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Effects of home-based daily exercise therapy on joint mobility, daily activity, pain, and depression in patients with ankylosing spondylitis

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Abstract

We investigated the effects of home-based daily exercise on joint mobility, functional capacity, pain, and depression in patients with ankylosing spondylitis (AS). The patients were randomly assigned to a wait-list control group or to an exercise-therapy group. The exercise-therapy group performed a 20-min exercise program once per day for 8 consecutive weeks. After 8 weeks, compared with the control group, the exercise group showed improvements in joint mobility (cervical flexion, extension, shoulder flexion, abduction, hip abduction, and knee flexion), finger–floor distance, and functional capacity. Pain and depression scores were significantly lower after the exercise program in the exercise group than in the control group. These findings indicate that exercise therapy increases joint mobility and functional capacity, and decreases pain and depression in patients with AS. Home-based exercise, which is easily accessible to patients, might be an effective intervention for AS.

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References

  1. Rasker JJ, Cosh JA (1987) The natural history of rheumatoid arthritis over 20 years. Clinical symptoms, radiological signs, treatment, mortality and prognostic significance of early features. Clin Rheumatol 6 (Suppl 2):5–11

    Google Scholar 

  2. Carette S, Graham D, Little H, Rubenstein J, Rosen P (1983) The natural disease course of ankylosing spondylitis. Arthritis Rheum 26:186–190

    CAS  PubMed  Google Scholar 

  3. Gran JT, Husby G (1990) Ankylosing spondylitis in women. Semin Arthritis Rheum 19:303–312

    Article  CAS  PubMed  Google Scholar 

  4. Hussein A, Stein J, Ehrich JH (1987) C-reactive protein in the assessment of disease activity in juvenile rheumatoid arthritis and juvenile spondyloarthritis. Scand J Rheumatol 16:101–105

    CAS  PubMed  Google Scholar 

  5. Hidding A, van der Linden S, de Witte L (1993) Therapeutic effects of individual physical therapy in ankylosing spondylitis related to duration of disease. Clin Rheumatol 12:334–340

    CAS  PubMed  Google Scholar 

  6. Jones SD, Koh WH, Steiner A, Garrett SL, Calin A (1996) Fatigue in ankylosing spondylitis: its prevalence and relationship to disease activity, sleep, and other factors. J Rheumatol 23:487–490

    CAS  PubMed  Google Scholar 

  7. Basler HD (1993) Group treatment for pain and discomfort. Patient Educ Couns 20:167–175

    Article  CAS  PubMed  Google Scholar 

  8. Calin A, Edmunds L, Kennedy LG (1993) Fatigue in ankylosing spondylitis–why is it ignored? J Rheumatol 20:991–995

    CAS  PubMed  Google Scholar 

  9. Geissner E (1991) Psychological factors of pain control and their effects on pain evoking subjective stress. Z Klin Psychol Psychopathol Psychother 39:46–62

    CAS  PubMed  Google Scholar 

  10. Gitman S, Rosenberg M (1992) Exercise is essential. In: Swezey RL (ed) Straight talk on spondylitis. Spondylitis Association of America, Sherman Oaks CA, pp 14–29

    Google Scholar 

  11. van Tubergen A, Landewe R, van der Heijde D, Hidding A, Wolter N, Asscher M, Falkenbach A, Genth E, The HG, van der Linden S (2001) Combined spa-exercise therapy is effective in patients with ankylosing spondylitis: a randomized controlled trial. Arthritis Rheum 45:430–438

    Article  PubMed  Google Scholar 

  12. Uhrin Z, Kuzis S, Ward MM (2000) Exercise and changes in health status in patients with ankylosing spondylitis. Arch Intern Med 160:2969–2975

    Article  CAS  PubMed  Google Scholar 

  13. Gorman JD, Sack KE, Davis JC Jr (2002) Treatment of ankylosing spondylitis by inhibition of tumor necrosis factor alpha. N Engl J Med 346:1349–1356

