PMID- 36271391 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20221025 IS - 2052-1847 (Print) IS - 2052-1847 (Electronic) IS - 2052-1847 (Linking) VI - 14 IP - 1 DP - 2022 Oct 21 TI - The effect of Aqua Stretching exercises and Pilates on pain, function and spine posture in patients with ankylosing spondylitis: a randomized controlled trial. PG - 183 LID - 10.1186/s13102-022-00577-0 [doi] LID - 183 AB - BACKGROUND: Aqua Pilates and Aqua Stretch exercises are different and new methods for the rehabilitation of musculoskeletal disorders. This study aimed to compare the effectiveness of Aqua Stretch and Aqua Pilates interventions in the treatment of pain, function, and posture of the spine in ankylosing spondylitis (AS) patients. METHODS: Forty patients participated in this study who were randomly allocated into Aqua Stretch, aqua Pilates, and control. The experimental groups received four 60-min training sessions each week for six weeks. However, the control group had only its routine drug treatment (NSAIDs & Anti TNF). Pain with Visual Analog Scale (VAS), function with Bath Ankylosing Spondylitis Functional Index (BASFI) and 40-m walking test (MWT), quality of life with ankylosing spondylitis quality of life (ASQoL), and posture of the spine with the Spinal Mouse were evaluated. Evaluations were performed before and after the interventions. Repeated measure ANOVA was employed to determine the main and interaction effects. RESULTS: Aqua Stretch and Aqua Pilates had a significant effect on pain (Aqua-Pilates: P = 0.0001; Aqua-Stretch: P = 0.0001), BASFI (Aqua-Pilates: P = 0.01; Aqua-Stretch: P = 0.02), 40-MWT (Aqua-Pilates: P = 0.006; Aqua-Stretch: P = 0.0001) and ASQoL (Aqua-Pilates: P = 0.01; Aqua-Stretch: P = 0.001), spinal range of motion (ROM) (Aqua-Pilates: P = 0.0001; Aqua-Stretch: P = 0.0001) at a similar ratio. However, the control group did not present any improvement in these factors (P > 0.05). Moreover, the minimal clinically important difference (MCID) revealed that the Aqua Stretch group performed better than the Aqua Pilates group in terms of VAS, ASQOL, and 40-MWT factors. CONCLUSIONS: Aqua Stretch and Aqua Pilates had statistically the same effect on improving pain, function, quality of life, and spinal ROM, while MCID results revealed that the Aqua Stretch group performed better than the Aqua Pilates in terms of VAS-ASQOL-40-MWT. Trial registration It is notable that local ethics committee approval was obtained (IR.KUMS.REC.1399.1137), and the study was registered in Iranian Registry of Clinical Trials (IRCT; IRCT20190426043377N3; registered on 22/05/2021, https://fa.irct.ir/user/trial/56058/view ) and patient recruitments were started on 06/07/2021. CI - (c) 2022. The Author(s). FAU - Gandomi, Farzaneh AU - Gandomi F AUID- ORCID: 0000-0002-8607-3803 AD - Sports Injuries and Corrective Exercises Department, Sport Sciences Faculty, Razi University, Kermanshah, Iran. FAU - Soufivand, Parviz AU - Soufivand P AUID- ORCID: 0000-0001-5517-791X AD - Rheumatology Department, Clinical Research Development Center, Imam Reza Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran. parvizsoufivand@yahoo.com. FAU - Ezati, Mozhgan AU - Ezati M AUID- ORCID: 0000-0002-9789-712X AD - Rheumatology Department, Clinical Research Development Center, Imam Reza Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran. FAU - Salimi, Mehran AU - Salimi M AUID- ORCID: 0000-0002-0441-3537 AD - Sports Injuries and Corrective Exercises Department, Sport Sciences Faculty, Tehran University, Tehran, Iran. FAU - Assar, Shirin AU - Assar S AUID- ORCID: 0000-0002-7278-492X AD - Rheumatology Department, Clinical Research Development Center, Imam Reza Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran. FAU - Pournazari, Mehran AU - Pournazari M AUID- ORCID: 0000-0003-3542-3049 AD - Rheumatology Department, Clinical Research Development Center, Imam Reza Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran. FAU - Abbasi, Homayoun AU - Abbasi H AUID- ORCID: 0000-0002-3532-4545 AD - Sports Management Department, Sport Sciences Faculty, Razi University, Kermanshah, Iran. LA - eng PT - Journal Article DEP - 20221021 PL - England TA - BMC Sports Sci Med Rehabil JT - BMC sports science, medicine & rehabilitation JID - 101605016 PMC - PMC9585788 OTO - NOTNLM OT - Ankylosing spondylitis OT - Aqua exercises OT - Function OT - Pain OT - Pilates OT - Quality of life OT - Spine OT - Stretch COIS- The authors declare that they have no competing interests. EDAT- 2022/10/23 06:00 MHDA- 2022/10/23 06:01 PMCR- 2022/10/21 CRDT- 2022/10/22 00:25 PHST- 2022/06/12 00:00 [received] PHST- 2022/10/04 00:00 [accepted] PHST- 2022/10/22 00:25 [entrez] PHST- 2022/10/23 06:00 [pubmed] PHST- 2022/10/23 06:01 [medline] PHST- 2022/10/21 00:00 [pmc-release] AID - 10.1186/s13102-022-00577-0 [pii] AID - 577 [pii] AID - 10.1186/s13102-022-00577-0 [doi] PST - epublish SO - BMC Sports Sci Med Rehabil. 2022 Oct 21;14(1):183. doi: 10.1186/s13102-022-00577-0.