Basakci Calik Bilge, Pekesen Kurtca Mine, Gur Kabul Elif, Telli Atalay Orcin, Taskin Harun, Yigit Murat, Tasci Murat, Cobankara Veli
School of Physical Therapy and Rehabilitation, Pamukkale University, Denizli, Turkey.
Vocational School of Health Services, Pamukkale University, Denizli, Turkey.
Mod Rheumatol. 2021 Mar;31(2):442-450. doi: 10.1080/14397595.2020.1745409. Epub 2020 Apr 14.
To investigate the effect of the addition of aerobic training to spinal mobility exercises on disease-specific outcomes and functional exercise capacity, aerobic capacity and respiratory muscle strength of ankylosing spondylitis (AS) patients.
The study included 31 volunteers (mean age: 44.90 ± 11.52 years) diagnosed with AS. The demographic characteristics and disease-related data of all subjects were recorded, then, the Bath AS Disease Activity Index (BASDAI), Bath AS Metrology Index (BASMI) and Bath AS Disease Function Index (BASFI), the 6-minute walk test, the Bruce Treadmill Test and spirometry were used, respectively. The intervention group attended a 12-week program of aerobic exercise sessions, plus supervised spinal mobility exercises, 3 days a week. The control group performed the supervised spinal mobility exercises only, 3 times a week, for 12 weeks.
There was a significant improvement in BASDAI ( = .002), BASMI ( = .021), 6 DYT ( = .036), VO max ( = .000), MIP ( = .005) and MEP ( = .022) results in the intervention group after 12 weeks of training. In the comparisons of the pre-treatment and post-treatment differences, BASDAI ( = .032) decreased and VO ( = .001) max increased, showing significant improvements in the intervention group and these values were maintained.
It is striking that improvements in all parameters except BASFI were achieved in the aerobic training group. These results demonstrate that an aerobic exercise program should be included in an individual exercise prescription for the management of AS.
探讨在脊柱活动度练习中增加有氧运动对强直性脊柱炎（AS）患者疾病特异性结局、功能运动能力、有氧能力和呼吸肌力量的影响。
该研究纳入了31名被诊断为AS的志愿者（平均年龄：44.90±11.52岁）。记录所有受试者的人口统计学特征和疾病相关数据，然后分别使用巴斯强直性脊柱炎疾病活动指数（BASDAI）、巴斯强直性脊柱炎测量指数（BASMI）和巴斯强直性脊柱炎疾病功能指数（BASFI）、6分钟步行试验、布鲁斯跑步机试验和肺活量测定法。干预组参加为期12周的有氧运动课程，并接受监督下的脊柱活动度练习，每周3天。对照组仅进行监督下的脊柱活动度练习，每周3次，共12周。
干预组经过12周训练后，BASDAI（P = 0.002）、BASMI（P = 0.021）、6分钟步行试验（P = 0.036）、最大摄氧量（P = 0.000）、最大吸气压力（P = 0.005）和最大呼气压力（P = 0.022）结果有显著改善。在治疗前和治疗后差异的比较中，干预组的BASDAI（P = 0.032）降低，最大摄氧量（P = 0.001）增加，显示出显著改善且这些值得以维持。
有氧运动组除BASFI外所有参数均有改善，这一点令人瞩目。这些结果表明，在AS的个体运动处方中应纳入有氧运动计划。
