session adherence (81%), and elicited significant (<i>p</i> < 0.05) improvements in strength, functional lower extremity related physical performance, and pain. However, no improvements in quality of life were observed (<i>p</i> > 0.05). BFR-RT is viewed positively by people with RA, and when delivered in a way that aligns with their preferences, is acceptable, has high adherence, and can improve strength and function, and reduce pain.