Selim M Gunay1, Ilke Keser2, Zemzem T Bicer3. 1. Physiotherapy and Rehabilitation Department, Uludag University, Bursa, Turkey. 2. Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Gazi University, Ankara, Turkey. 3. Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Uludag University, Bursa, Turkey.
Abstract
BACKGROUND: Ankylosing spondylitis (AS) can cause severe functional disorders that lead to loss of balance. OBJECTIVE: The aim of this study was to investigate the effects of balance and postural stability exercises on spa based rehabilitation programme in AS subjects. METHODS: Twenty-one participants were randomized to the study (n= 11) and control groups (n= 10). Patients balance and stability were assessed with the Berg Balance Scale (BBS), Timed Up and Go (TUG) Test, Single Leg Stance Test (SLST) and Functional Reach Test (FRT). AS spesicied measures were used for assessing to other parameters. The treatment plan for both groups consisted of conventional transcutaneous electrical nerve stimulation (TENS), spa and land-based exercises 5 days per week for 3 weeks. The study group performed exercises based on postural stability and balance with routine physiotherapy practice in thermal water and in exercise room. RESULTS: The TUG, SLST and FUT scores were significantly increased in the study group. In both groups, the BASMI, BASFI, BASDAI and ASQoL scores decreased significantly by the end of the treatment period (p< 0.05). CONCLUSIONS: In AS rehabilitation, performing balance and stability exercises in addition to spa based routine approaches can increase the duration of maintaining balance and can improve the benefits of physiotherapy.
RCT Entities:
BACKGROUND:Ankylosing spondylitis (AS) can cause severe functional disorders that lead to loss of balance. OBJECTIVE: The aim of this study was to investigate the effects of balance and postural stability exercises on spa based rehabilitation programme in AS subjects. METHODS: Twenty-one participants were randomized to the study (n= 11) and control groups (n= 10). Patients balance and stability were assessed with the Berg Balance Scale (BBS), Timed Up and Go (TUG) Test, Single Leg Stance Test (SLST) and Functional Reach Test (FRT). AS spesicied measures were used for assessing to other parameters. The treatment plan for both groups consisted of conventional transcutaneous electrical nerve stimulation (TENS), spa and land-based exercises 5 days per week for 3 weeks. The study group performed exercises based on postural stability and balance with routine physiotherapy practice in thermal water and in exercise room. RESULTS: The TUG, SLST and FUT scores were significantly increased in the study group. In both groups, the BASMI, BASFI, BASDAI and ASQoL scores decreased significantly by the end of the treatment period (p< 0.05). CONCLUSIONS: In AS rehabilitation, performing balance and stability exercises in addition to spa based routine approaches can increase the duration of maintaining balance and can improve the benefits of physiotherapy.
Authors: Mariano Tomás Flórez; Raquel Almodóvar; Fernando García Pérez; Ana Belén Rodríguez Cambrón; Loreto Carmona; María Ángeles Pérez Manzanero; Juan Aboitiz Cantalapiedra; Ana Urruticoechea-Arana; Carlos J Rodríguez Lozano; Carmen Castro; Cristina Fernández-Carballido; Eugenio de Miguel; Eva Galíndez; José Luis Álvarez Vega; Juan Carlos Torre Alonso; Luis F Linares; Mireia Moreno; Victoria Navarro-Compán; Xavier Juanola; Pedro Zarco Journal: Rheumatol Int Date: 2018-05-21 Impact factor: 2.631