Lupus Erythematosus

Question 1

Describe the definition Lupus

Answer 1

It is a systemic autoimmune disease

Question 2

Describe the aetiology and pathophysiology Lupus

Answer 2

It is when the immune triggers inflammation and apoptosis; it affects major organs, blood vessels and nervous system; it may be genetic, bacterial, viral. Treatment includes anti-rheumatic meds (DMARDS, NSAIDS, steroids)

Question 3

Describe signs and symptoms

Answer 3

Earlier: fever; malaise, joint pains; myalgias; fatigue.

Later: malar rash; red scaly patches on skin; arthralagia; perdicarditis, myocarditis, endocarditis; pulmonary hypertension

Question 4

Describe the responses/benefits of EXP for people w/Lupus

Answer 4

EXP is safe for individuals w/Lupus, and early intervention is expected to reverse cell damage
Enhances: anti-inflammatory effects and autonomic control
Reduces: fatigue and depression
Increases: aerobic capacity, QOL

Question 5

What are the recommendations and modifications for people w/Lupus?

Answer 5

Aim for 60-80% HRmax when doing aerobic training as low intensities are less effective; aim for an RPE 50-60%; consider the clients co-morbidities when setting the intensity