Effects of Pilates Training on Respiratory Muscle Strenght in Patients With Ankylosing Spondylitis

NCT03904953 | Unknown

• 1 other identifier: 43
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

Background: Ankylosing Spondylitis (AS) is a chronic, inflammatory rheumatic disease that effects primarily axial-spine. Reduction of flexibility and mobility is important factors that can cause muscle weakness, impairment quality of life, reduction of exercise tolerance and pulmonary capacity with the progression of AS. The purpose of this study is to investigate the effects of pilates exercises on mobility, quality of life and respiratory muscle strength in patients with AS. Methods: Forty patients will be included who are aged between 18-55 years and got diagnosed according to Modified New York criterias.Patients will be divided into two groups randomly. Pilates training will be performed to the treatment group and conventional exercises will be performed to the control group during 8 weeks. Respiratory muscle strength, quality of life, spinal mobility, thorax expansion, respiratory functions, physical activity level, exercise capasity and disease activity will be evaluated at first session and at the end of the 8th week in this study.

Conditions

Ankylosing Spondylitis

Keywords

Ankylosing Spondylitis; Pilates; Respiratory muscle strenght

Outcome Measures

Primary Outcomes (1)

• Respiratory muscle strength

  Respiratory muscle strength will be assessed by digital mouth-pressure meter (Micro Medical MicroRM, Rochester, England). Maksimal inspiratory pressure (MIP) and Maksimal Expiratory Pressure (MEP) will be measured with the subject sitting and breathing through a mouthpiece by encouraged verbally, after clamping the nose (cmH2O). To measure MIP, the patient will be requested to breath in quickly and deeply until total lung capacity, just after breath out maximally until residual volume. To measure MEP, the patient will be requested to breath until total lung capacity and then breath out quickly until residual volume. Leaks around the mouthpiece will be avoided. The best of five attempts will be selected and stated as percent of expected values according to sex and age

  5 minutes

Secondary Outcomes (7)

• Bath Ankylosing Spondylitis Metrology Index

  5 minutes

• Ankylosing Spondylitis Quality of Life Questionnaire

  1 minute

• Thorax pain

  1 minute

• Chest expansion

  2 minutes

• Aerobic capacity

  10 minutes

Study Arms (2)

Study group

EXPERIMENTAL

Clinical pilates exercises will be performed three days in a week. Treatment will continue an hour in per session for 8 weeks.

Other: Pilates Training

Control group

ACTIVE COMPARATOR

Stretching of erector spine, hip flexors, hamstring muscles and gastro-soleus muscles; back-strengthening of cervical, thoracic and lumbar spine and posture exercises will be taught to the patients in the first session and the patients will be requested to repeat the exercises three times a week for 8 weeks individually at home.

Other: Conventional exercise programme

Interventions

Pilates Training OTHER

Clinical pilates exercises will be performed three days in a week. Treatment will continue an hour in per session for 8 weeks.

Study group

Conventional exercise programme OTHER

Stretching of erector spine, hip flexors, hamstring muscles and gastro-soleus muscles; back-strengthening of cervical, thoracic and lumbar spine and posture exercises will be taught to the patients in the first session and the patients will be requested to repeat the exercises three times a week for 8 weeks individually at home.

Control group

Eligibility Criteria

• Age: 18 Years - 55 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Patients who are aged between 18-55 years,
• Patients who got diagnosed according to Modified New York criteria
• Patients who are being followed at Gazi University Department of Rheumatology.

You may not qualify if:

• Patients who have exercise habits
• Incooperation
• Malignancy
• Pregnancy
• Patients who have changes of medical treatment in the last 3 months
• Patients who have another disease that can effect pulmonary functions

Sponsors & Collaborators

• Gazi University: lead

Study Sites (1)

Gazi University

Ankara, 06560, Turkey (Türkiye)

RECRUITING

Related Publications (2)

• Altan L, Korkmaz N, Dizdar M, Yurtkuran M. Effect of Pilates training on people with ankylosing spondylitis. Rheumatol Int. 2012 Jul;32(7):2093-9. doi: 10.1007/s00296-011-1932-9. Epub 2011 Apr 17.

  PMID: 21499876 BACKGROUND

• Rosu MO, Topa I, Chirieac R, Ancuta C. Effects of Pilates, McKenzie and Heckscher training on disease activity, spinal motility and pulmonary function in patients with ankylosing spondylitis: a randomized controlled trial. Rheumatol Int. 2014 Mar;34(3):367-72. doi: 10.1007/s00296-013-2869-y. Epub 2013 Sep 26.

  PMID: 24071935 BACKGROUND

MeSH Terms

Conditions

Spondylitis, Ankylosing

Interventions

Exercise Movement Techniques

Condition Hierarchy (Ancestors)

Axial Spondyloarthritis; Spondylarthropathies; Spondylarthritis; Spondylitis; Spinal Diseases; Bone Diseases; Musculoskeletal Diseases; Ankylosis; Joint Diseases; Arthritis

Intervention Hierarchy (Ancestors)

Physical Therapy Modalities; Therapeutics

Study Officials

• Deran Oskay

  Gazi University Faculty of Health Sciences

  STUDY DIRECTOR

Central Study Contacts

Songul Baglan Yentur

CONTACT

+90 312 216 26 12; songulbaglan23@hotmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Research Assistant

Study Record Dates

• First Submitted: April 2, 2019
• First Posted: April 5, 2019
• Study Start: April 2, 2019
• Primary Completion: June 2, 2019
• Study Completion: October 2, 2019
• Last Updated: April 9, 2019

Record last verified: 2019-04

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)