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AB1453-HPR Investigation of clinical pilates exercises on disease activity, functional status and mobility in female patients with ankylosing spodylitis
  1. P. Dizmek1,
  2. E. Unal1,
  3. A. Akdodan2,
  4. S. Kiraz2
  1. 1Physiotherapy and Rehabilitation
  2. 2Faculty of Medicine - Rheumatology, Hacettepe University, Ankara, Turkey


Background The benefical effects of exercise on symptom severity or spinal mobility has been shown in many studies about Ankylosing Spondylitis (AS). But the studies including the effects of clinical pilates exercises (as a specialized exercise model) on AS patients are seen rarely in the literature.

Objectives The aim of this study was to investigate the effects of clinical pilates exercises on disease activity, functional status and mobility in patients with AS.

Methods 18 AS female patients were included in this study. The demographic and clinical datum (age, height, weight, gender, disease duration) were recorded. Bath Anylosing Spondylitis Mobility Index (BASMI) was used for evaluating mobility. Disease activity was assessed by Bath Ankylosing Spondylitis Disease Activity Index (BASDAI). Bath Ankylosing Spondylitis Functional Index (BASFI) was applied to evaluate the functional status of patients. For blood analysis (ESR, CRP), blood samples were taken at first session and at theend of the 6th week. Patients were taken part in group exercise session for three times a week, during 6 weeks. All exercise sessions were planned as warm up, main program and cool down periods.

Results The mean age of these patients was 39,5±9,16 years, the mean disease duration was 4,83±4,57 years and body mass index (BMI) was 23,07±3,55 kg/cm2. While BASMI, BASDAI and BASFI scores were improved (p<0,05), ESR and CRP values were remained in initial rates(p>0,05).

Conclusions It was concluded that clinical pilates exercises which were applied for 6 weeks, resulted in an improvement on patient-reported disease activity, functional status and mobility scores measured by physiotherapist. ESR and CRP values did not increased. We assured that this exercise model should be advised for AS patients safely because of positive effects on disease characteristics.

  1. Zochling, J., van der Heijde, D., Burgos-Vargas, R., Collantes, E., Davis, J.C., Jr., Dijkmans, B. ve diderleri. (2006) ASAS/EULAR recommendations for the management of ankylosing spondylitis. Ann Rheum Dis, 65 (4), 442-452.

  2. Petersen, A.M.,Pedersen, B.K. (2005) The anti-inflammatory effect of exercise. Journal of applied physiology, 98 (4), 1154-1162.

Disclosure of Interest None Declared

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