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L'Artrite Reumatoide

L’artrite reumatoide (AR)è una malattia infiammatoria cronica di natura autoimmune. 
Questa patologia viene anche definita Poliartrite Cronica Primaria: l’infiammazione infatti colpisce più articolazioni (poli), ha un andamento progressivo (cronica) e non presenta una causa nota (primaria).
Il primo bersaglio dell’artrite reumatoide è la membrana sinoviale (la membrana interna che riveste la capsula articolare) con conseguente degenerazione della superficie articolare, deformazione e compromissione irreversibile dell’articolazione stessa. I sintomi più frequenti sono tipici del processo infiammatorio, quali arrossamento, calore, gonfiore articolare e prolungata rigidità mattutina. Questi di certo non sono gli unici. L’AR infatti è una malattia “sistemica” e può provocare per esempio sintomi oculari, respiratori, cardiaci e in particolare la comparsa dei cosiddetti “noduli reumatoidi”.
Le articolazioni maggiormente colpite sono quelle delle dita (metacarpo-falangee e interfalangee prossimali), polsi, gomiti, colonna cervicale, ginocchia e caviglie.
L’AR ha una prevalenza compresa tra lo 0,3% e l’1,5% della popolazione mondiale e in Italia la percentuale si aggira attorno allo 0,5%; colpisce tutte le età con un picco tra i 35 e i 50 anni e con un rapporto femmine:maschi di 3:1.
Per quanto riguarda la terapia, oltre al trattamento farmacologico, il ruolo della fisioterapia è di estrema importanza per ridurre dolore e tumefazioni articolari, ripristinare il range articolare, migliorare il tono muscolare e la resistenza fisica. Il paziente stesso può adottare dei piccoli accorgimenti per andare a stressare il meno possibile le articolazioni, come per esempio:

  • portare i pesi il più possibile vicino al corpo e con tutte e due le mani o le braccia per evitare di sovraccaricare gli arti superiori;
  • utilizzare le articolazioni più grandi e forti per facilitarsi (es. chiudere un’anta con l’anca invece che con la mano);
  • evitare sforzi inutili;
  • riposare in modo adeguato.

Esistono in particolare consigli utili per quanto riguarda le attività quotidiane:

  • ALIMENTAZIONE: evitare posate con manici sottili, preferire quindi quelle con manico grosso e presa a piena mano;
  • ABBIGLIAMENTO: vestire per prima la parte inferiore del corpo, meglio se stando seduti; preferire abiti facili da indossare e comodi, a chiusura anteriore e con bottoni grandi (per evitare troppo stress alle piccole articolazioni delle mani);
  • IGIENEPERSONALE: effettuare le attività quotidiane (fare la doccia, lavarsi i denti, spazzolarsi, ecc.) stando seduti se possibile; utilizzare strumenti dal manico largo per assicurare un’impugnatura stabile;
  • CUCINA: porre gli strumenti per cucinare in posti facili da raggiungere (per esempio utensili più pesanti all’altezza della vita per non affaticarsi troppo); organizzare i pasti in modo regolare, raggruppando gli ingredienti e gli strumenti vicini per non doverli cercare in continuazione; aiutarsi con gli apparecchi elettrici;
  • PULIZIE: evitare di piegarsi per pulire, utilizzare quindi utensili di adeguata lunghezza o sedersi se possibile; preferire movimenti lenti con entrambe le mani;  preferire l’utilizzo di elettrodomestici; compiere movimenti dall’alto verso il basso (per sfruttare la gravità).

 
Qui troverete qualche esempio di esercizi da poter effettuare indipendentemente:

ESERCIZIO 1:
auto-stretching: in posizione seduta unire le mani dietro la schiena, mantenendo i gomiti estesi e la schiena dritta; portare indietro le spalle (immaginate come se le vostre mani fossero tirate indietro da una corda).
Mantenere la posizione per 30 secondi.


ESERCIZIO 2:
auto-stretching: in piedi, piegare il ginocchio e afferrare la caviglia con la mano, facendo attenzione a non piegare la schiena (potete appoggiare l’altra mano ad un piano per essere più stabili).
Mantenere la posizione per 30 secondi per ciascuna gamba.


ESERCIZIO 3:
distesi a pancia in su con la schiena ben appoggiata a terra, piegare la gamba e con il braccio opposto avvicinarla al petto; distendere l’altro braccio verso l’alto contemporaneamente.
Mantenere la posizione per 15 secondi per ciascuna gamba; ripetere due volte.








ESERCIZIO 4:
distesi a pancia in giù con i gomiti appoggiati, sollevare il busto cercando di non staccare la pancia da terra.
Mantenere la posizione per 15 secondi; ripetere due volte.










Quelli che vi abbiamo proposto sono semplici esempi di esercizi che si possono svolgere benissimo a casa, ma in generale si raccomanda di adottare uno stile di vita sano e di praticare regolare esercizio fisico (camminare, nuotare, fare stretching, ecc.).



Bibliografia:
“Esercizio terapeutico: fondamenti e tecniche” C. Kisner, L. A. Colby
www.anmar-italia.itAssociazione Nazionale Malati Reumatici”
“Atlante di anatomia ortopedica di Netter” J. C. Thompson
Per le immagini:

462 commenti a L'Artrite Reumatoide:

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Thanks for your interest in Investment Recommendation. on martedì 14 maggio 2019 03:25
Thanks for your interest in Investment Recommendation.
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Monetary advisors enterprise is people business. on martedì 14 maggio 2019 08:47
Monetary advisors enterprise is people business.
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Today, I went to the beachfront with my kids. I found a sea shell and gave it to my 4 year old daughter and said "You can hear the ocean if you put this to your ear." She placed the shell to her ear and screamed. There was a hermit crab inside and it pinched her ear. She never wants to go back! LoL I know this is completely off topic but I had to tell someone!
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I was curious if you ever thought of changing the page layout of your blog? Its very well written; I on giovedì 16 maggio 2019 12:43
I was curious if you ever thought of changing the page layout of your blog? Its very well written; I love what youve got to say. But maybe you could a little more in the way of content so people could connect with it better. Youve got an awful lot of text for only having one or 2 pictures. Maybe you could space it out better?
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After I initially left a comment I appear to have clicked the -Notify me when new comments are added- checkbox and now each time a comment is added I receive four emails with the exact same comment. Is there a way you can remove me from that service? Many thanks!
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Hey are using Wordpress for your site platform? I'm new to the blog world but I'm trying to get sta on venerdì 17 maggio 2019 10:38
Hey are using Wordpress for your site platform? I'm new to the blog world but I'm trying to get started and set up my own. Do you need any coding expertise to make your own blog? Any help would be really appreciated!
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Schwab Intelligent Portfolios invests in Schwab ETFs. on venerdì 17 maggio 2019 20:57
Schwab Intelligent Portfolios invests in Schwab ETFs.
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Thank you on your interest in Funding Advice. on sabato 18 maggio 2019 15:58
Thank you on your interest in Funding Advice.
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Monetary advisors enterprise is people enterprise. on lunedì 20 maggio 2019 05:20
Monetary advisors enterprise is people enterprise.
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Schwab Intelligent Portfolios invests in Schwab ETFs. on lunedì 20 maggio 2019 14:39
Schwab Intelligent Portfolios invests in Schwab ETFs.
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