Physiotherapy in Psoriatic Arthritis

Abstract

Psoriatic arthritis is an inflammatory joint condition. It is a chronic condition that includes pinkish-red plaque formation on the skin, leading to its changes. The purpose of this article is to review the literature on the role of physiotherapy in psoriatic arthritis. We performed a critical systematic review on the role of physiotherapy in psoriatic arthritis. The article selection process was systematic. The inclusion criteria of the review were (1) physiotherapy practice with psoriatic arthritis; (2) physical activity in psoriatic arthritis; and (3) chronic psoriatic arthritis and co-morbidities. The current review included 11 studies that fulfill these inclusion criteria. Evidence demonstrates that there is potential benefit of physiotherapy treatment and rehabilitation in psoriatic arthritis. Patients with psoriatic arthritis have impaired function and quality of life. It may involve co-morbidities such as obesity, musculoskeletal disease, cardiovascular disease, or fibromyalgia, which can be improved by non-pharmacological approach, such as aerobic exercise and cardiorespiratory exercise. Low level laser therapy increases not only self-repair activities of living tissues but also cell membrane permeability and metabolism, and education of patients is also necessary to improve clinical conditions. Hydrotherapy, resistance exercise, cryotherapy, and interferential therapy are also beneficial in psoriatic arthritis.