Consultative, Proactive Physical Therapy for People with Lupus: A Case Report

This case report explores the application of a proactive physical therapy (PAPT) approach for patients with systemic lupus erythematosus (SLE). Four patients were initially referred to physical therapy, but only two completed the 24-week program. These patients engaged in a structured exercise routine, which included aerobic and strength training, and demonstrated significant improvements in functional mobility, fatigue, and pain levels. Specifically, one patient showed a 0.09 m/s increase in gait speed and a 33-meter increase in the 6-minute walk test, while the other showed a 0.28 m/s increase in gait speed and a 35-meter increase in the walk test. Both patients reported reduced fatigue and pain, with one patient significantly increasing her exercise time. The study highlights the feasibility and effectiveness of a PAPT model in helping newly diagnosed lupus patients meet exercise guidelines and improve physical function.