Conclusion Exercises and PA promotion according to public health recommendations  for PA improved cardiovascular fitness , muscle strength and PA behaviour , with moderate effect sizes in people with SpA , RA and HOA/KOA .
Objective To evaluate the effectiveness of exercise and physical activity ( PA ) promotion on cardiovascular fitness , muscle strength , flexibility , neuromotor performance ( eg , balance ) and daily PA in people with rheumatoid arthritis ( RA ) , spondyloarthritis ( SpA ) and hip/knee osteoarthritis ( HOA/KOA ) .
Behaviour change intervention increases physical activity, spinal mobility and quality of life in adults with ankylosing spondylitis: a randomised trial.
QUESTIONS Does a 3-month behaviour change intervention targeting physical activity ( PA ) increase habitual physical activity in adults with ankylosing spondylitis ( AS ) ? Does the intervention improve health-related physical fitness , AS-related features , and attitude to exercise ? Are any gains maintained over a 3-month follow-up ? DESIGN Parallel-group , r and omised , controlled trial with concealed allocation , assessor blinding and intention-to-treat analysis . PARTICIPANTS Forty adults with a diagnosis of AS , on stable medication , and without PA-limiting comorbidities . INTERVENTION Over a 3-month period , the experimental group engaged in individually-tailored , semi-structured consultations aim ing to motivate and support individuals in participating in PA . The control group continued with usual care . OUTCOME MEASURES The primary outcome was PA measured by accelerometry over 1 week . Secondary outcomes included clinical question naires and measures of health-related physical fitness . Measures were taken at baseline , post-intervention , and after a 3-month follow-up period . RESULTS Baseline characteristics were similar across groups , except age and body composition . There were statistically significant , moderate-to-large time-by-group effects  in health-enhancing PA  ( mixed- design ANOVA for overall effect F(2 , 76)=14.826 , p<0.001 ) , spinal mobility ( F(2 , 76)=5.691 , p<0.005 ) and quality of life ( χ2(2)=8.400 , p<0.015 ) favouring the intervention group ; post-intervention improvements were sustained 3 months later . No significant effects were seen in other physical fitness outcomes or on clinical question naires . No adverse effects were reported during the study .  CONCLUSION Health-enhancing PA , spinal mobility and quality of life were significantly improved after the intervention , and improvements were maintained at 3-month follow-up . TRIAL REGISTRATION NCT02374502 . [ O'Dwyer T , Monaghan A , Moran J , O'Shea F , Wilson F ( 2016 ) Behaviour change intervention  increases physical activity , spinal mobility and quality of life in adults with ankylosing spondylitis : a r and omised trial . Journal of PhysiotherapyXX : XX-XX ]
Conclusion Exercises and PA promotion according to public health recommendations  for PA improved cardiovascular fitness , muscle strength and PA behaviour , with moderate effect sizes in people with SpA , RA and HOA/KOA .
Objective To evaluate the effectiveness of exercise and physical activity ( PA ) promotion on cardiovascular fitness , muscle strength , flexibility , neuromotor performance ( eg , balance ) and daily PA in people with rheumatoid arthritis ( RA ) , spondyloarthritis ( SpA ) and hip/knee osteoarthritis ( HOA/KOA ) .