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Abstract

The effect of a home based exercise intervention package on outcome in ankylosing spondylitis: a randomized controlled trial.

Siobhan Sweeney, Gordon Taylor and Andrei Calin
The Journal of Rheumatology April 2002, 29 (4) 763-766;
Siobhan Sweeney
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Gordon Taylor
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Andrei Calin
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Abstract

OBJECTIVE: Home based self-care is essential for successful management of ankylosing spondylitis (AS). We designed an intervention package aimed at promoting self-care and regular longterm exercise and evaluated its effect on outcome. METHOD: Members of our database (n = 4569) were randomly selected and randomized to an intervention group (IG) or a followup control group (CG). The intervention consisted of an exercise/information video, exercise progress chart, patient education booklet, and AS exercise reminder stickers. The outcome measures were function (BASFI), disease activity (BASDAI), global well being (BAS-G), exercise self-efficacy (ESE), arthritis self-efficacy (SES), and quantity of AS mobility/aerobic exercise assessed at baseline and 6 months. RESULTS: Of the 200 subjects, 155 completed the study (75 IG and 80 CG). Baseline analysis showed no differences between the CG and the IG. At 6 months, analysis revealed no statistically significant between-group differences for the BASFI, BASDAI, and BAS-G. although the p value of 0.08 for function approached significance. Self-efficacy for exercise showed a significant improvement in the IG (p = 0.045). There were no between-group differences for the SES pain and other symptoms subscales. Finally, there was a significant increase in self-reported AS mobility (p < 0.001) and aerobic exercise (p < 0.05) in the IG. CONCLUSION: An exercise intervention package designed to promote self-management in AS (1) significantly improves self-efficacy for exercise; (2) significantly improves self-reported levels of exercise; (3) reveals a trend for improvement in function (BASFI).

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The Journal of Rheumatology
Vol. 29, Issue 4
1 Apr 2002
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The effect of a home based exercise intervention package on outcome in ankylosing spondylitis: a randomized controlled trial.
Siobhan Sweeney, Gordon Taylor, Andrei Calin
The Journal of Rheumatology Apr 2002, 29 (4) 763-766;

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The effect of a home based exercise intervention package on outcome in ankylosing spondylitis: a randomized controlled trial.
Siobhan Sweeney, Gordon Taylor, Andrei Calin
The Journal of Rheumatology Apr 2002, 29 (4) 763-766;
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Print ISSN: 0315-162X; Online ISSN: 1499-2752
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