Exercise in Ankylosing Spondylitis: Discrepancies Between Recommendations and Reality

Passalent, Laura; Soever, Leslie; O’Shea, Finbar; Inman, Robert D.

doi:10.3899/jrheum.090655

Cited by 56 publications

(48 citation statements)

References 18 publications

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“…with improved management of inflammatory symptoms, there has been decreased compliance with exercise [42]. Regular involvement in exercise also declines with increased disease duration [43]; long-term compliance with exercise, particularly in people with lower disability levels, presents a clinical challenge.…”

Section: Discussionmentioning

confidence: 99%

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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Section: Discussionmentioning

confidence: 99%

Exercise therapy for spondyloarthritis: a systematic review

2014

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“…In ankylosing spondylitis (AS), fatigue is a frequent and significant symptom, reported in 50-70% of patients (3)(4)(5)(6), and it is associated with disease severity, functional ability, global well-being, and mental health status. Traditional approaches to the treatment of fatigue, such as exercise programs, have proven difficult to institute in AS patients (7).…”

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confidence: 99%

Fatigue in Ankylosing Spondylitis Is Associated With the Brain Networks of Sensory Salience and Attention

Inman

Davis

2014

Arthritis & Rheumatology

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Objective. Fatigue is one of the cardinal features of ankylosing spondylitis (AS) and contributes substantially to the disability associated with this disease. The mechanisms underlying fatigue in AS remain poorly understood, and this has hampered the development of targeted, effective treatment of this disabling feature of AS. The current study was undertaken, therefore, to investigate the brain networks underlying fatigue in AS.Methods. Twenty patients with back pain secondary to AS (15 men and 5 women; mean ؎ SD age 34.8 ؎ 11.9 years) and 20 age-and sex-matched controls consented to participate in the study. Patients underwent clinical assessment of AS using the Fatigue Severity Scale, the Affect Intensity Measure, and the McGill Pain Questionnaire. Brain gray matter and white matter connectivity was assessed using 3T magnetic resonance imaging.Results. The patients with AS had significant fatigue that correlated with measures of their emotional strength and spinal mobility. Individual fatigue scores were negatively correlated with the amount of gray matter in areas of the dorsal and ventral attention networks, the somatosensory cortices, and the caudate nucleus, but were positively correlated with gray matter within the executive control network and putamen. Moreover, in patients with high fatigue scores, white matter tracts connecting these brain structures (e.g., inferior fronto-occipital fasciculi, superior/inferior longitudinal fasciculi, and corticothalamic tracts) exhibited low fractional anisotropy (indicative of decreased white matter tract integrity).Conclusion. These data indicate that fatigue in AS involves sensory salience and attention brain networks.

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“…But the major challenge is the widely observed fact that most AS patients do not exercise on a regular basis. Various researchers have reported that as many as 82%, 77% and 65.6% of AS patients do not do any regularly exercising [34][35][36][37]. The main challenge to the success of exercise programs is declining motivation, which leads to a loss of compliance [4,34].…”

Section: Discussionmentioning

confidence: 99%

The Effectiveness of Exergames in Patients with Ankylosing Spondylitis: A Randomized Controlled Trial

Karahan¹,

Tok²,

Yıldırım³

et al. 2016

Adv Clin Exp Med

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Exercise in Ankylosing Spondylitis: Discrepancies Between Recommendations and Reality

Abstract: Patients with AS perceive the benefits of exercise, with average EBBS benefits scores comparable to historical controls with similar conditions. Despite positive perceptions, the majority of patients with AS did not report participating in exercise on a frequent basis.

Cited by 56 publications

References 18 publications

Exercise therapy for spondyloarthritis: a systematic review

Exercise therapy for spondyloarthritis: a systematic review

Fatigue in Ankylosing Spondylitis Is Associated With the Brain Networks of Sensory Salience and Attention

The Effectiveness of Exergames in Patients with Ankylosing Spondylitis: A Randomized Controlled Trial

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