Investigating the Effectiveness of Clinical Pilates Exercise When Applied Together With Aerobic Exercise in Patients With Ankylosing Spondylitis
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Exercise
- Sponsor
- Eastern Mediterranean University
- Enrollment
- 36
- Locations
- 1
- Primary Endpoint
- Aerobic capacity will be detected with submaximal exercise testing (modified Bruce protocol).
- Status
- Completed
- Last Updated
- 6 years ago
Overview
Brief Summary
The aim of our study is to investigate the effect of Clinical Pilates Exercises on functional status and quality of life when applied together with aerobic exercise in patients with ankylosing spondylitis (AS).
Detailed Description
According to the power analyzes 32 patients, who were diagnosed as Ankylosing spondylitis, will be taken to the study. In the first session their spinal mobility, flexibility, dynamic and static balance, back and lower limb muscle strength, pulmonary functions and pulmonary muscle strength, disease activity level, fatigue level, functional exercise capacity will be assessed to determine functional status by a physiotherapist. Also their quality of life and factors affecting the quality will be assessed. Then the patients will be divided into two exercise groups randomly. Patients in the first group will only do aerobic exercise, patients in the second group will do clinical pilates additional to the aerobic exercise which has the same protocol with the first group. Patients will do the exercise for 8 weeks, 3 times a day individually with a physiotherapist . At the end of the 8 weeks they will be assessed with the same tests again.
Investigators
Sevim Öksüz
Senior Instructor
Eastern Mediterranean University
Eligibility Criteria
Inclusion Criteria
- •Man and woman diagnosed with ankylosing spondylitis .
Exclusion Criteria
- •Any neurological or muscle diseases
- •Inability to continuously attend the exercise program
- •Visual, hearing or mental problems that could prevent communication
- •Using mobility aids
- •Pregnancy
- •Malignity
- •Having a surgery recently
- •Doing exercise regularly in last 3 months.
- •Having a cardiopulmonary problem which is not under control.
Outcomes
Primary Outcomes
Aerobic capacity will be detected with submaximal exercise testing (modified Bruce protocol).
Time Frame: Change from Baseline and at the end of 8 weeks
This test will be done while patients walking on TechnoGym Excitemed Treadmillde. Heart rate will be followed with polars on the chest. Medigraph V2000 device will be used to detect the oxygen amount consumed by the patient during the protocol.
Secondary Outcomes
- servical rotation was measured(At the begining and at the end of 8 weeks.)
- Disease activity level be measured with Bath Ankylosing Spondylitis Disease Activity Index.(At the beginning and at the end of 6 weeks)
- Intermalleoler distance was measured(At the begining and at the end of 8 weeks.)
- Spinal mobility of the chest will be measured with chest circumference test.(At the begining and at the end of 8 weeks.)
- Lateral spinal flexion distance was measured(At the begining and at the end of 8 weeks.)
- Static balance of the patients will be tested with single leg stance test.(At the beginning and at the end of 6 weeks)
- Dynamic balance of the patients will be tested with functional reach test.(At the beginning and at the end of 6 weeks)
- The isometric strength of the back and lower extremity muscles will be measured with a dynamometer.(At the beginning and at the end of 6 weeks)
- Lumbal flexion distance was measured(At the begining and at the end of 8 weeks.)
- Tragus to wall distance was measured(At the begining and at the end of 8 weeks.)
- Flexibility of the upper extremity will be measured with back scratch test.(At the begining and at the end of 8 weeks.)
- Strength and endurance of the lower extremities will be tested with Chair Sit and Stand Test(At the beginning and at the end of 6 weeks)
- Functionality of the patients will be measured with Vath Ankylosing Spondylitis Functionality Index.(At the beginning and at the end of 6 weeks)
- the strength of pulmonar muscles will be measured with Maximal Inspiratory Presssure and Maximal Expiratory Pressure inside the mouth.(At the beginning and at the end of 6 weeks)
- Quality of life of the patients will be determined with Ankylosing Spondylitis Quality of Life Scale.(At the beginning and at the end of 6 weeks.)
- Fatigue will be evaluated by the Multidimensional Fatigue Inventory (MFI)(At the beginning and at the end of 6 weeks)
- Sleep quality level of the patient will be evaluated by the Pitsburg Sleep Quality Index .(At the beginning and at the end of 6 weeks.)
- Lung volumes and pulmonary functions will be tested with spirometric function tests.(At the beginning and at the end of 6 weeks)
- Fatigue severity level of the patient will be evaluated by the Fatigue Severity Scale.(At the beginning and at the end of 6 weeks)
- Exercise capacity will be tested by the 6 minute walk test.(At the beginning and at the end of 6 weeks.)
- Change in the level of anxiety and depression assessed using Hospital Anxiety and Depression Scale at 6 weeks.(At the beginning and at the end of 6 weeks.)
- Change in the level of fear and avoidance associated with movement assessed using the Tampa Kinesiophobia Scale at 6 weeks.(At the beginning and at the end of 6 weeks.)