Resistance Training Exercise Using the Swiss Ball in Ankylosing Spondylitis

Study Overview
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Brief Summary
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The aim of the present study is to assess the effectiveness of resistance training with swiss ball in the treatment of patients with ankylosing spondylitis.

Detailed Description
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A randomized, controlled, single-blind, prospective trial being conducted involving 54 patients with ankylosing spondylitis, selected from outpatient clinics - UNIFESP. They will be randomized in intervention group (n = 27) conduct training for muscle strengthening with the aid of the Swiss ball and in the control group (n = 27) did not undergo any intervention. Eight exercises will be conducted with intent to engage all muscle groups.

Official Title
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Assessment of Effectiveness of Resistance Training Exercise Using the Swiss Ball in Patients With Ankylosing Spondylitis

Conditions
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Ankylosing Spondylitis

Intervention / Treatment
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* Other: Exercise
* Other: Drug treatment


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients with established diagnosis of AS steinbrocker functional class I-II Basic medication stable for at least three months Agreed to participate and signed term of informed consent Exclusion Criteria: Uncontrolled hypertension Coronary artery disease History of revascularization History of syncope or arrhythmias induced by exercise Decompensated diabetes mellitus Severe psychiatric illness Fibromyalgia Another medical condition more disabling than AS History of exercise regular (at least 30 minutes 2 times per week)

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 60 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Exercise Group<br>Resistance exercise with swiss ball and drug treatment | Other: Exercise<br>* Resistance Training exercise with swiss ball<br>* Other names: Experimental group;|
| Other: Control Group<br>Drug treatment | Other: Drug treatment<br>* Drug treatment<br>* Other names: Control group;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Bath Ankylosing Spondylitis Functional Index (BASFI) | Functional capacity assessed by BASFI | 16 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| LIKERT SCALE | Likert scale by patients. | 16 weeks | 
| 1 REPETITION MAXIMUM TEST | muscle strength by testing an repetition maximum (1 RM) | 16 weeks | 
| Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) | disease activity by BASDAI (The Bath Ankylosing Spondylitis Disease Activity Index) | 16 weeks | 
| Bath Ankylosing Spondylitis Metrology Index (BASMI) | spinal mobility by BASMI | 16 weeks | 
| erythrocyte sedimentation rate (ESR) |  | 16 weeks | 
| 6-MINUTE WALK TEST |  | 16 weeks | 
| TIME UP AND GO TEST |  | 16 weeks | 
| Short form-36 (SF-36) | quality of life by SF-36 | 16 weeks | 
| QUANTITY OF ANALGESICS AND ANTI-INFLAMATORY USED |  | 16 weeks | 
| Health Assessment Questionnaire (HAQ) Health Assessment Questionnaire | Function | 16 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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treatment, exercise, resistance training, swiss ball, functional capacity