Analay Yildiz, Ozcan Emel, Karan Ayse, Diracoglu Demirhan, Aydin Resa
Istanbul University, Cerrahpasa Faculty of Medicine, Department of Orthopedics, Istanbul, Turkey.
Clin Rehabil. 2003 Sep;17(6):631-6. doi: 10.1191/0269215503cr658oa.
To compare, in patients with ankylosing spondylitis (AS), the effectiveness on pain, functional and psychological status of an intensive group exercise programme under the supervision of a physiotherapist and a home physiotherapy programme.
Fifty-one patients with AS were randomly allocated into study and control groups. The study was designed as a prospective, double-blind study.
Outpatient department, Istanbul Medical Faculty.
Patients who consulted with complaints of pain, morning stiffness and restricted range of movement with a confirmed diagnosis of ankylosing spondylitis.
Before exercise, both groups were given an education programme about AS. For group I patients an intensive exercise programme was organized under the supervision of a physiotherapist for six weeks. Group II patients had to practise exercises individually at home.
Both groups were evaluated and compared for pain, functional and psychological status before treatment, at the end of treatment and three months after treatment using a visual analogue scale (VAS) for pain, Beck Depression Scale and Bath Ankylosing Spondylitis Functional Index (BASFI).
Six patients withdrew, four from group I. Results from the remaining 45 showed more positive changes in the patients undertaking group exercise at six weeks and three months after treatment. Values showed a statistical significant difference in favour of group I.
Group exercise in hospital may be more effective than home-based exercises at reducing impairment associated with ankylosing spondylitis.
比较在物理治疗师监督下的强化团体运动计划和家庭物理治疗计划对强直性脊柱炎（AS）患者疼痛、功能及心理状态的影响。
51例AS患者被随机分为研究组和对照组。该研究设计为前瞻性双盲研究。
伊斯坦布尔医学院门诊部。
因疼痛、晨僵及活动范围受限前来咨询且确诊为强直性脊柱炎的患者。
运动前，两组患者均接受关于AS的教育计划。对于第一组患者，在物理治疗师的监督下组织了为期六周的强化运动计划。第二组患者必须在家中自行练习运动。
在治疗前、治疗结束时及治疗后三个月，使用视觉模拟评分法（VAS）评估疼痛、贝克抑郁量表及巴斯强直性脊柱炎功能指数（BASFI），对两组患者的疼痛、功能及心理状态进行评估和比较。
6例患者退出，4例来自第一组。其余45例患者的结果显示，在治疗后六周及三个月时，进行团体运动的患者有更积极的变化。数值显示第一组具有统计学显著差异。
在医院进行团体运动在减轻与强直性脊柱炎相关的损伤方面可能比家庭运动更有效。
