强直性脊柱炎
医学
巴斯代人
巴斯菲
肺功能测试
去调节
物理疗法
有氧运动
慢性阻塞性肺病
内科学
肺康复
脊柱炎
有氧能力
心脏病学
疾病
银屑病性关节炎
作者
Harun Taşkın,Orçin Telli Atalay,Elif Gür Kabul,Bilge Başakçı Çalık,Ali Yıldız,Ümmühan Baş Aslan,Murat Taşçı,Fahrettin Bıçakcı
标识
DOI:10.1183/1393003.congress-2017.pa3283
摘要
Most of the ankylosing spondylitis (AS) patients have the complaint of reduced exercise capacity. Pulmonary function impairment, chest wall restriction, weak respiratory muscle performance and deconditioning have been reported as the hypotheses for reduced exercise capacity. The aim of this study was to assess the effects of inspiratory muscle training (IMT) on aerobic capacity, pulmonary function and functional status in patients with AS. Thirty-two patients (mean age:37.3±10.4 years) were included in the study. The patients were randomized as two groups: Group I recieved IMT in addition to conventional exercise (CE), Group II recieved only CE. All assessments were done before and after the training (8 weeks). Pulmonary functions, maximal inspiratory pressure (MIP), maximal expiratory pressure (MEP) were measured. Six-minute walk test(6MWT) was used for the assessment of aerobic capacity. For the functional status, the Bath Ankylosing Spondylitis Functional Index (BASFI), Bath Ankylosing Spondylitis Disease Activity Index (BASDAI), Bath Ankylosing Spondylitis Metrology Index (BASMI) were used. There were significant increases in MIP (p=0.000), MEP (p=0.005) and 6MWT (p=0.041) in Group I. Patients in Group II showed a significant increase only in MEP (p=0.020). There were no significant increases of spirometric measurements after training in both groups. Comparison of the groups showed significantly better results for group I in BASDAI (p=0.049) and MIP (p=0.003). AS patients performed IMT in addition to CE, had an increased respiratory muscle strength, a better aerobic capacity and disease activity than those who performed CE only.
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