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Lupus Erythematosis (PT Evaluation (Outcome measures (SF36, 6 min walk…
Lupus Erythematosis
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PT treatment
Strength Training
Each patient should be prescribed their own exercise prescription based on their functional ability. Isometric exercises along with progressive resistance exercises 3 days a week is considered an appropriate strength program for patients with SLE (Ayan, et al., 2007)
Pt Education
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Family education
It has been shown that there is a lack of adherence with home exercises and patients with autoimmune diseases. Incorporating partners and family member will help facilitate patients participation so they can receive the full benefits of exercise. (Ayan, et al., 2007).
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Aerobic Exercise
According to the research in order to improve aerobic capacity and decrease fatigue, the patient should begin walking at 70%HRmax, 3 times a week for approximately 25 minutes. As the patient progresses, more minutes can be added. (Ayan, et al., 2007).
This patient may not be able to do this secondary to her pericarditis.
Once the patient is discharged, they can also use swimming and cycling for aerobic exercise. Both have shown to be effective when performed at 70-80% HRmax 3 days a week for 30-50 minutes (Ayan, et al., 2007)
Aerobic exercise has been shown to reduce fatigue and depression in patients with Systemic Lupus Erythematosis (SLE) (Strombeck, et al., 2007)
Breathing Exercises
Pursed lip breathing, active expiration, and incentive spirometry has been shown to be beneficial in patients with pleural effusion. (Valenza-Demet, et al., 2014)
Therapeutic Exercises
Active, passive, and active assist range of motion exercises has been shown to improve patients strength, flexibility, and decrease risk of tromboembolism in patients with pleural effusion. (Valenza-Demet, et al., 2014)
Low impact and low resistance exercises has been recommended for patients with arthralgia. This will help maintatin range of motion, improve muscle strength, and increase stability of the joints (Danter, 2009).
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