Does group exercise program add anything more to patients with ankylosing spondylitis?

Cagliyan, A.; Kotevoğlu, Nurdan; Onal, T.; Tekkuş, Bağdat; Kuran, Banu

doi:10.3233/bmr-2007-202-305

Cited by 18 publications

(46 citation statements)

References 11 publications

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“…the effects of Ge and HeP on resting pain, pain during activities and duration of morning stiffness were comparable [27,31,32].…”

Section: Function Qol Disease Activity Pain and Stiffnessmentioning

confidence: 88%

“…Disease activity (BASDAI) was significantly lower following Ge compared to HeP in the study by cagliyan et al [32]; however, Karapolat et al [26] found no significant between-group differences. the effects of Ge and HeP on resting pain, pain during activities and duration of morning stiffness were comparable [27,31,32].…”

Section: Function Qol Disease Activity Pain and Stiffnessmentioning

confidence: 89%

“…3). cagliyan et al [32] found a significant difference favouring the Ge, which was maintained at 3-month follow-up. they also found that Qol significantly favoured Ge immediately after a 3-month intervention; only physical role difficulty subscore remained significantly superior at follow-up.…”

Section: Function Qol Disease Activity Pain and Stiffnessmentioning

confidence: 90%

“…cardiovascular risk factors (cholesterol and triglycerides) were assessed in one study [29]. Follow-up measures were recorded in five studies [24,[30][31][32][33]. Risk of bias within studies the methodological quality of included studies was mixed (summarised in Fig.…”

Section: Study Selectionmentioning

confidence: 99%

“…there is conflicting evidence as to the effect of therapeutic exercise on Qol. comparison 2.1: unsupervised HeP compared to supervised Ge three studies compared the effectiveness of unsupervised HeP with supervised Ge [26,31,32]. One study evaluated the effects of adding weekly Ge to a HeP [27].…”

Section: Health-related Fitness Outcomesmentioning

confidence: 99%

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Exercise therapy for spondyloarthritis: a systematic review

2014

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function, disease activity and chest expansion compared to controls; there is low-level evidence of improved pain, stiffness, spinal mobility and cardiorespiratory function. Supervised group exercise yields better outcomes than unsupervised home exercise. the addition of aerobic components to flexibility programmes improves cardiorespiratory outcomes, but not cardiovascular risk factors. the most effective exercise protocol remains unclear. current evidence suggests that therapeutic exercises are beneficial for adults with ankylosing spondylitis; effects on other SpA subtypes are unknown.

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“…the effects of Ge and HeP on resting pain, pain during activities and duration of morning stiffness were comparable [27,31,32].…”

Section: Function Qol Disease Activity Pain and Stiffnessmentioning

confidence: 88%

Section: Function Qol Disease Activity Pain and Stiffnessmentioning

confidence: 89%

Section: Function Qol Disease Activity Pain and Stiffnessmentioning

confidence: 90%

Section: Study Selectionmentioning

confidence: 99%

Section: Health-related Fitness Outcomesmentioning

confidence: 99%

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Exercise therapy for spondyloarthritis: a systematic review

2014

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Exercise programs in trials for patients with ankylosing spondylitis: Do they really have the potential for effectiveness?

Dagfinrud¹,

Halvorsen²,

Vøllestad³

et al. 2011

Arthritis Care & Research

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Objective. To evaluate if exercise programs in trials for patients with ankylosing spondylitis (AS) have the potential for effectiveness. Methods. A systematic literature search was performed and randomized trials examining the effectiveness of exercise programs for AS patients were analyzed according to 3 elements: whether the exercise programs were designed according to the American College of Sports Medicine (ACSM) recommendations for developing cardiorespiratory fitness, muscular strength, and flexibility; whether physiologic responses were properly measured; and whether adherence to programs was monitored. Results. Twelve trials with a total of 826 AS patients were evaluated. Five trials included cardiorespiratory exercise as a part of the exercise programs. One of these met the ACSM recommendations for intensity, duration, frequency, and length of the exercise period. This trial showed the greatest within-group improvement in aerobic capacity (effect size [ES] 2.19). Five trials included muscular strength training, but none measured the physiologic responses nor met the recommendations for improving muscular strength. Eleven trials included flexibility training, but the programs were poorly described overall. Small improvements in spinal mobility (ES range 0.02-0.67) were reported in all trials. Finally, 4 trials reported on participants' adherence to the exercise programs, but only 1 provided sufficient information to evaluate the possible influence of the adherence. Conclusion. The quality of interventions in exercise trials for patients with AS can be improved. Future trials should also focus on measuring and reporting physiologic responses and adherence to exercise interventions.

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Lifestyle modification and inflammation in people with axial spondyloarthropathy—A scoping review

Roberts

Leonard

Bishop

et al. 2022

Musculoskeletal Care

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Introduction:People with axial spondyloarthritis (AS) have an inflammatory profile, increasing the risk of hypertension, type 2 diabetes, obesity, and dyslipidaemia. Consequently, AS is linked with co-morbidities such as cardiovascular disease (CVD). Physical inactivity, diet, smoking, alcohol consumption, and obesity influence inflammation, but knowledge of the interaction between these with inflammation, disease activity, and CVD risk in AS is dominated by cross-sectional research. Methods: A review of the literature was conducted between July 2020 and December 2021. The focus of the scoping review is to summarise longitudinal and randomised control trials in humans to investigate how tracking or modifying lifestyle influences inflammation and disease burden in patients with AS. Key messages: (1) Lifestyle modifications, especially increased physical activity (PA), exercise, and smoking cessation, are critical in managing AS. (2) Smoking is negatively associated with patient reported outcome measures with AS, plus pharmaceutical treatment adherence, but links with structural radiographic progression are inconclusive. (3) Paucity of data warrant structured studies measuring inflammatory cytokine responses to lifestyle modification in AS. Conclusion: Increased PA, exercise, and smoking cessation should be supported at every given opportunity to improve health outcomes in patients with AS. The link between smoking and radiographic progression needs further investigation. Studies investigating the longitudinal effect of body weight, alcohol, and psychosocial factors on disease activity and physical function in patients with AS are needed. Given the link between inflammation and AS, future studies should also incorporate markers of chronic inflammation beyond the standard C-reactive protein and erythrocyte sedimentation rate measurements.

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Does group exercise program add anything more to patients with ankylosing spondylitis?

Cited by 18 publications

References 11 publications

Exercise therapy for spondyloarthritis: a systematic review

Exercise therapy for spondyloarthritis: a systematic review

Exercise programs in trials for patients with ankylosing spondylitis: Do they really have the potential for effectiveness?

Lifestyle modification and inflammation in people with axial spondyloarthropathy—A scoping review

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