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 .
Effect of aquatic exercise on ankylosing spondylitis: a randomized controlled trial
Abstract Ankylosing spondylitis ( AS ) is a chronic systemic inflammatory disease that affects mainly the axial skeleton and causes significant pain and disability . Aquatic ( water-based ) exercise may have a beneficial effect in various musculoskeletal conditions . The aim of this study was to compare the effectiveness of aquatic exercise interventions with l and -based exercises ( home-based exercise ) in the treatment of AS . Patients with AS were r and omly assigned to receive either home-based exercise or aquatic exercise treatment protocol . Home-based exercise program was demonstrated by a physiotherapist on one occasion and then , exercise manual booklet was given to all patients in this group . Aquatic exercise program consisted of 20 sessions , 5 × per week for 4 weeks in a swimming pool at 32–33 ° C . All the patients in both groups were assessed for pain , spinal mobility , disease activity , disability , and quality of life . Evaluations were performed before treatment ( week 0 ) and after treatment ( week 4 and week 12 ) . The baseline and mean values of the percentage changes calculated for both groups were compared using independent sample t test . Paired t test was used for comparison of pre- and posttreatment values within groups . A total of 69 patients with AS were included in this study . We observed significant improvements for all parameters [ pain score ( VAS ) visual analog scale , lumbar flexion/extension , modified Schober test , chest expansion , bath AS functional index , bath AS metrology index , bath AS disease activity index , and short form-36 ( SF-36 ) ] in both groups after treatment at week 4 and week 12 ( p < 0.05 ) . Comparison of the percentage changes of parameters both at week 4 and week 12 relative to pretreatment values showed that improvement in VAS ( p < 0.001 ) and bodily pain ( p < 0.001 ) , general health ( p < 0.001 ) , vitality ( p < 0.001 ) , social functioning ( p < 0.001 ) , role limitations due to emotional problems ( p < 0.001 ) , and general mental health ( p < 0.001 ) subparts of SF-36 were better in aquatic exercise group . It is concluded that a water-based exercises produced better improvement in pain score and quality of life of the patients with AS compared with home-based exercise
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 .