Most studies showed a positive effect of exercise on Bath Ankylosing Spondylitis Disease Activity Index , Bath Ankylosing Spondylitis Functional Index , pain , mobility , function and quality of life .
Results support a multimodal approach , including educational sessions and maintaining home-based program .
Ankylosing spondylitis ( AS ) is a chronic and inflammatory rheumatic disease , characterized by pain and structural and functional impairments , such as reduced mobility and axial deformity , which lead to diminished quality of life .
Its treatment includes not only drugs , but also nonpharmacological therapy .
Exercise appears to be a promising modality .
The aim of this study is to review the current evidence and evaluate the role of exercise either on l and or in water for the management of patients with AS in the biological era .
Inspiratory muscle training improves aerobic capacity and pulmonary function in patients with ankylosing spondylitis: a randomized controlled study
Objective : To evaluate the impact of inspiratory muscle training on aerobic capacity and pulmonary function in patients with ankylosing spondylitis . Design : R and omized controlled study . Setting : Rheumatic Rehabilitation Centre . Subjects : A total of 54 ankylosing spondylitis patients , all males , were r and omized to a conventional exercise training associated with an inspiratory muscle training group , or to a conventional exercise training group . Interventions : Group 1 ( 27 patients ) performed eight weeks of conventional exercise training ( supervised weekly group sessions followed by a home-based exercise programme ) associated with inspiratory muscle training sessions . Group 2 ( 27 patients ) received eight weeks of conventional exercise training only . Main measures : Resting pulmonary function ( forced vital capacity − FVC , forced expiratory volume in one second − FEV1 ) ; effort ventilatory efficiency ( lowest ventilatory equivalent ratio for oxygen and carbon dioxide – VE/VO2 and VE/VCO2 ) and aerobic capacity ( peak oxygen uptake – VO2peak ) were assessed at baseline and after eight weeks of exercise-based intervention . Results : After eight weeks follow-up , patients in Group 1 had a significant increased chest expansion and VO2peak compared with Group 2 ( 3.6 ±0.8 cm vs. 3.2 ±0.5 cm , P = 0.032 ; 2.0 ±0.5 l/min vs. 1.8 ±0.3 l/min , P = 0.033 ) . There were no significant differences of spirometric measurements , except FVC which significantly improved in patients who performed inspiratory muscle training ( 82.7 ±5.1 % vs. 79.5 ±3.5 % , P = 0.014 ) . VE/VCO2 also improved significantly in Group 1 ( 26.6 ±3.6 vs. 29.2 ±4.7 , P = 0.040 ) . Conclusions : Ankylosing spondylitis patients who performed eight weeks of inspiratory muscle training associated to conventional exercise training had an increased chest expansion , a better aerobic capacity , resting pulmonary function and ventilatory efficiency than those who performed conventional exercise training only
Most studies showed a positive effect of exercise on Bath Ankylosing Spondylitis Disease Activity Index , Bath Ankylosing Spondylitis Functional Index , pain , mobility , function and quality of life .
Results support a multimodal approach , including educational sessions and maintaining home-based program .
Ankylosing spondylitis ( AS ) is a chronic and inflammatory rheumatic disease , characterized by pain and structural and functional impairments , such as reduced mobility and axial deformity , which lead to diminished quality of life .
Its treatment includes not only drugs , but also nonpharmacological therapy .
Exercise appears to be a promising modality .
The aim of this study is to review the current evidence and evaluate the role of exercise either on l and or in water for the management of patients with AS in the biological era .