- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04292028
The Effects of Clinical Pilates Training in Patients With Ankylosing Spondylitis
March 2, 2020 updated by: Yasemin ACAR, Dokuz Eylul University
The Effects of Clinical Pilates Training on Disease-specific Indices, Core Stability, and Balance in Patients With Ankylosing Spondylitis
The objective of this study was to examine the effects of 8-week clinical Pilates training on disease-specific indices, core stability, and balance in ankylosing spondylitis (AS) patients.
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Detailed Description
The objective of this study was to examine the effects of 8-week clinical Pilates training on disease-specific indices, core stability, and balance in ankylosing spondylitis (AS) patients.
AS patients were randomly assigned to either the Pilates group (PG) or control group (CG).
The PG participated in Pilates training 3 times a week for 8 weeks.
Patients in the CG were instructed to follow a home exercise program 3 times a week for 8 weeks.
Assessments were performed before and after the interventions.
Outcome measures were disease-specific indices, core endurance, and balance.
Disease-specific indices were: Bath AS Disease Activity Index (BASDAI), Bath AS Functional Index (BASFI), Bath AS Spinal Mobility Index (BASMI), and the AS Quality of Life (ASqOL) questionnaire.
Static core endurance was assessed with trunk flexor, extensor endurance, and lateral side bridge tests, while dynamic core endurance was assessed using modified sit-up test.
Balance was assessed with static, dynamic, and single-leg stance postural stability (PS) and limits of stability (LOS) tests using the Biodex Balance System SD.
Study Type
Interventional
Enrollment (Actual)
60
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
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Eyalet/Yerleşke
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İzmir, Eyalet/Yerleşke, Turkey, 35320
- Dokuz Eylul University
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
20 years to 60 years (ADULT)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- having AS diagnosis based on modified New York criteria,
- being 20-60 years of age, volunteering to participate in the study,
- having no regular exercise habit in the last 6 months,
- agreeing not to participate in any other type of physical exercise program during the study
Exclusion Criteria:
- not attending 4 consecutive Pilates or home exercise sessions,
- change in medication within the previous 6 months or during the study,
- presence of neurological or coexistent systemic disease, history of orthopedic surgery, and active enthesitis
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: SINGLE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
EXPERIMENTAL: pilates group
The Pilates group participated in an 8-week clinical Pilates training program
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The Pilates group participated in an 8-week clinical Pilates training program
|
ACTIVE_COMPARATOR: Control group
Control group were given a home-based exercise program
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Control group were given a home-based exercise program.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Bath Ankylosing Sponsylitis Disease Activity Index (BASDAI)
Time Frame: 2 minutes
|
Disease activity was assessed with the Bath Ankylosing Spondylitis Disease Activity Index (BASDAI).
The index includes patient-reported levels of back pain, fatigue, peripheral joint pain and swelling, localized tenderness, and the duration and severity of morning stiffness.
It gives a score ranging from 0-10.
High score indicates an increase in disease activity.
|
2 minutes
|
Bath Ankylosing Spondylitis Functional Index (BASFI)
Time Frame: 4 minutes
|
Functional status was assessed with BASFI.
BASFI is comprised of ten items, eight questioning the activities of daily living and two the patient's ability to cope with everyday life.
Each is answered on a 10-cm horizontal visual analogue scale (VAS).
Total score ranges between 0 and 10, higher scores indicating more severe impairment.
|
4 minutes
|
Bath Ankylosing Spondylitis Metrology Index (BASMI)
Time Frame: 7 minutes
|
The Bath Ankylosing Spondylitis Metrology Index (BASMI) was used to assess spinal mobility.
BASMI consists of clinical measures of cervical rotation, tragus wall distance, lumbal flexion (modified Schober) and intermalleolar distance.
|
7 minutes
|
Ankylosing Spondylitis Quality of Life (ASQoL)
Time Frame: 3 minutes
|
Quality of life was assessed with the Ankylosing Spondylitis Quality of Life (ASQoL) questionnaire, which is the most frequently used disease-specific measure of health-related quality of life.
High scores in this 18-item questionnaire indicate severe impairment in quality of life.
|
3 minutes
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Trunk flexor endurance test
Time Frame: 5 minutes
|
For trunk flexor endurance test, participants lean on a support which kept the trunk at 60° flexion.
Both the knees and hips were flexed to 90°, arms crossed over the chest with the hands placed on the opposite shoulder and feet were fixed.
The support of the trunk was then removed, and the participant remained in this position for as long as possible.
The test ended when the participant was no longer able to hold the position.
The position holding time was recorded in seconds.
|
5 minutes
|
Trunk extensor endurance test
Time Frame: 5 minutes
|
The extensor endurance test was conducted when the participant lay on the examining table in the prone position with the upper edge of the iliac crests aligned with the edge of the table.
The lower body was fixed to the table by two straps, located around the knees and ankles.
With the arms folded across the chest, the participant was asked to maintain the upper body in a horizontal position.
The time during which the participant could hold this position was recorded in seconds
|
5 minutes
|
Side bridge test
Time Frame: 5 minutes
|
The lateral side bridge test was performed in the sidelying position on the mat.
The subject's knees were extended with the top foot placed in front of the lower foot.
The subject supported their weight only on their lower elbow and feet while lifting their hips off the mat.
Upper arm crossed over the chest with hand placed on the opposite shoulder.
The test ended when the side-lying position was lost, and the position-holding time was recorded in seconds.
|
5 minutes
|
Sit-up test
Time Frame: 2 minutes
|
Sit-up test was used to assess dynamic core endurance.The subject was positioned supine with knees flexed and feet secured.
The arms were crossed on the chest with the hands on the opposite shoulders.
To complete a full sit-up, the participant's scapulae touched the mat in the lying position, and the elbows touched the thighs while sitting.
The number of correctly executed sit-ups within 60 s was recorded.
|
2 minutes
|
Balance Assessment
Time Frame: 10 minutes
|
Balance was assessed using the Biodex Balance System SD (Biodex, Inc, Shirley, NY), an instrument designed to measure and train postural stability on a static or unstable surface. .
Static postural stability (Level 12, stable platform), dynamic postural stability (Level 4, unstable platform), single-leg stance postural stability (Level 12, stable platform), and limits of stability (LOS) (Level 12, stable platform) tests were performed.
|
10 minutes
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (ACTUAL)
June 1, 2017
Primary Completion (ACTUAL)
June 1, 2018
Study Completion (ACTUAL)
June 1, 2018
Study Registration Dates
First Submitted
February 25, 2020
First Submitted That Met QC Criteria
February 28, 2020
First Posted (ACTUAL)
March 2, 2020
Study Record Updates
Last Update Posted (ACTUAL)
March 3, 2020
Last Update Submitted That Met QC Criteria
March 2, 2020
Last Verified
March 1, 2020
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 2017/07-33
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
UNDECIDED
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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