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Exercise training in myositis recovery: Practical issues and challenges

 Department of Medicine, Karolinska Institutet, Karolinska University Hospital; Medical Unit Occupational and Physical Therapy, Karolinska University Hospital, Gaevlegatan, Stockholm, Sweden

Correspondence Address:
Kristofer Magnus Andreasson,
Karolinska University Hospital, Gaevlegatan 55, Occupational & Physical Therapy, NB00:02, 17164, Solna, Stockholm
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/injr.injr_132_22

Idiopathic inflammatory myopathies (IIMs), or myositis, are a heterogeneous group of autoimmune disorders characterized by chronic inflammation of the muscle with a variety in clinical manifestations. Muscle impairment, myalgia, fatigue, and extramuscular involvement are common, such as lung and cardiac involvement. Exercise is an important part of the treatment in IIM; however, knowledge on how to individually adjust and optimize exercise considering specific aspects of the disease and extramuscular involvement is scarce. In many studies, patients with extramuscular involvement are excluded which makes the safety and efficacy of exercise for these patients unclear. This study aims to review the practical issues and challenges of exercise regarding different aspects of the disease and extramuscular involvement, as well as to give a clinical perspective on how to initiate and progress exercise for these patients.

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