Souza Marcelo Cardoso de, Jennings Fábio, Morimoto Hisa, Natour Jamil
Universidade Federal de São Paulo (Unifesp), Escola Paulista de Medicina (EPM), Disciplina de Reumatologia, São Paulo, SP, Brazil; Universidade Federal do Rio Grande do Norte (UFRN), Faculdade de Ciências da Saúde do Trairí (Facisa), Curso de Fisioterapia, Santa Cruz, RN, Brazil.
Universidade Federal de São Paulo (Unifesp), Escola Paulista de Medicina (EPM), Disciplina de Reumatologia, São Paulo, SP, Brazil.
Rev Bras Reumatol Engl Ed. 2017 Jan-Feb;57(1):45-55. doi: 10.1016/j.rbre.2016.09.009. Epub 2016 Oct 20.
The purpose was to evaluate the effectiveness of a progressive muscle strengthening program using a Swiss ball for AS patients.
Sixty patients with AS were randomized into the intervention group (IG) or the control group (CG). Eight exercises were performed by the IG patients with free weights on a Swiss ball two times per week for 16 weeks. The evaluations were performed by a blinded evaluator at baseline and after 4, 8, 12 and 16 weeks using the following instruments: the one-repetition maximum test (1 RM), BASMI, BASFI, HAQ-S, SF-36, 6-minute walk test, time up and go test, BASDAI, ASDAS, ESR and CRP dosage and Likert scale.
There was a statistical difference between groups for: strength (1 RM capacity) in the following exercises: abdominal, rowing, squat, triceps and reverse fly (p<0.005); 6-minute walk test (p<0.001); timed up and go test (p=0.025) and Likert scale (p<0.001), all of them with better results for the IG. No differences were observed between the groups with respect to the functional capacity evaluation using the BASFI, HAQ-S, BASMI, SF-36, TUG, ASDAS, ESR and CPR dosage.
Progressive muscle strengthening using a Swiss ball is effective for improving muscle strength and walking performance in patients with AS.
评估使用瑞士球进行渐进性肌肉强化训练计划对强直性脊柱炎（AS）患者的有效性。
60例AS患者被随机分为干预组（IG）和对照组（CG）。干预组患者在瑞士球上使用自由重量器械进行8项训练，每周2次，共16周。由一名盲法评估者在基线时以及4周、8周、12周和16周后使用以下工具进行评估：一次重复最大量测试（1RM）、巴斯强直性脊柱炎测量指数（BASMI）、巴斯强直性脊柱炎功能指数（BASFI）、健康评估问卷简化版（HAQ-S）、简短健康调查简表（SF-36）、6分钟步行试验、起立行走试验、巴斯强直性脊柱炎疾病活动指数（BASDAI）、强直性脊柱炎疾病活动评分（ASDAS）、红细胞沉降率（ESR）和C反应蛋白（CRP）剂量以及李克特量表。
两组在以下方面存在统计学差异：腹部、划船、深蹲、三头肌和反向飞鸟等训练中的力量（1RM能力）（p<0.005）；6分钟步行试验（p<0.001）；起立行走试验（p=0.025）和李克特量表（p<0.001），所有这些方面干预组的结果均更好。在使用BASFI、HAQ-S、BASMI、SF-36、TUG、ASDAS、ESR和CPR剂量进行功能能力评估方面，两组之间未观察到差异。
使用瑞士球进行渐进性肌肉强化训练对改善AS患者的肌肉力量和步行表现有效。
