Pilates in Ankylosing Spondylitis

Study Overview
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Brief Summary
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This study was planned to examine and compare the effectiveness of two different pilates exercise methods (mat pilates vs reformer pilates) in individuals with Ankylosing Spondylitis(AS).

Official Title
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Comparison of Efficacy of Two Different Pilates Exercise Methods in Individuals With Ankylosing Spondylitis: A Randomized Controlled Study

Conditions
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Ankylosing Spondylitis

Intervention / Treatment
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* Behavioral: Pilates


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Being in the age range of 20-65, using stable medication for at least 3 months, being sedentary (Not regularly participating in exercise activities for the past 3 months). Exclusion Criteria: the presence of cardiovascular, pulmonary, orthopedic and neurological problems, another rheumatic disease, being pregnant, inability to participate in at least 75% of the exercises.

Ages Eligible for Study
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Minimum Age: 20 Years
Maximum Age: 65 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: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Mat Pilates<br>Mat Pilates Exercises | Behavioral: Pilates<br>* Pilates exercises were applied twice a week for 4 weeks in both groups. The sessions were supervised by an Australian Physiotherapy and Pilates Institute (APPI) certified physiotherapist as 5 minutes of warm-up, 45 minutes of exercise and 5 minutes of cool-down periods.<br>|
| Experimental: Reformer Pilates<br>Reformer Pilates Exercises | Behavioral: Pilates<br>* Pilates exercises were applied twice a week for 4 weeks in both groups. The sessions were supervised by an Australian Physiotherapy and Pilates Institute (APPI) certified physiotherapist as 5 minutes of warm-up, 45 minutes of exercise and 5 minutes of cool-down periods.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Bath Ankylosing Spondylitis Metrology Index | This index consists of 5 measurements: cervical rotation, tragus to wall distance, lumbar side flexion, modified Schober's, intermalleolar distance. | 10 minutes | 
| Bath Ankylosing Spondylitis Disease Activity Index | BASDAI consists of 6 questions evaluating the patient's level of weakness/fatigue, spinal pain, joint pain/swelling and sensitivity to touch, and duration of morning stiffness in the last week. | 5minutes | 
| Bath Ankylosing Spondylitis Functional Index (BASFI) | This scale, which evaluates the functional limitation of AS patients in activities of daily living, consists of 10 questions. | 5 minutes | 
| Ankylosing Spondylitis Quality of Life Questionnaire | This questionnaire, which evaluates disease-specific quality of life, consists of 18 questions | 5 minutes | 
| Maastrich Ankylosing Spondylitis Enthesitis Score | Its validity and reliability were defined to evaluate enthesopathy and peripheral joint involvement. | 5minutes | 
| Multidimensional Assessment of Fatigue Scale | MAF scale evaluates the level of fatigue during daily activities in the last week. | 5 minutes | 
| Biopsychosocial Questionnaire (BETY-BQ) | The BETY-BQ evaluates the biopsychosocial status of patients with rheumatic diseases. | 10minutes |