The Effects of Yoga Training in Ankylosing Spondylitis Patients

Study Overview
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Brief Summary
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The aim of the study is to investigate the effect of yoga training on functional level, disease activity, spinal mobility, balance, sleep quality, depression and quality of life in AS patients.

Detailed Description
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Yoga is an ancient Indian practice, dating back several thousand years, with objective of uniting mind, body, and spirit. In Western cultures, Hatha yoga is most commonly practiced, and generally includes a set of physical poses(asanas), breathing techniques(pranayama) and deep relaxation(savasana).Yoga has been shown to increase mobility, reduce pain, and improve quality of life in many diseases. However, there is no study examining the effects of yoga training in AS patients.Therefore, the aim of this study is to investigate the effects of yoga training in AS patients. 60 AS patients aged 20-60 years will be randomly assigned to yoga or control group. Home exercises will be taught to both groups, and a brochure with home exercises will be given. The yoga group will participate in a yoga class 3 days a week, during 8 weeks. The control group will not participate in a yoga class, only will do home exercises. Assessments will be done at baseline and after 8 weeks.

Official Title
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The Effects of Yoga Training in Ankylosing Spondylitis Patients

Conditions
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Ankylosing Spondylitis, Yoga

Intervention / Treatment
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* Other: Yoga group
* Other: Control group


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Ankylosing spondylitis(AS) patients diagnosed according to modified New York criteria To be volunteer Exclusion Criteria: the presence of peripheral enthesitis, orthopedic disorders, cardiovascular disorders, neurological disorders, visual and auditory deficits, history of surgery for spine or lower limb, failure to complete the test

Ages Eligible for Study
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Minimum Age: 20 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: yoga group<br>Participants in this group will be given yoga training 3 days a week for 8 weeks. In addition, patients in this group will be taught home exercises and asked to do these exercises 5 days a week for 8 weeks. | Other: Yoga group<br>* Yoga training 3 days a week for 8 weeks. In addition to this, home exercises 5 days a week for 8 weeks<br>|
| Other: Control group<br>Patients in this group will be taught home exercises and asked to do these exercises 5 days a week for 8 weeks. | Other: Control group<br>* Home exercises 5 days a week for 8 weeks<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Bath Ankylosing Spondylitis Spinal Metrology Index (BASMI) | Asses spinal mobility. The total score ranges from 0 to 10. Higher scores mean poor spinal mobility. | 5 minutes | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) | Assess disease activity. The total score ranges from 0 to 10. High scores mean an increase in disease activity. | 2 minutes | 
| Bath Ankylosing Spondylitis Functional Index (BASFI) | Assess functional capacity. This self-assessment instrument consists of eight specific questions regarding function in AS and two questions reflecting the patient's ability to cope with everyday life regarding function in AS and two questions reflecting the patient's ability to cope with everyday life.The BASFI score is calculated by dividing the sum of the scores from 10 questions by 10. | 3 minutes | 
| Short Form-36 (SF-36) | Assess quality of life | 6 minutes | 
| Beck Depression Inventory | Assess depression | 5 minutes | 
| Beck Anxiety Inventory | Assess anxiety | 4 minutes | 
| Pittsburgh Sleep Quality Index | Assess quality of sleep | 4 minutes | 
| Balance Master system | Assess balance | 10 minutes | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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ankylosing spondylitis, yoga