Comparison of group-based exercise versus home-based exercise in patients with ankylosing spondylitis: effects on Bath Ankylosing Spondylitis Indices, quality of life and depression

被引：66

作者：

Karapolat, Hale ^{[1
]}

Akkoc, Yesim ^{[1
]}

Sari, Ismail ^{[2
]}

Eyigor, Sibel ^{[1
]}

Akar, Servet ^{[2
]}

Kirazh, Yesim ^{[1
]}

Akkoc, Nurullah ^{[2
]}

机构：

[1] Ege Univ, Fac Med, Dept Phys Med & Rehabil, TR-35100 Izmir, Turkey

[2] Dokuz Eylul Univ, Dept Internal Med, Div Rheumatol, Izmir, Turkey

来源：

CLINICAL RHEUMATOLOGY | 2008年 / 27卷 / 06期

关键词：

ankylosing spondylitis; depression; exercise; functional disability; quality of life;

D O I：

10.1007/s10067-007-0765-0

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

The objective of this non-randomised controlled trial was to evaluate the impact of group-based exercise programme and a home-based exercise programme on Bath Ankylosing Spondylitis Indices, depression and quality of life in patients with ankylosing spondylitis (AS). Approximately 41 patients in a rehabilitation unit were divided into two groups, either group- or home-based exercise programme. Exercise sessions were performed three times a week for a period of 6 weeks. The patients were compared before and after the rehabilitation programme, with respect to Bath Ankylosing Spondylitis Functional Index (BASFI), Bath Ankylosing Spondylitis Disease Assessment Index (BASDAI), Bath Ankylosing Spondylitis Metrology Index (BASMI), Beck Depression Inventory (BDI) and The Nottingham Health Profile (NHP). A statistically significant improvement was observed on BASDAI, BASMI and energy, pain, reaction of emotional and sleep subscores of NHP in both exercise groups after the exercise programme (p 0.05). No statistically significant changes were detected in BASFI, BDI and social and mobility subscores of NHP in both exercise groups (p>0.05). No statistically significant differences were found between the two exercise programmes (p>0.05). Group and home-based exercise programmes are efficient in improving symptoms and mobility and had an important effect on quality of life in patients with AS. Home-based exercise programme, as it is cheaper, more easily performed and efficient, may be preferable for the management programme in AS.

引用

页码：695 / 700

页数：6

共 25 条

[1] A Turkish version of the bath ankylosing spondylitis disease activity index: Reliability and validity [J].

Akkoc, Y ;

Karatepe, A ;

Akar, S ;

Kirazli, Y ;

Akkoc, N .

RHEUMATOLOGY INTERNATIONAL, 2005, 25 (04) :280-284

[2] The effectiveness of intensive group exercise on patients with ankylosing spondylitis [J].

Analay, Y ;

Ozcan, E ;

Karan, A ;

Diracoglu, D ;

Aydin, R .

CLINICAL REHABILITATION, 2003, 17 (06) :631-636

[3] AN INVENTORY FOR MEASURING DEPRESSION [J].

BECK, AT ;

ERBAUGH, J ;

WARD, CH ;

MOCK, J ;

MENDELSOHN, M .

ARCHIVES OF GENERAL PSYCHIATRY, 1961, 4 (06) :561-&

[4]

CALIN A, 1994, J RHEUMATOL, V21, P2281

[5] THE NOTTINGHAM HEALTH PROFILE [J].

CARRHILL, RA .

SOCIAL SCIENCE & MEDICINE, 1989, 28 (08) :885-885

[6] Mental health status and leisure-time physical activity contribute to fatigue intensity in patients with spondylarthropathy [J].

Da Costa, D ;

Dritsa, M ;

Ring, A ;

Fitzcharles, MA .

ARTHRITIS & RHEUMATISM-ARTHRITIS CARE & RESEARCH, 2004, 51 (06) :1004-1008

[7]

Dagfinrud H, 2005, J RHEUMATOL, V32, P1899

[8]

FANKENBACH A, 2003, ARCH PHYS MED REHAB, V84, P382

[9] Two exercise interventions for the management of patients with Ankylosing Spondylitis -: A randomized controlled trial [J].

Fernández-de-las-Peñas, C ;

Alonso-Blanco, C ;

Morales-Cabezas, M ;

Miangolarra-Page, JC .

AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION, 2005, 84 (06) :407-419

[10]

GARRETT S, 1994, J RHEUMATOL, V21, P2286

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