Abstract
The aim of this trial was to investigate the effects of a 12-week home-based exercise program (HEP) on quality of life (QOL) and fatigue in patients with Ankylosing Spondylitis (AS). Forty-three patients with AS were included in this study. Group 1 was given a HEP; Group 2 served as the control group. The functional capacity (Bath Ankylosing Spondylitis Functional Index), disease activity (Bath Ankylosing Spondylitis Disease Assessment Index), fatigue (Multidimensional Assessment of Fatigue Scale), depression (Beck Depression Inventory scores), and QOL (Short Form 36) of all participants were evaluated. There were significant improvements for all the parameters in two groups after the treatment. The improvements for all the parameters were better in the exercise group than in the control group. Home-based exercise programs are very effective in improving QOL and reducing fatigue. Because of these advantages, HEP should be advised for the management program in AS in addition to medical treatments.
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Akkoc N, van der Linden S, Khan MA (2006) Ankylosing spondylitis and symptom-modifying vs disease-modifying therapy. Best Pract Res Clin Rheumatol 20:539–557. doi:10.1016/j.berh.2006.03.003
Braun J, Sieper J (2007) Ankylosing spondylitis. Lancet 369:1379–1390. doi:10.1016/S0140-6736(07)60635-7
Braun J, Pincus T (2002) Mortality, course of disease and prognosis of patients with ankylosing spondylitis. Clin Exp Rheumatol 20:16–22
Lim HJ, Moon YI, Lee MS (2005) 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. doi:10.1007/s00296-004-0536-z
Cella D, Nowinski CJ (2002) Measuring quality of life in chronic illness: the functional assessment of chronic illness therapy measurement system. Arch Phys Med Rehabil 83:10–17. doi:10.1053/apmr.2002.36959
Ward MM (1999) Health-related quality of life in ankylosing spondylitis: a survey of 175 patients. Arthritis Care Res 12:247–255 doi:10.1002/1529-0131(199908)12:4<247::AID-ART3>3.0.CO;2-H
Belza BL, Henke CJ, Yelin EH et al (1993) Correlates of fatigue in older adults with Rheumatoid Arthritis. Nurs Res 42:93–99. doi:10.1097/00006199-199303000-00006
Martindale J, Smith J, Sutton CJ et al (2006) Disease and psychological status in ankylosing spondylitis. Rheumatology 45:1288–1293. doi:10.1093/rheumatology/kel115
Van Tubergen A, Hidding A (2002) Spa and exercise treatment in ankylosing spondylitis: fact or fancy? Best Pract Res Clin Rheumatol 16:653–666
Analay Y, Ozcan E, Karan A et al (2003) The effectiveness of intensive group exercise on patients with ankylosing spondylitis. Clin Rehabil 17:631–636. doi:10.1191/0269215503cr658oa
Dagfinrud H, Kvien TK, Hagen KB (2004) Physiotherapy interventions for ankylosing spondylitis. Cochrane Database Syst Rev 18:CD002822
Van der Linden S, Valkenburg HA, Cats A (1984) Evaluation of diagnostic criteria for ankylosing spondylitis: a proposal for the modification of the New York criteria. Arthritis Rheum 27:361–368. doi:10.1002/art.1780270401
Gitman S, Rosenberg M (1992) Exercise is essential. In: Swezey RL (ed) Straight talk on spondylitis. Spondylitis Association of America, Sherman Oaks, pp 14–29
Calin A, Garret SL, Whitelock HC (1994) New aproach to defining functional ability in Ankylosing Spondylitis: the development of the Bath Ankylosing Spondylitis Functional Index. J Rheumatol 21:2281–2285
Ozer HT, Sarpel T, Gulek B et al (2005) The Turkish version of the Bath Ankylosing Spondylitis Functional Index: reliability and validity. Clin Rheumatol 24:123–128. doi:10.1007/s10067-004-0984-6
Yanik B, Gursel YK, Kutlay S et al (2005) Adaptation of the Bath Ankylosing Spondylitis Functional Index to the Turkish population its reliability and validity: functional assessment in AS. Clin Rheumatol 24:41–47. doi:10.1007/s10067-004-0968-6
