Exercise Therapy Program in Ankylosing Spondylitis Patients

University of Sao Paulo

Status: Completed

Conditions: Ankylosing Spondylitis

Treatments: Other: mobility exercise; Other: mobility and elastic resistance exercise

Study type: Interventional

Funder types: Other

Identifiers

NCT01690273

8206212

Details and patient eligibility

About

Mobility exercises are used in Ankylosing Spondylitis (AS) patients to preserve and restore axial mobility, but there are no data regarding a specific rehabilitation program that includes flexibility alone and its association with resistance exercises in AS patients with stable disease activity. So, we assessed the effects of two exercise programs in terms of mobility, functional capacity, quality of life and disease activity in AS patients. Methods. Fifty-five sedentary AS patients with a Bath Ankylosing Spondylitis Activity Index (BASDAI) <4 were included.

Full description

The AS patients were randomly assigned into three groups, to receive a mobility exercise program (M) or mobility plus elastic resistance exercise program (M+R) or no exercise (C). The exercises group sessions were conducted twice per week for 16 weeks. This supervised program comprised 30 minutes of outdoor stretching and mobility exercises for the spine and limbs (M). After the flexibility program, M+R group carry out more 30 minutes of elastic resistance exercises. The mobility, disease activity and functional parameters were evaluated at baseline and after 16 weeks, with the evaluator blinded to the treatment group.

Enrollment: 55 patients

Sex: All

Volunteers: No Healthy Volunteers

Inclusion criteria

• Ankylosing spondylitis patient
• Basdai index lower than 4
• Physical inactive
• Functional class I to III

Exclusion criteria

• Fibromyalgia
• Cardiovascular disease
• Pain Visual Analogue Scale ("VAS") over 8

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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55 participants in 3 patient groups

ankylosing spondylitis control

No Intervention group

Description:

control group

mobility exercise

Experimental group

Description:

mobility exercises

Treatment:

Other: mobility exercise

mobility and elastic resistance exercise

Experimental group

Description:

AS patients was submitted to a program mobility exercise plus elastic resistance exercises

Treatment:

Other: mobility and elastic resistance exercise