Ankylosing Spondylitis Clinical Trial
Official title:
The Effect of Stretching Exercises in Water and on Land on Spinal Mobility and Functional Level in Patients With Ankylosing Spondylitis
The aim of the study is to investigate the effectiveness stretching exercises in ankylosing spondylitis.
Ankylosing spondylitis is a chronic, progressive disease with an unknown etiology which
characterize with inflammation that leads to bone fusion in spinal joints. Besides the
systemic manifestations, chronic pain acquired kyphosis, diminished exercise capacity may
cause pulmonary dysfunction, muscle imbalance, reduced quality of life, sleep disruptions and
depression. There are strong evidence and advice on exercise should start with diagnosis.
Although stretching exercises are the most common exercises in this group the literature on
the effectiveness of stretching exercises is scarce. The aim of the study is to investigate
the effectiveness stretching exercises in ankylosing spondylitis.
The study was carried on patients with ankylosing spondylitis followed by Division of
Rheumatology and Immunology, Department of Internal Medicine, Dokuz Eylül University School
of Medicine. 57 patients were assessed and randomized into two group control and
intervention. Control group informed on the importance of exercise and given a home exercise
brochure. The intervention group was also randomized into an aquatic and land stretching
group and received stretching exercises two days a week for eight weeks. Two patients from
the control group and nine patients (three from aquatic, six from land) from the intervention
group were excluded.
At the end of eight weeks, except FEV1, FVC, VC all results of the intervention group
improved whereas an quality of health was the only result improved in the control group. When
aquatic and land stretching groups the results were improved similarly. The improvements of
BASFI and MIP of the aquatic group are superior to the land group.
Home exercises are playing an important role in the management of ankylosing spondylitis.
Addition of stretching exercises to home exercises enhances the effectiveness of the
treatment. Aquatic stretching exercises have some benefits than land stretching exercises.
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