Investigating the Effects of Mat Pilates Exercises in Patients With Axial Psoriatic Arthritis
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Psoriatic Arthritis
- Sponsor
- Izmir Katip Celebi University
- Enrollment
- 48
- Locations
- 1
- Primary Endpoint
- Change in Physical Performance
- Status
- Enrolling By Invitation
- Last Updated
- 2 years ago
Overview
Brief Summary
The aim of this study is to investigate the effectiveness of mat Pilates exercises on spinal mobility, spinal muscle endurance, disease activity, fatigue, emotional well-being, physical performance, and overall quality of life in Psoriatic Arthritis (PsA) patients with axial involvement.
Detailed Description
Psoriasis is a chronic inflammatory skin disease commonly accompanied by joint involvement known as psoriatic arthritis (PsA) \[1\]. PsA is a subgroup of spondyloarthritis and is characterized by peripheral arthritis, dactylitis, enthesitis and spondylitis. Axial involvement, which occurs in approximately 40% of PsA patients may affect the entire spine, particularly the sacroiliac joint, leading to reduced cervical rotation, lateral flexion and anterior flexion of the spine \[2,3\]. Exercise interventions in PsA primarily aim to relieve pain, improve mobility and enhance functional capacity \[4\]. Mat Pilates exercises have been demonstrated as a safe and beneficial intervention in various rheumatic diseases, exhibiting significant improvements in functional status, fatigue, disease activity, pain, and overall quality of life \[5-7\]. Additionally, Pilates has been reported as effective in maintaining and enhancing spinal mobility \[8,9\]. However, despite these favorable outcomes, the efficacy of Pilates exercises in PsA remains unexplored. The aim of this study is to investigate the effectiveness of mat pilates exercises in psoriatic arthritis patients with axial involvement.
Investigators
Deniz Bayraktar
Assistant Professor
Izmir Katip Celebi University
Eligibility Criteria
Inclusion Criteria
- •Being classified as PsA according to CASPAR Classification Criteria
- •Being between the ages of 18-65
- •Volunteering to participate in the study
Exclusion Criteria
- •Any additional systemic disease other than PsA
- •Any other condition that may prevent participation/continuation of the exercise program or completion of the assessments
- •Regular exercise habits (following a structured exercise program at least 3 days a week)
- •Being included in a physiotherapy and rehabilitation program within the last 6 months
Outcomes
Primary Outcomes
Change in Physical Performance
Time Frame: At baseline and 12 weeks later
The Ankylosing Spondylitis Performance Index (ASPI) will be used. The ASPI consists of three physical performance tasks: (a) bending forward to pick up six pencils from the floor; (b) putting on socks (average of three repetitions); and (c) getting up from the floor (average of three repetitions). Time to complete a task will be recorded in seconds for each test.
Secondary Outcomes
- Chance in Disease Activity(At baseline and 12 weeks later)
- Change in Quality of Life(At baseline and 12 weeks later)
- Change in Functional Status(At baseline and 12 weeks later)
- Change in Trunk Muscle Endurance(At baseline and 12 weeks later)
- Change in Fatigue(At baseline and 12 weeks later)
- Change in Spinal Mobility(At baseline and 12 weeks later)
- Change in Emotional Status(At baseline and 12 weeks later)