Ankilozan Spondilit Hastalarında Klinik Pilates Egzersizlerinin Aerobik Egzersiz ile Birlikte Uygulandığındaki Etkinliğinin Araştırılması

Abstract

In this study, we aimed to investigate the effectiveness of clinical pilates exercise when applied together with aerobic exercise in patients with ankylosing spondylitis. Thirty-one ankylosing spondylitis patients were evaluated and grouped according to their arrival order. Patients’ spinal mobility (Bath Ankylosing Spondylitis Mobility Index and chest expansion test), disease activity (Bath Ankylosing Spondylitis Disease Activity Index), functionality (Bath Ankylosing Spondylitis Functional Index), flexibility (back scratch test), balance (single leg stance test, functional reach test), muscle strength (dynamometer and chair sit and stand test), pulmonary functions (pulmonary function test, respiratory muscle strength), functional exercise capacity (submaximal modified Bruce protocol and 6 minute walk test), quality of life (Ankylosing Spondylitis Quality of Life), fatigue level (Multidimensional Assessment of Fatigue, Fatigue Severity Scale), sleep quality (Pittsburgh Sleep Quality Index), depression level (Hospital Anxiety Depression Scale) and kinesiophobia (Tampa Kinesiophobia Scale) were assessed. Group 1 (n = 16) did both aerobic training and clinical pilates exercises, while group 2 (n = 15) only did aerobic training. Patients did exercises for 8 weeks, 3 days a week under the supervision of a physiotherapist and then measurements were repeated. When the effectiveness of exercise training was compared between groups, it was found that clinical pilates exercises given in addition to aerobic training were more effective in improving spinal mobility, disease activity, upper extremities flexibility, dynamic balance, forced vital capacity, quality of life and fatigue severity (p < 0.05). As a result of the study, it was noted that when clinical pilates exercises applied together with the aerobic exercise training in ankylosing spondylitis patients, effectiveness on functional status, aerobic capacity and quality of life was increased.