Oksüz Sevim, Unal Edibe
Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Eastern Mediterranean University, Famagusta Turkey.
Faculty of Physical Therapy and Rehabilitation, Hacettepe University, Samanpazar Ankara, Turkey.
Physiother Theory Pract. 2023 Jan;39(1):61-71. doi: 10.1080/09593985.2021.2005199. Epub 2021 Nov 18.
To compare the effects of aerobic training versus aerobic training combined with clinical Pilates exercises (CPE) on the functional and psychosocial status of patients with ankylosing spondylitis (AS). Twenty-eight patients with ankylosing spondylitis (AS) were randomized into 2 groups. Group 1 (n = 14) performed both aerobic training and CPE, whereas group 2 (n = 14) performed aerobic training alone. Functional status of the patients was assessed using the Bath Ankylosing Mobility Index (BASMI), Bath Ankylosing Spondylitis Disease Activity Index (BASDAI), Bath Ankylosing Spondylitis Functional Index (BASFI), back scratch test (BST), single leg stance test, functional reach test, a dynamometer, chair sit and stand test, and 6-minute walk test (6MWT), and the psychosocial status of the patients was assessed using the Ankylosing Spondylitis Quality of Life (ASQoL) questionnaire, the Multidimensional Assessment of Fatigue (MAF), Pittsburgh Sleep Quality Index (PSQI), Hospital Anxiety Depression Scale (HADS), and Tampa Scale of Kinesiophobia (TSK). Both training programs were conducted for 8 weeks, and then, the assessments were repeated. A statistically significant improvement was observed in the BASMI ( = .001), BASDAI ( = .001), BASFI ( = .002), BST (right, = .05; left, = .025), functional reach test ( = .013), back muscle strength ( = .033), 6MWT ( = .011), ASQoL ( < .001), MAF ( = .01), and PSQI ( = .013) scores in group 1. A significant difference was observed in the BASDAI ( = .028), chair sit and stand test ( = .022), 6MWT ( = .04), and ASQoL ( = .04) scores in group 2. CPE in addition to aerobic training was more effective in improving the functional and psychosocial status of the patients with AS.
比较有氧运动训练与有氧运动训练结合临床普拉提练习（CPE）对强直性脊柱炎（AS）患者功能和心理社会状况的影响。28例强直性脊柱炎（AS）患者被随机分为2组。第1组（n = 14）进行有氧运动训练和CPE，而第2组（n = 14）仅进行有氧运动训练。使用巴斯强直性脊柱炎活动指数（BASMI）、巴斯强直性脊柱炎疾病活动指数（BASDAI）、巴斯强直性脊柱炎功能指数（BASFI）、背部抓挠试验（BST）、单腿站立试验、功能性伸展试验、握力计、椅子坐立试验和6分钟步行试验（6MWT）评估患者的功能状况，使用强直性脊柱炎生活质量（ASQoL）问卷、疲劳多维评估（MAF）、匹兹堡睡眠质量指数（PSQI）、医院焦虑抑郁量表（HADS）和坦帕运动恐惧量表（TSK）评估患者的心理社会状况。两个训练项目均进行8周，然后重复评估。第1组在BASMI（P = 0.001）、BASDAI（P = 0.001）、BASFI（P = 0.002）、BST（右侧，P = 0.05；左侧，P = 0.025）、功能性伸展试验（P = 0.013）、背部肌肉力量（P = 0.033）、6MWT（P = 0.011）、ASQoL（P < 0.001）、MAF（P = 0.01）和PSQI（P = 0.013）评分方面观察到有统计学意义的改善。第2组在BASDAI（P = 0.028）、椅子坐立试验（P = 0.022）、6MWT（P = 0.04）和ASQoL（P = 0.04）评分方面观察到有显著差异。除有氧运动训练外，CPE在改善AS患者的功能和心理社会状况方面更有效。