    Article  CAS  PubMed  Google Scholar 

  14. Dougados M (2001) Treatment of spondyloarthropathies. Recent advances and prospects in 2001. Joint Bone Spine 68:557–563

    Article  CAS  PubMed  Google Scholar 

  15. Gall V (1994) Exercise in the spondyloarthropathies. Arthritis Care Res 7:215–220

    CAS  PubMed  Google Scholar 

  16. Brandt J, Khariouzov A, Listing J, Haibel H, Sorensen H et al (2003) Six-month results of a double-blind, placebo-controlled trial of etanercept treatment in patients with active ankylosing spondylitis. Arthritis Rheum 48:1667–1675

    Article  CAS  PubMed  Google Scholar 

  17. Analay Y, Ozcan E, Karan A, Diracoglu D, Aydin R (2003) The effectiveness of intensive group exercise on patients with ankylosing spondylitis. Clin Rehabil 17:631–636

    Article  PubMed  Google Scholar 

  18. Santos H, Brophy S, Calin A (1998) Exercise in ankylosing spondylitis: how much is optimum? J Rheumatol 25:2156–2160

    CAS  PubMed  Google Scholar 

  19. Kraag G, Stokes B, Groh J, Helewa A, Goldsmith C (1990) The effects of comprehensive home physiotherapy and supervision on patients with ankylosing spondylitis—a randomized controlled trial. J Rheumatol 17:228–233

    CAS  PubMed  Google Scholar 

  20. Bakker C, Hidding A, van der Linden S, van Doorslaer E (1994) Cost effectiveness of group physical therapy compared to individualized therapy for ankylosing spondylitis. A randomized controlled trial. J Rheumatol 21:264–268

    CAS  PubMed  Google Scholar 

  21. McNeal RL (1990) Aquatic therapy for patients with rheumatic disease. Rheum Dis Clin North Am 18:915–929

    Google Scholar 

  22. Calin A, Garrett S, Whitelock H, Kennedy LG, O’Hea J et al (1994) A new approach to defining functional ability in ankylosing spondylitis: the development of the Bath Ankylosing Spondylitis Functional Index. J Rheumatol 21:2281–2285

    CAS  PubMed  Google Scholar 

  23. Cline ME (1992) Standardization of the visual analogue scale. Nurs Res 41:378–380

    CAS  PubMed  Google Scholar 

  24. Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J (1961) An inventory for measuring depression. Arch Gen Psychiatry 4:561–571

    CAS  PubMed  Google Scholar 

  25. Roberts WN, Larson MG, Liang MH, Harrison RA, Barefoot J, Clarke AK (1989) Sensitivity of anthropometric techniques for clinical trials in ankylosing spondylitis. Br J Rheumatol 28:40–45

    CAS  PubMed  Google Scholar 

  26. Rasmussen JO, Hansen TM (1989) Physical training for patients with ankylosing spondylitis. Arthritis Care Res 2:25–27

    CAS  PubMed  Google Scholar 

  27. Kraag G, Stokes B, Groh J, Helewa A, Goldsmith CH (1994) The effects of comprehensive home physiotherapy and supervision on patients with ankylosing spondylitis—an 8-month followup. J Rheumatol 21:261–263

    CAS  PubMed  Google Scholar 

  28. Band DA, Jones SD, Kennedy LG, Garrett SL, Porter J, et al (1997) Which patients with ankylosing spondylitis derive most benefit from an inpatient management program? J Rheumatol 24:2381–2384

    CAS  PubMed  Google Scholar 

  29. Diethelm U, Schuler G (1991) Prognosis in ankylosing spondylitis. Schweiz Rundsch Med Prax 80:584–587

    CAS  PubMed  Google Scholar 

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Correspondence to Myeong Soo Lee.

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Lim, HJ., Moon, YI. & Lee, M.S. Effects of home-based daily exercise therapy on joint mobility, daily activity, pain, and depression in patients with ankylosing spondylitis. Rheumatol Int 25, 225–229 (2005). https://doi.org/10.1007/s00296-004-0536-z

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  • DOI: https://doi.org/10.1007/s00296-004-0536-z

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