There was no important clinical meaningful benefit .
Adverse effectsWe found very low- quality evidence of the effect of exercise versus either no intervention , or usual care .
We found moderate- to low- quality evidence that exercise programmes probably slightly improve function , may reduce pain , and probably slightly reduce global patient assessment of disease activity , when compared with no intervention , and measured upon completion of the programme .
We found moderate- to low- quality evidence that exercise programmes probably have little or no effect on improving function or reducing pain , when compared with usual care , and may have little or no effect on reducing patient assessment of disease activity , when measured upon completion of the programmes .
We are uncertain whether exercise programmes improve spinal mobility , reduce fatigue , or induce adverse effects
BACKGROUND Exercise programmes are often recommended for managing ankylosing spondylitis ( AS ) , to reduce pain and improve or maintain functional capacity .
OBJECTIVES To assess the benefits and harms of exercise programmes for people with AS .
Swiss ball exercises improve muscle strength and walking performance in ankylosing spondylitis: a randomized controlled trial.
OBJECTIVE The purpose was to evaluate the effectiveness of a progressive muscle strengthening program using a Swiss ball for AS patients . METHODS Sixty patients with AS were r and omized into the intervention group ( IG ) or the control group ( CG ) . Eight exercises were performed by the IG patients with free weights on a Swiss ball two times per week for 16 weeks . The evaluations were performed by a blinded evaluator at baseline and after 4 , 8 , 12 and 16 weeks using the following instruments : the one-repetition maximum test ( 1 RM ) , BASMI , BASFI , HAQ-S , SF-36 , 6-minute walk test , time up and go test , BASDAI , ASDAS , ESR and CRP dosage and Likert scale . RESULTS There was a statistical difference between groups for : strength ( 1 RM capacity ) in the following exercises : abdominal , rowing , squat , triceps and reverse fly ( p<0.005 ) ; 6-minute walk test ( p<0.001 ) ; timed up and go test ( p=0.025 ) and Likert scale ( p<0.001 ) , all of them with better results for the IG . No differences were observed between the groups with respect to the functional capacity evaluation using the BASFI , HAQ-S , BASMI , SF-36 , TUG , ASDAS , ESR and CPR dosage . CONCLUSIONS Progressive muscle strengthening using a Swiss ball is effective for improving muscle strength and walking performance in patients with AS
There was no important clinical meaningful benefit .
Adverse effectsWe found very low- quality evidence of the effect of exercise versus either no intervention , or usual care .
We found moderate- to low- quality evidence that exercise programmes probably slightly improve function , may reduce pain , and probably slightly reduce global patient assessment of disease activity , when compared with no intervention , and measured upon completion of the programme .
We found moderate- to low- quality evidence that exercise programmes probably have little or no effect on improving function or reducing pain , when compared with usual care , and may have little or no effect on reducing patient assessment of disease activity , when measured upon completion of the programmes .
We are uncertain whether exercise programmes improve spinal mobility , reduce fatigue , or induce adverse effects
BACKGROUND Exercise programmes are often recommended for managing ankylosing spondylitis ( AS ) , to reduce pain and improve or maintain functional capacity .
OBJECTIVES To assess the benefits and harms of exercise programmes for people with AS .