physioscience 2025; 21(S 03): S2-S3
DOI: 10.1055/s-0045-1812349
Abstracts
Präsentationen/Presentations
PS 1

2025 update of the EULAR recommendations for physical activity with inflammatory arthritis and osteoarthritis

Autoren

  • A K Rausch

    1   Zurich University of Applied Sciences, School of Health Sciences, Institut for Physiotherapy, Winterthur, Switzerland

  • T Vliet Vlieland

    2   Leiden University Medical Center, Department of Orthopaedics, Rehabilitation and Physical Therapy, Leiden, Netherlands

  • R Ferreira

    3   Nursing Research, Innovation and Development Centre of Lisbon (CIDNUR), Nursing School of Lisbon (ESEL), Lisbon, Portugal
    4   Universidade de Lisboa, Faculdade de Medicina, Instituto de Saúde Ambiental (ISAMB), Lisbon, Portugal
    5   Unidade Local de Saúde de Coimbra, Rheumatology Department, Coimbra, Portugal

  • R Amarnani

    6   Homerton University Hospital NHS Foundation Trust, Sport and Exercise Medicine Department, London, United Kingdom

  • S Battista

    7   University of Salford, School of Health and Society, Centre for Human Movement and Rehabilitation, Salford, Greater Manchester, United Kingdom

  • D Bayraktar

    8   Izmir Katip Celebi University, Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Izmir, Turkey
    9   Arthritis Research Canada, British Columbia, Vancouver, Canada

  • V Boyadzhieva

    10   Medical University Sofia, University Hospital “St. Iv. Rilski” – Clinic of Rheumatology, Sofia, Bulgaria

  • N Brodin

    11   Karolinska Institutet, Department of Neurobiology, Care Sciences and Society, Division of Physiotherapy, Huddinge, Sweden
    12   Danderyd Hospital, Department of Orthopaedics, Stockholm, Sweden

  • A Cox

    13   University of Manchester, Arthritis Research UK Centre for Epidemiology, Manchester, United Kingdom

  • T Davergne

    14   University of Paris Cité, CRESS UMR1153, Team METHODS, Paris, France

  • T Duruöz

    15   Marmara University, School of Medicine, Rheumatology Division, PMR Department, Istanbul, Turkey

  • B Appel Esbensen

    16   Rigshospitalet, Centre for Head and Orthopaedics, Center for Rheumatology and Spine Diseases, Copenhagen Center for Arthritis Research, Glostrup, Denmark
    17   University of Copenhagen, Faculty of Health and Medical Sciences, Department of Clinical Medicine, Copenhagen, Denmark

  • C Fongen

    18   Diakonhjemmet Hospital, Center for Treatment of Rheumatic and Musculoskeletal Disease (REMEDY), Oslo, Norway

  • K P Günther

    19   Technische Universität Dresden, University Medicine, University Center of Orthopaedics and Traumatology, Dresden, Germany

  • Y Henrotin

    20   University of Liège, Department of Physical Activity and Rehabilitation Sciences, Liège, Belgium

  • C Juhl

    21   University of Copenhagen, Herlev and Gentofte Hospital, Copenhagen, Denmark

  • N Kennedy

    22   University of Limerick, School of Allied Health, Faculty of Education and Health Sciences and Health Research Institute, Limerick, Ireland

  • U Kiltz

    23   Rheumazentrum Ruhrgebiet, Rheumatologie, Herne, Germany
    24   Ruhr Universität, Rheumatologie, Bochum, Germany

  • K Knittle

    25   University of Helsinki, Faculty of Social Sciences, Department of Social Psychology, Helsinki, Finland

  • G Metsios

    26   University of Thessaly, School of Physical Education, Sport Science and Dietetics, Department of Nutrition and Dietetics, Thessaly, Greece

  • M Nurmohamed

    27   VU University Medical Center, Amsterdam Rheumatology and Immunology Center, Dept. of Rheumatology, Amsterdam, Netherlands

  • V Romero Pazos

    28   Sociedad Espanola Rheumatologia, Patient Research Partner, Madrid, Spain

  • T Swinnen

    29   University Hospitals Leuven, Division of Rheumatology, Leuven, Belgium
    30   KU Leuven, Department of Development and Regeneration, Skeletal Biology and Engineering Research Center, Leuven, Belgium

  • T Thomsen

    31   Rigshospitalet, Center for Rheumatology and Spine Diseases, Copenhagen Center for Arthritis Research, Copenhagen, Denmark
    32   Bispebjerg and Frederiksberg Hospital, Center for Clinical Research and Prevention, Copenhagen, Denmark
    33   University of Copenhagen, Faculty of Health and Medical Sciences, Department of Clinical Medicine, Copenhagen, Denmark

  • L Warburton

    34   Keele University, Primary Health Care Sciences, Staffordshire, United Kingdom

  • K Niedermann

    35   Zurich University of Applied Sciences, School of Health Sciences, Institut for Physiotherapy, Winterthur, Switzerland
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Introduction The 2018 European Alliance of Associations for Rheumatology (EULAR) recommendations for physical activity (PA) in people with inflammatory arthritis (IA), namely rheumatoid arthritis (RA) and spondyloarthritis (SpA), and hip and knee osteoarthritis (OA) were updated, as the World Health Organisation released updated guidelines for PA with emphasis on sedentary behavior in 2020 and moreover many new international studies in people with IA or OA have been published, including interventions targeting sedentary behavior reduction and interventions using technology and/or the combination of educational and behavioral strategies.

Objective To perform a systematic literature review and update the 2018 EULAR recommendations for PA in people with IA and OA.

Methods The EULAR Standardised Operating Procedures for developing recommendations were followed. A multidisciplinary task force with 24 members from 17 countries was established. The TF agreed on updating strategies for the 13 research questions associated with the original four overarching principles and ten recommendations. Systematic literature searches were conducted for literature published from 1st April 2017 until 1st August 2024 to identify new evidence. The retrieved evidence was discussed, the recommendations were updated, quality indicators were defined, and research and educational agendas were developed.

Results The revised recommendations include three overarching principles and eleven recommendations on PA and sedentary behaviour. The mean level of agreement ranged from 9.0 to 9.8, the mean impact of recommendations was rated between 8.3 to 9.2, and the mean feasibility of implementation was rated somewhat lower between 7.2 to 8.5. The promotion of PA, including the reduction of sedentary behavior, should be an integral part of standard care throughout the course of the disease. The recommendations give orientation on how to integrate this principle into clinical care, considering a suitable prescription framework, individual resources, goals, possible delivery modes including digital technologies.

Conclusions The updated EULAR recommendations for PA provide guidance in the development, conduct and evaluation of PA interventions and promotion in people with IA and OA. These recommendations should be implemented considering individual needs and national health systems.



Publikationsverlauf

Artikel online veröffentlicht:
23. Oktober 2025

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