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RESEARCH ARTI CLE: EXERCI SE
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 One-Year Follow-up of Two Exercise
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Interventions for the Management
Accept Allof Patients
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 with Ankylosing Spondylitis
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A Randomized Controlled Trial View full article metrics including social shares, article views
 Fernández-de-las-Peñas, César PT; Alonso-Blanco, Cristina PT; Alguacil-Diego, Isabel Maria MD, and publishing history
Favorites PhD; Miangolarra-Page, Juan Carlos MD, PhD
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Permissions American Journal of Physical Medicine & Rehabilitation 85(7):p 559-567, July 2006. | DOI:
10.1097/01.phm.0000223358.25983.df

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Abstract
Fernández-de-las-Peñas C, Alonso-Blanco C, Alguacil-Diego IM, Miangolarra-Page JC:
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
2006;85:559–567.

Objective: 
To assess the long-term effects on functional and mobility outcomes of two
exercise interventions for the management of patients with ankylosing spondylitis.

Design: 
In an extended 12-mo follow-up of a randomized controlled trial, 40 patients who
were diagnosed with ankylosing spondylitis according to the modified criteria of
New York, allocated to control or experimental groups using a random numbers
Article Keywords
table, and who performed their respective exercise program at least three times
per month, were included in this long-term study. The control group was treated
Keywords
during 15 sessions with a conventional exercise regimen in ankylosing spondylitis,
Ankylosing Spondylitis , Physical Therapy ,
whereas the experimental group received 15 sessions of exercises based on the
Functional Index , Activity Index , Metrology Index
treatment of the shortened muscle chains following the guidelines described by
the Global Posture Reeducation method. These patients were followed up and
assessed again 1 yr after entering the study, reapplying the same validated Search for Similar Articles
indexes: BASMI (Bath Ankylosing Spondylitis Metrology Index [tragus to wall You may search for similar articles that contain
distance, modified Schober test, cervical rotation, lumbar side flexion, and these same keywords or you may modify the
intermalleolar distance]), BASDAI (Bath Ankylosing Spondylitis Disease Activity keyword list to augment your search.
Index), and BASFI (Bath Ankylosing Spondylitis Functional Index).
Ankylosing
Spondylitis\r, Physical
Results:  Therapy\r, Functional
Index\r, Activity
The intragroup comparison between follow-up and postintervention data showed I d \ M t l
that both groups decrease their clinical and functional measures during the
Search Restore Keywords
follow-up period. This decrease was only significant for lumbar side flexion and
intermalleolar distance measurements, being more significant in the control group
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··
(P = 0.001 and P = 0.002, respectively). Intragroup differences between follow-up
and preintervention assessments revealed that improvements in all mobility
Articles in PubMed by César Fernández-de-las-Peñas, PT
measures of the BASMI index and in the BASFI index were partially maintained at
the 12-mo follow-up in the experimental group but not in the control group. The This article in PubMed
intergroup comparison (unpaired t test analysis) between changes on each
outcome during the long-term follow-up (post–follow-up; and pre–follow-up)
 outcome during the long term follow up (post follow up; and pre follow up)
· Articles in Google Scholar by César Fernández-de-las-

·
showed no significant differences in the decrease between postintervention and Peñas, PT
follow-up data between the study groups. On the other hand, the intergroup
comparison between preintervention and follow-up data revealed significant Other articles in this journal by César Fernández-de-las-
Peñas, PT
differences in almost all mobility measures of the BASMI index (except for cervical
rotation) and in the BASFI index, in favor of the experimental group.

Conclusions: 
An exercise regimen based on the Global Posture Reeducation method and
focusing on specific strengthening and flexibility exercises of the shortened
muscle chains offers promising short- and long-term results in the management of
patients who have ankylosing spondylitis.

© 2006 Lippincott Williams & Wilkins, Inc.

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