Garret S, Jenkinson T, Kennedy G (1994) A new approach to defining disease status in Ankylosing Spondylitis: the Bath Ankylosing Spondylitis Disease Activity Index. J Rheumatol 21:2286–2291
Kvien TK, Kaasa S, Smedstad LM (1998) Performance of the Norwegian SF-36 Health Survey in patients with rheumatoid arthritis. II. A comparison of the SF-36 with disease-specific measures. J Clin Epidemiol 51:1077–1086. doi:10.1016/S0895-4356(98)00099-7
Belza BL (1995) Comparison of self-reported fatigue in rheumatoid arthritis and controls. J Rheumatol 22:639–643
Beck AT, Ward CH, Mendelson M et al (1961) An inventory for measuring depression. Arch Gen Psychiatry 4:561–571
Dougados M (1995) Diagnostic features of Ankylosing Spondylitis. Br J Rheumatol 34:301–303. doi:10.1093/rheumatology/34.4.301
Ince G, Sarpel T, Durgun B et al (2006) Effects of a multimodal exercise program for people with ankylosing spondylitis. Phys Ther 86:924–935
Fernandez-de-Las-Penas C, Alonso-Blanco C, Alguacil-Diego IM et al (2006) One-year follow-up of two exercise interventions for the management of patients with ankylosing spondylitis: a randomized controlled trial. Am J Phys Med Rehabil 85:559–567. doi:10.1097/01.phm.0000223358.25983.df
van Tubergen A, Coenen J, Landewé R et al (2002) Assessment of fatigue in patients with ankylosing spondylitis: a psychometric analysis. Arthritis Rheum 47:8–16. doi:10.1002/art1.10179
Calin A, Edmuns L, Kennedy LG (1993) Fatigue in ankylosing spondylitis—why is it ignored? J Rheumatol 20:991–995
Karapolat H, Akkoc Y, Sarı I et al (2007) 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. Clin Rheumatol 27:695–700
Da Costa D, Dritsa M, Ring A et al (2004) Mental health status and leisure-time physical activity contribute to fatigue intensity in patients with spondylarthropathy. Arthritis Rheum 51:1004–1008. doi:10.1002/art.20841
Calin A, Edmunds L, Kennedy LG (1993) Fatigue in ankylosing spondylitis: why is it ignored? J Rheumatol 20:991–995
Jones SD, Koh WH, Steiner A et al (1996) Fatigue in ankylosing spondylitis: its prevalence and relationship to disease activity, sleep, and other factors. J Rheumatol 23:487–490
Aaronson LS, Teel CS, Cassmeyer V et al (1999) Defining and measuring fatigue. Image J Nurs Sch 31:45–50. doi:10.1111/j.1547-5069.1999.tb00420.x
Cathebras PJ, Robbins JM, Kirmayer L et al (1992) Fatigue in primary care: prevalence, psychiatric comorbidity, illness behavior, and outcome. J Gen Intern Med 7:276–286. doi:10.1007/BF02598083
Kirk KM, Hickie IB, Martin NG (1999) Fatigue as related to anxiety and depression in a community-based sample of twins aged over 50. Soc Psychiatry Psychiatr Epidemiol 34:85–90. doi:10.1007/s001270050116
Turan Y, Duruöz MT, Bal S et al (2007) Assessment of fatigue in patients with ankylosing spondylitis. Rheumatol Int 27:847–852. doi:10.1007/s00296-007-0313-x
Blumenthal JA, Babyak MA, Moore KA et al (1999) Effects of exercise training on older patients with major depression. Arch Intern Med 25:2349–2356. doi:10.1001/archinte.159.19.2349
Neuberger GB, Press AN, Lindsley HB et al (1997) Effects of exercise on fatigue, aerobic fitness, and disease activity measures in persons with rheumatoid arthritis. Res Nurs Health 20:195–204 doi:10.1002/(SICI)1098-240X(199706)20:3<195::AID-NUR3>3.0.CO;2-D
Missaoui B, Revel M (2006) Fatigue in ankylosing spondylitis. Ann Readapt Med Phys 49:305–8, 389–91
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Durmus, D., Alayli, G., Cil, E. et al. Effects of a home-based exercise program on quality of life, fatigue, and depression in patients with ankylosing spondylitis. Rheumatol Int 29, 673–677 (2009). https://doi.org/10.1007/s00296-008-0756-8
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DOI: https://doi.org/10.1007/s00296-008-0756-8