The Effect(s) of a Six-Week Home-Based Exercise Program on the Respiratory Muscle and Functional Status in Ankylosing Spondylitis

Ortancil, Özgür; Sarıkaya, Selda; Sapmaz, Perihan; Başaran, Aynur; Özdolap, Şenay

doi:10.1097/rhu.0b013e31819b5ed0

Cited by 38 publications

(29 citation statements)

References 26 publications

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“…All these studies support the principle that exercise should remain as a mainstay of AS treatment [4,[6][7][8][9][10][11][12][13][14].…”

supporting

confidence: 59%

“…Combining exercise therapy with medication is standard for patients with AS, as suggested by the Spondylitis Association of America [4]. Previous studies have documented the beneficial effects of various exercise programs on different aspects of health for AS patients, including quality of life, disease activity, spinal mobility, chest expansion, global well-being, physical function and fatigue, whether the patients were receiving TNFα inhibitors or not [6][7][8][9][10][11][12][13][14].…”

Section: Discussionmentioning

confidence: 99%

“…Also, home exercise of this kind is time-efficient, economical and convenient [6][7][8][9][10]. Alternative exercise programs such as swimming, spa-exercise therapy and tai chi programs have also been studied in AS patients, and led to a significant reduction in disease activity and improvement in function compared to the control groups [30][31][32][33].…”

Section: Discussionmentioning

confidence: 99%

“…The effectiveness of home exercises programs that include strengthening of the paraspinal and abdominal muscles, supervised land-or water-based exercises, individual or group exercises have been investigated in the management of AS [6][7][8][9][10][11][12][13][14]. All these studies support the principle that exercise should remain as a mainstay of AS treatment [4,[6][7][8][9][10][11][12][13][14].…”

mentioning

confidence: 95%

See 3 more Smart Citations

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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“…All these studies support the principle that exercise should remain as a mainstay of AS treatment [4,[6][7][8][9][10][11][12][13][14].…”

supporting

confidence: 59%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 95%

See 2 more Smart Citations

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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“…Our results correspond nicely with these observations; however, they also found a significant correlation between FVC, chest expansion, and lumbar flexion. __Ortancil et al [39] applied a 6-week home-based program, using breathing and upper extremity exercises. In their study, chest expansion, pulmonary function, and BASFI scores significantly improved.…”

Section: Discussionmentioning

confidence: 99%

Treatment of ankylosing spondylitis with biologics and targeted physical therapy

et al. 2013

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Objective-Biologics are highly effective in ankylosing spondylitis (AS). In this selfcontrolled study, we assessed the additive value of complex physiotherapy in decreasing chest -2 -pain and tenderness and improving respiratory function in AS patients treated with tumor necrosis factor α (TNF-α) inhibitors.Patients and methods-The trial consisted of 2 parts. In study I, clinical data of AS patients with (n=55) or without biological therapy (n=20) were retrospectively analyzed and compared. Anthropometrical data, duration since diagnosis and patient assessment of disease activity, pain intensity, tender points, sacroiliac joint involvement determined by X-ray, functional condition, and physical activity level were recorded. Subjective, functional, and physical tests were performed. In study II, 10 voluntary patients (6 men and 4 women, age 52.4±13.6 years) with definite AS and receiving anti-TNF therapy were recruited. It was a prospective, non-randomized physiotherapeutic trial. BASFI (Bath Ankylosing Spondylitis Functional Index), BASDAI (Bath Ankylosing Spondylitis Disease Activity Index), modified Schober Index, occiput-to-wall distance, and fingertip-to-floor distance were evaluated.Forced vital capacity, forced 1-s expiratory volume, peak expiratory flow, and maximum voluntary ventilation were recorded. Furthermore, typical tender points were recorded. A targeted physiotherapy program was conducted twice a week for 12 weeks and all above parameters were recorded at baseline and after 12 weeks.Results-Differences in patient assessment of disease activity (p=0.019) and pain intensity (p=0.017) were found in study I. Pain and tenderness of the thoracic spine were observed in both groups. Back pain without biologic therapy was slightly higher than other group.In study II, we found that patient assessment of disease activity and pain intensity significantly improved after the physical therapy program (p=0.002 and p<0.001). BASFI and BASDAI increased after treatment (p=0.004 and p<0.001). The finger-to-floor distance, chest expansion, and modified Schober index increased (p=0.008, p<0.001, and p=0.031, respectively). The respiratory functional parameters showed a tendency towards improvement. Conclusion-AS SchlüsselwörterAtemübungen · Physiotherapie · Biologische Therapie · Anti-TNF-Therapie · Atmung

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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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The Effect(s) of a Six-Week Home-Based Exercise Program on the Respiratory Muscle and Functional Status in Ankylosing Spondylitis

Abstract: A home-based exercise program can have an effect on some measures respiratory muscle and functional status. Greater emphasis should be placed on maintaining cardiorespiratory fitness as well as spinal mobility to encourage patients with AS.

Cited by 38 publications

References 26 publications

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

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

Treatment of ankylosing spondylitis with biologics and targeted physical therapy

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

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