Exercise therapy for spondyloarthritis: a systematic review
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Tom O'Dwyer, Finbar O'Shea, Fiona Wilson, Exercise therapy for spondyloarthritis: a systematic review, Rheumatology International, 34, 7, 2014, 887 - 902Download Item:
Abstract:
t
o evaluate the effects of therapeutic exercise
on pain, stiffness, quality of life, physical function, dis-
ease activity, health-related fitness and cardiovascular risk
factors in adults with spondyloarthritis (SpA). electronic
databases (cochrane
central Register of controlled
trials,
eMBASe, MeDlINe/PubMed, PeDro, AMeD,
cINAHl)
were systematically searched from inception to October
2013 using medical subject headings and keywords.
this
was supplemented by searching conference abstracts and
a hand search of reference lists of included studies. Ran-
domised and quasi-randomised studies of adults with SpA
in which at least one of the comparison groups received an
exercise intervention were included. Outcomes of interest
were pain, stiffness, quality of life, physical function and
disease activity. Secondary outcomes were health-related
fitness and cardiovascular risk factors.
two reviewers inde-
pendently screened studies for inclusion. Methodological
quality was assessed by two reviewers using the cochrane
risk of bias tool and the PeDro scale.
twenty-four studies,
involving 1,498 participants, were included. Meta-analyses
were not undertaken due to clinical heterogeneity, and this
review focuses on qualitative synthesis. Moderate evidence
supports exercise interventions in improving physical function, disease activity and chest expansion compared
to controls; there is low-level evidence of improved pain,
stiffness, spinal mobility and cardiorespiratory function.
Supervised group exercise yields better outcomes than
unsupervised home exercise.
the addition of aerobic com-
ponents to flexibility programmes improves cardiorespi-
ratory outcomes, but not cardiovascular risk factors.
the
most effective exercise protocol remains unclear. current
evidence suggests that therapeutic exercises are beneficial
for adults with ankylosing spondylitis; effects on other SpA
subtypes are unknown
Author's Homepage:
http://people.tcd.ie/wilsonfhttp://people.tcd.ie/fioshea
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Author: Wilson, Fiona; O'Shea, Finbar
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Rheumatology International34
7
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Ankylosing spondylitisMetadata
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