The Effects of Clinical Pilates Training on Disease-specific Indices, Core Stability, and Balance in Patients With Ankylosing Spondylitis
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 60
- 试验地点
- 2
- 主要终点
- Bath Ankylosing Sponsylitis Disease Activity Index (BASDAI)
研究概览
简要总结
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.
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 20 Years 至 60 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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
排除标准
- •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
结局指标
主要结局
Bath Ankylosing Sponsylitis Disease Activity Index (BASDAI)
时间窗: 2 minutes
Disease activity was assessed with the Bath Ankylosing Spondylitis Disease Activity Index (BASDAI). The index includes patient-reported levels of back pain, fatigue, peripheral joint pain and swelling, localized tenderness, and the duration and severity of morning stiffness. It gives a score ranging from 0-10. High score indicates an increase in disease activity.
Bath Ankylosing Spondylitis Functional Index (BASFI)
时间窗: 4 minutes
Functional status was assessed with BASFI. BASFI is comprised of ten items, eight questioning the activities of daily living and two the patient's ability to cope with everyday life. Each is answered on a 10-cm horizontal visual analogue scale (VAS). Total score ranges between 0 and 10, higher scores indicating more severe impairment.
Bath Ankylosing Spondylitis Metrology Index (BASMI)
时间窗: 7 minutes
The Bath Ankylosing Spondylitis Metrology Index (BASMI) was used to assess spinal mobility. BASMI consists of clinical measures of cervical rotation, tragus wall distance, lumbal flexion (modified Schober) and intermalleolar distance.
Ankylosing Spondylitis Quality of Life (ASQoL)
时间窗: 3 minutes
Quality of life was assessed with the Ankylosing Spondylitis Quality of Life (ASQoL) questionnaire, which is the most frequently used disease-specific measure of health-related quality of life. High scores in this 18-item questionnaire indicate severe impairment in quality of life.
次要结局
- Trunk extensor endurance test(5 minutes)
- Trunk flexor endurance test(5 minutes)
- Side bridge test(5 minutes)
- Sit-up test(2 minutes)
- Balance Assessment(10 minutes)
研究者
Yasemin ACAR
Research assistant
Dokuz Eylul University