1. The efficiency of inspiratory muscle training in patients with ankylosing spondylitis
- Author
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Bilge Basakci Calik, Elif Gür Kabul, Fahrettin Bıçakcı, Harun Taskin, Ali İhsan Yıldız, Ummuhan Bas Aslan, Orçin Telli Atalay, and Murat Taşçı
- Subjects
Male ,030506 rehabilitation ,Bath ankylosing spondylitis disease activity index ,functional status ,Outcome measures ,0302 clinical medicine ,middle aged ,Immunology and Allergy ,muscle training ,Respiratory system ,BASDAI ,pathophysiology ,clinical article ,Exercise Tolerance ,exercise ,maximal inspiratory pressure ,Inspiratory muscle training ,Inspiratory muscle ,Respiratory Muscles ,female ,priority journal ,Cardiology ,0305 other medical science ,Adult ,medicine.medical_specialty ,Immunology ,Breathing Exercises ,Article ,Exercise training ,breathing exercise ,Young Adult ,03 medical and health sciences ,Rheumatology ,six minute walk test ,Internal medicine ,ankylosing spondylitis ,medicine ,Respiratory muscle ,Humans ,controlled study ,Spondylitis, Ankylosing ,In patient ,human ,procedures ,outcome assessment ,reproducibility ,physiotherapy ,Physical Therapy Modalities ,Aged ,030203 arthritis & rheumatology ,Ankylosing spondylitis ,business.industry ,breathing muscle ,Respiratory muscle training ,Reproducibility of Results ,medicine.disease ,maximal expiratory pressure ,Bath ankylosing spondylitis functional index ,randomized controlled trial ,physiology ,muscle strength ,pathology ,business - Abstract
Ankylosing spondylitis (AS) is an inflammatory rheumatic disease affecting mainly the axial skeleton and sacroiliac joints. The aim of the current study was to investigate the effects of inspiratory muscle training (IMT) on respiratory muscles and functional exercise capacity, as well as on the specific outcomes of the disease in AS patients. A total of 32 AS patients (mean age 37.37 ± 10.41 years) were randomly assigned as the Training Group (TG) (n = 16, mean age = 35.62 ± 8.18 years) who received IMT + conventional exercise, and the Control Group (CG) (n = 16, mean age = 39.12 ± 12.26 years) who only performed the conventional exercise program. All the subjects were evaluated at baseline and at the end of the 8th week. Respiratory muscle strength was assessed by measuring the maximal inspiratory pressure (PImax) and maximal expiratory pressure (PEmax). Functional exercise capacity was measured using the 6-min walk test (6MWT). The Bath AS Disease Activity Index (BASDAI), Bath AS Disease Function Index and Bath AS Metrology Index were used for activity, function and basic measurements of the disease. A statistically significant improvement was determined in the PImax (p = 0.000), PEmax (p = 0.002), 6MWT (p = 0.041) and BASDAI (p = 0.049) values in the TG after training. There was a significant difference between baseline and after conventional exercise in terms of PEmax (p = 0.017) in the CG. The PEmax (p = 0.001) and the 6MWT (p = 0.053) values were significantly better in the TG. The results of this study demonstrated that IMT in addition to conventional exercises increased inspiratory muscle strength, functional exercise capacity and positively affected the disease activity in AS. © 2018, Springer-Verlag GmbH Germany, part of Springer Nature.
- Published
- 2018