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Article type: Research Article
Authors: Cagliyan, A. | Kotevoglu, N.; * | Onal, T. | Tekkus, B. | Kuran, B.
Affiliations: Sisli Etfal Teaching and Research Hospital, Department of Physical Medicine and Rehabilitation, Istanbul, Turkey
Correspondence: [*] Address for correspondence: Nurdan Kotevoglu MD, Bagdat Cad. No:78 Da:1 34726, Kızıltoprak, İstanbul, Turkey. Tel.: +90 216 338 76 66; Fax: +90 216 414 68 65; E-mail: nkotevoglu@superonline.com
Abstract: Objective:To compare group exercise program performed at hospital with home exercise pogram in patients with ankylosing spondylitis and to observe the efficacy of type of exercises. Patients and method:Forty-six patients with ankylosing spondylitis were enrolled into this prospective, randomized, comparative, open clinical trial. The first group performed instructed exercises at home for 6 months whereas the second group did the same exercises at the hospital for 2 hours weekly under the observation of a physiotherapist for 3 months. Three and 6 months after; pain at rest (VAS) and during activity, spinal mobility, functional capacity were evaluated. Results:In group 1 significant improvement was observed at rest and during activity pain (p<0.005). Functinal improvement was better in the second group within 3 months. Since group 1 had a good range of cervical rotation, group 2 improved better (p<0.01). Conclusion:Spinal ranges of motion, functional status, depression and quality of life improved in group 2 patients remarkably. Group exercise had a decreasing effect on pain, activity of disease and fatigue. While home exercises improved spinal activity, it had no effect on functional status, disease activity, depression and fatigue.
Keywords: Ankylosing spondylitis, exercise, quality of life, functional capacity
DOI: 10.3233/BMR-2007-202-305
Journal: Journal of Back and Musculoskeletal Rehabilitation, vol. 20, no. 2-3, pp. 79-85, 2007
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