Clinical trial NCT04292028: The Effects of Clinical Pilates Training in Patients With Ankylosing Spondylitis
Official title: The Effects of Clinical Pilates Training on Disease-specific Indices, Core Stability, and Balance in Patients With Ankylosing Spondylitis
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Ankylosing Spondylitis
Keywords: ankylosing spondylitis
pilates
postural balance
physical endurance
flexibility
Lead sponsor: Dokuz Eylul University
Sponsor class: OTHER
First posted: 2020-03-02
Enrollment: 60
Sex: ALL
Minimum age (years): 20
Maximum age (years): 60
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: The objective of this study was to examine the effects of 8-week clinical Pilates training on disease-specific indices, core stability, and balance in ankylosing spondylitis (AS) patients.

Detailed description: The objective of this study was to examine the effects of 8-week clinical Pilates training on disease-specific indices, core stability, and balance in ankylosing spondylitis (AS) patients. AS patients were randomly assigned to either the Pilates group (PG) or control group (CG). The PG participated in Pilates training 3 times a week for 8 weeks. Patients in the CG were instructed to follow a home exercise program 3 times a week for 8 weeks. Assessments were performed before and after the interventions. Outcome measures were disease-specific indices, core endurance, and balance. Disease-specific indices were: Bath AS Disease Activity Index (BASDAI), Bath AS Functional Index (BASFI), Bath AS Spinal Mobility Index (BASMI), and the AS Quality of Life (ASqOL) questionnaire. Static core endurance was assessed with trunk flexor, extensor endurance, and lateral side bridge tests, while dynamic core endurance was assessed using modified sit-up test. Balance was assessed with static, dynamic, and single-leg stance postural stability (PS) and limits of stability (LOS) tests using the Biodex Balance System SD.

Eligibility criteria: Inclusion Criteria:

* having AS diagnosis based on modified New York criteria,
* being 20-60 years of age, volunteering to participate in the study,
* having no regular exercise habit in the last 6 months,
* agreeing not to participate in any other type of physical exercise program during the study

Exclusion Criteria:

* not attending 4 consecutive Pilates or home exercise sessions,
* change in medication within the previous 6 months or during the study,
* presence of neurological or coexistent systemic disease, history of orthopedic surgery, and active enthesitis

Primary outcomes:
measure: Bath Ankylosing Sponsylitis Disease Activity Index (BASDAI)
timeFrame: 2 minutes
measure: Bath Ankylosing Spondylitis Functional Index (BASFI)
timeFrame: 4 minutes
measure: Bath Ankylosing Spondylitis Metrology Index (BASMI)
timeFrame: 7 minutes
measure: Ankylosing Spondylitis Quality of Life (ASQoL)
timeFrame: 3 minutes
Secondary outcomes:
measure: Trunk flexor endurance test
timeFrame: 5 minutes
measure: Trunk extensor endurance test
timeFrame: 5 minutes
measure: Side bridge test
timeFrame: 5 minutes
measure: Sit-up test
timeFrame: 2 minutes
measure: Balance Assessment
timeFrame: 10 minutes
Other outcomes:
Locations:
city: İzmir
country: Turkey
facility: Dokuz Eylül University
state: Eyalet/Yerleşke
Study officials:
affiliation: Dokuz Eylul University
name: NURSEN İLÇİN
role: STUDY_DIRECTOR
References: