Graduate School of Health Sciences, Physical Theraphy and Rehabilitation Department, Dokuz Eylül University, İzmir, Turkey.
School of Physical Theraphy and Rehabilitation, Dokuz Eylül University, İzmir, Turkey.
J Bodyw Mov Ther. 2023 Jan;33:69-75. doi: 10.1016/j.jbmt.2022.09.010. Epub 2022 Sep 23.
To assess the effects of clinical Pilates training on disease-specific indices, core stability, and balance in ankylosing spondylitis (AS) patients.
AS patients were randomly assigned to either the Pilates group (PG) or control group (CG). The PG participated in Pilates training 3 times a week for 8 weeks. Patients in the CG were instructed to follow a home exercise program for 8 weeks. Assessments were performed before and after the interventions. BASDAI, BASFI, BASMI, and the AS Quality of Life (ASqOL) questionnaire were used were used to evaluate disease activity, functionality spinal mobility and quality of life respectively. Static core endurance was assessed with trunk flexor, extensor endurance, and lateral bridge tests, while dynamic core endurance was assessed using modified sit-up test. Balance was evaluated with bilateral and unilateral stance static postural stability (PS), bilateral stance dynamic PS and limits of stability (LOS) tests using the Biodex Balance System.
Twenty-one patients in the PG and 21 patients in the CG completed the study. PG showed statistically significant improvements in BASDAI, BASFI, BASMI, and ASQoL scores, all core endurance tests, and dynamic PS and LOS results. The CG demonstrated significant improvement only in flexor endurance and LOS results. Post-intervention BASDAI, BASMI, and all core endurance tests were significantly better in the PG than in the CG (p < 0.05).
Pilates training has positive effects on disease activity and functional capacity, spinal mobility, core endurance, balance, and quality of life in AS patients.
NCT04292028.
评估临床普拉提训练对强直性脊柱炎（AS）患者特定疾病指标、核心稳定性和平衡的影响。
将 AS 患者随机分为普拉提组（PG）和对照组（CG）。PG 每周参加 3 次普拉提训练，共 8 周。CG 组患者被指示进行为期 8 周的家庭运动计划。在干预前后进行评估。使用 BASDAI、BASFI、BASMI 和 AS 生活质量（ASqOL）问卷分别评估疾病活动、功能、脊柱活动度和生活质量。静态核心耐力通过躯干屈肌、伸肌耐力和侧桥试验进行评估，而动态核心耐力则通过改良仰卧起坐试验进行评估。平衡通过双侧和单侧站立静态姿势稳定性（PS）、双侧站立动态 PS 和 Biodex 平衡系统的稳定性极限（LOS）测试进行评估。
PG 组和 CG 组各有 21 名患者完成了研究。PG 在 BASDAI、BASFI、BASMI 和 ASQoL 评分、所有核心耐力测试以及动态 PS 和 LOS 结果方面均显示出统计学上的显著改善。CG 仅在屈肌耐力和 LOS 结果方面显示出显著改善。干预后，PG 的 BASDAI、BASMI 和所有核心耐力测试均明显优于 CG（p<0.05）。
普拉提训练对 AS 患者的疾病活动和功能能力、脊柱活动度、核心耐力、平衡和生活质量具有积极影响。
NCT04292028。
