Do physical therapy modalities have additional benefit over exercise therapy in the management of Ankylosing Spondylitis? A randomized controlled trial

Ülkü Dönmez; Cihat Öztürk; Ece Çınar; Hayriye Koçanaoğlulları; Sercan Gücenmez; Simin Hepgüler

doi:10.19161/etd.1037447

TR EN

Ankilozan spondilit tedavisinde fizik tedavi yöntemlerinin egzersize ek olarak olumlu etkileri var mıdır? Randomize kontrollü çalışma

Öz

Amaç: Bu çalışmanın amacı; AS hastalarında global postural reedukasyon (GPR) programı ve radar (mikrodalga) egzersizleri ve radar tedavisinin ağrı, hastalık aktivitesi ve fonksiyonel durum üzerine olan etkisinin araştırılmasıdır. Gereç ve yöntem: 77 AS tanılı hasta çalışmaya dâhil edilmiştir. 1.gruba (n:25) 3 hafta boyunca haftada 5 gün, GPR egzersizleri verilmiştir. 2.gruptaki hastalara (n:26) aynı egzersiz programına ek olarak egzersiz öncesi lomber paraspinal kaslar üzerine 20 dakika radar tedavisi uygulandı. 3.grup ise kontrol grubu hastalardı. Tüm hastalar tedavi öncesi, tedavi sonrası 3.hafta, 3.ay ve 6.ayda değerlendirildi. Bulgular: Grup içi değerlendirmede; egzersiz grubunda tedavi öncesine göre tedavi sonrası 6.ayda tüm değerlendirme parametrelerinde istatistiksel anlamlı iyileşme olduğu gözlendi (p<0,05). İkinci grupta ise tedavi öncesine göre tedavi sonrası 6.ayda gündüz ağrısı dışında tüm parametrelerde olumlu yönde gelişme olduğu saptandı (p<0,05). Kontrol grubunda da tedavi öncesine göre tedavi sonrası 6.ayda BASMI, BASDAI ve Beck depresyon skorlarında anlamlı iyileşme saptandı (p<0,05). Gruplar arası karşılaştırmada; tedavi sonrası 6.ayda tüm parametrelerde istatistiksel anlamlı fark saptandı (p<0,05).Birinci ve ikinci gruplar yani egzersiz programı alan gruplarda, kontrol grubuna kıyasla BASMI, BASFI, BASDAI ve Beck depresyon envanterindeki iyileşme anlamlı olarak daha iyi saptanmıştır (p<0,05). Sonuç: AS hastalarında verilen GPR yönteminin hastalık aktivitesi, yaşam kalitesi, ağrı ve depresyon üzerine olumlu etkisi olduğu görüldü. Ancak bu çalışmada egzersiz öncesi ısıtıcı etkisinden yaralanılmak üzere verilen radar tedavisinin bu gelişmelere ek katkı sağlamadığı gözlendi.

Anahtar Kelimeler

Do physical therapy modalities have additional benefit over exercise therapy in the management of Ankylosing Spondylitis? A randomized controlled trial

Abstract

Aim: The aim of this study was to evaluate the effectiveness of microwave therapy and global postural reeducation (GPR) exercises on disease activity, pain, quality of life and functional status in patients with ankylosing spondylitis (AS). Materials and Methods: 77 patients diagnosed with AS were included in the study. First group (n: 25) was treated with global postural reeducation exercises 5 days a week, for 3 weeks. Patients in the second group (n: 26), in addition to GPR, were treated with microwave therapy before each exercise session to warm lumbar paraspinal muscles. Third group (n: 26) consisted of controls. Subjects were evaluated at baseline, on the third week, third and six months. Results: In the first group, improvement in all parameters was found to be significant (p<0.05). Second group exhibited statistical improvement in all outcome measures (p<0.05) except daytime pain (p >0.05). In the control group, improvements in BASMI, BASDAI and Beck depression scores were statistically significant (p<0.05). Intergroup comparisons showed a statistically significant difference among groups in all outcome measures at the sixth month follow-up (p<0.05). First and second groups which received GPR demonstrated greater improvement in BASMI, BASFI, BASDAI and Beck depression inventory scores compared with the control group (p<0.05). Conclusion: Our results show that GPR has beneficial effects on disease activity, quality of life, pain and depression in patients with AS. We could not detect any additional benefits of microwave therapy applied before exercise.

Keywords

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References

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Details

Primary Language

English

Subjects

Health Care Administration

Journal Section

Research Article

Authors

Ülkü Dönmez
0000-0002-0007-1517
Türkiye

Cihat Öztürk
0000-0002-7311-3829
Türkiye

Ece Çınar ^*
0000-0002-9710-1582
Türkiye

Hayriye Koçanaoğlulları
0000-0002-5545-1023
Türkiye

Sercan Gücenmez
0000-0001-7785-4061
Türkiye

Simin Hepgüler
0000-0001-9419-1618
Türkiye

Publication Date

December 22, 2021

Submission Date

March 2, 2021

Acceptance Date

May 4, 2021

Published in Issue

Year 2021 Volume: 60 Number: 4

DOI

https://doi.org/10.19161/etd.1037447

IZ

https://izlik.org/JA87TJ86PG

Cite

RIS / Bibtex

Vancouver

1.Ülkü Dönmez, Cihat Öztürk, Ece Çınar, Hayriye Koçanaoğlulları, Sercan Gücenmez, Simin Hepgüler. Do physical therapy modalities have additional benefit over exercise therapy in the management of Ankylosing Spondylitis? A randomized controlled trial. EJM. 2021 Dec. 1;60(4):365-74. doi:10.19161/etd.1037447