SLE Track
VALOR+
Vascular Adaptation through Lupus-Optimized Rehabilitation Plus
Duration
24 weeks · Foundation, HIIT + Bands, Optimization
Structure
Progressive, 3 phases over 6 months
Delivery
Virtual
About this protocol
VALOR+ is a combined cardiorespiratory and resistance training programme for systemic lupus erythematosus, grounded in the Blaess et al. (RMD Open / Ann Rheum Dis, 2024) international task-force consensus. Three integrated components run across Foundation, HIIT + Bands, and Optimization phases: a graduated daily step program (2,000 → 10,000), walking-based HIIT with heart-rate monitoring, and progressive resistance training targeting the proximal muscle groups affected by glucocorticoid myopathy. Photoprotection is built into every session for patients with photosensitivity.
Clinical authors
- Angelo Papachristos, PT, ACPAC
- Dr. Teresa Semalulu, MD
Evidence base
VALOR+ is derived from systematic review and randomized controlled trial evidence in Systemic Lupus Erythematosus (SLE). Protocol parameters — phase structure, load progression, and outcome measures — align with EULAR, ACR, and ASAS exercise-therapy recommendations. Outcome tracking favours open-access PROMIS instruments where validated equivalents exist.
View the evidence library →Outcome measures
- 1.6-km Walk Test (VO₂ estimation)
- SLEDAI-2K (disease activity)
- PROMIS Fatigue Short Form 7aPROMIS
- Fasting lipids, HbA1c (CV risk profile)
- Anti-dsDNA, C3 / C4 (disease activity markers)
- Peak HR + RPE (every session)
- Weekly step average
PROMIS short forms are free, NIH-developed measures used in place of paid legacy instruments.
What's included
- Virtual assessment with a certified exercise therapist
- Personalised programme plan
- Live-virtual group or individual sessions
- Asynchronous guided home programme
- Regular ePRO check-ins with adaptive progression
- Care coordinator support
- Programme completion report
Interested in this protocol?
Speak to us about adding VALOR+ to your PSP or benefits plan.
Request a pilotFor patients