Effects of home-based exercise intervention on health-related quality of life for patients with ankylosing spondylitis: a meta-analysis

Liang, Hui; Zhang, Hua; Ji, Haiyan; Wang, Chunmei

doi:10.1007/s10067-015-2913-2

Cited by 50 publications

(44 citation statements)

References 28 publications

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“…Additional use of qualitative methods, like semistructured interviews with patients to get insight into potential barriers and facilitators, could be of value before actual implementation. Second, despite the known effects of exercise on psychosocial well‐being , questions on perceived effects of SGE only addressed physical health. It is, however, conceivable that our observation that patients (on average) participate in SGE for many years is related to perceived positive effects that go beyond physical functioning.…”

Section: Discussionmentioning

confidence: 99%

“…Regular exercise is considered to be a key component in the management of axial SpA and has been shown to reduce disease activity, pain, and stiffness and improve physical functioning, chest expansion, spinal mobility, and cardiorespiratory function in patients with axial SpA . Additionally, regular exercise has the potential to reduce depressive symptoms . With supervised group exercise (SGE), greater improvements in quality of life, spinal mobility, and patient global assessment were achieved as compared to unsupervised, individual exercise programs .…”

Section: Introductionmentioning

confidence: 99%

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Supervised Group Exercise in Axial Spondyloarthritis: Patients' Satisfaction and Perspective on Evidence‐Based Enhancements

Hilberdink

Giesen

Vlieland

et al. 2020

Arthritis Care & Research

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Objective. Supervised group exercise (SGE) has been proven effective in patients with axial spondyloarthritis (SpA), but its contents and dosage do not always comply with current scientific insight. This aim of this study was to describe axial SpA patients' satisfaction with current SGE and perspective on potential evidence-based SGE enhancements.Methods. Patients with axial SpA who participated in SGE in 4 regions in The Netherlands (n = 118) completed a cross-sectional survey on their satisfaction with features of their current SGE (8 questions scored on a 3-point Likert scale; 1 overall grade, scored according to an 11-point scale) and their perspective on the introduction of appropriately dosed cardiorespiratory and strengthening exercise, monitoring of exercise intensity, periodic reassessments, patient education, and supervision by physical therapists with specific expertise (4 dichotomous questions and one 5-point Likert scale).Results. Most patients were satisfied with the current total intensity (84 of 112 patients [75%]), duration (93 of 111 patients [84%]), and load (89 of 117 patients [76%]) of the program and the proportion of mobility (102 of 114 patients [90%]), strengthening (90 of 115 patients [78%]), and cardiorespiratory exercise (82 of 114 patients [72%]). The median overall grade of the program was a 7 (interquartile range 7-8). Most patients agreed with the implementation of more frequent (home) exercise (73 of 117 patients [62%]), heart-rate monitoring (97 of 117 patients [83%]), and annual reassessments (97 of 118 patients [82%]), whereas 50% agreed with the introduction of patient education (37 of 74 patients). The majority found supervision by therapists specializing in axial SpA to be of high importance (105 of 118 patients [89%]).Conclusion. The majority of SGE participants with axial SpA were satisfied with current SGE but also agreed with enhancements in line with scientific evidence. Current satisfaction levels indicate that a planned implementation strategy, including education and addressing potential barriers and facilitators for the uptake of enhancements, is warranted.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Supervised Group Exercise in Axial Spondyloarthritis: Patients' Satisfaction and Perspective on Evidence‐Based Enhancements

Hilberdink

Giesen

Vlieland

et al. 2020

Arthritis Care & Research

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“…A total of six studies comprising 1098 participants were included in the study. Meta‐analyses showed that home‐based exercise interventions significantly reduced the BASFI scores (MD = −0.39, 95% CI: −0.57, −0.20, P = 0.001), BASDAI scores (MD = −0.50, 95% CI: −0.99, −0.02, P = 0.04) and depression scores (MD = −2.31, 95% CI: −3.33, −1.30, P = 0.001), Thus, home‐based exercise interventions can effectively improve the health‐related quality of life in patients with AS (Liang et al., ).…”

Section: Musculo‐skeletal Disordersmentioning

confidence: 98%

Exercise as medicine – evidence for prescribing exercise as therapy in 26 different chronic diseases

Pedersen

Saltin

2015

Scandinavian Med Sci Sports

2,494

1,786

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This review provides the reader with the up‐to‐date evidence‐based basis for prescribing exercise as medicine in the treatment of 26 different diseases: psychiatric diseases (depression, anxiety, stress, schizophrenia); neurological diseases (dementia, Parkinson's disease, multiple sclerosis); metabolic diseases (obesity, hyperlipidemia, metabolic syndrome, polycystic ovarian syndrome, type 2 diabetes, type 1 diabetes); cardiovascular diseases (hypertension, coronary heart disease, heart failure, cerebral apoplexy, and claudication intermittent); pulmonary diseases (chronic obstructive pulmonary disease, asthma, cystic fibrosis); musculo‐skeletal disorders (osteoarthritis, osteoporosis, back pain, rheumatoid arthritis); and cancer. The effect of exercise therapy on disease pathogenesis and symptoms are given and the possible mechanisms of action are discussed. We have interpreted the scientific literature and for each disease, we provide the reader with our best advice regarding the optimal type and dose for prescription of exercise.

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“…There are no studies evaluating the impact of exercise on bone mineral density in patients with ankylosing spondylitis; however, improvements in disease activity and physical function have been noted in patients with AS who participate in exercise programs [58,59]. Recent consensus guidelines also encourage consistent physical activity and stretching in patients with AS [60].…”

Section: Treatmentmentioning

confidence: 99%

Osteoporosis Management in Ankylosing Spondylitis

Hinze

Louie

2016

Curr Treat Options in Rheum

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OPINION STATEMENT Low bone mineral density (BMD) is increasingly recognized as a common comorbid condition in ankylosing spondylitis (AS). As low BMD increases fracture risk, it is important to identify and treat low BMD in patients with AS who have been shown to be at increased risk for fractures above the population normal. Since low BMD occurs early in disease, we screen during the first year of diagnosis with dual energy x-ray absorptiometry (DXA). If patients are found to have osteoporosis by T-score of less than −2.5 or if their Z-score on DXA is more than two standard deviations below the mean, we initiate therapy with bisphosphonates in males and in females who are not planning any future pregnancies. While reduction in fracture risk with bisphosphonate therapy has not been clearly defined in patients with AS, reduction in vertebral and hip fractures has been well established in primary osteoporosis and thus it is our first line treatment. If there are contraindications to the use of bisphosphonates in the treatment of low BMD, we will consider the use of denosumab. If the patient is not receiving a TNF-alpha inhibitor (TNFi) and has active disease, we also favor early initiation of TNFi due to their positive effects on BMD though the outcome on reduction in vertebral fractures remains unclear. We counsel all patients regarding the importance of adequate intake of vitamin D and calcium per the Institute of Medicine guidelines. All patients should be encouraged to participate in weight-bearing activities with a focus on core strength and gait training.

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Effects of home-based exercise intervention on health-related quality of life for patients with ankylosing spondylitis: a meta-analysis

Cited by 50 publications

References 28 publications

Supervised Group Exercise in Axial Spondyloarthritis: Patients' Satisfaction and Perspective on Evidence‐Based Enhancements

Supervised Group Exercise in Axial Spondyloarthritis: Patients' Satisfaction and Perspective on Evidence‐Based Enhancements

Exercise as medicine – evidence for prescribing exercise as therapy in 26 different chronic diseases

Osteoporosis Management in Ankylosing Spondylitis

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