PMID- 37980643 OWN - NLM STAT- MEDLINE DCOM- 20240325 LR - 20240325 IS - 1878-6324 (Electronic) IS - 1053-8127 (Linking) VI - 37 IP - 2 DP - 2024 TI - The effect of a six-week Aqua Pilates and Aqua Stretch intervention on pain, function, and quality of life in patients affected by ankylosing spondylitis: A rater-blind randomized controlled trial. PG - 355-367 LID - 10.3233/BMR-230077 [doi] AB - BACKGROUND: There has been a dearth of research into the benefits of water-based workouts for ankylosing spondylitis (AS) patients. OBJECTIVE: This study aimed to compare the effect of Aqua Stretch and Aqua Pilates in improving quality of life (QOL), function, and pain in AS patients. METHODS: This study was conducted on 40 patients, who were randomly assigned to the Aqua Pilates, Aqua Stretch, and control groups. The experimental groups attended interventions for six-week. QOL, pain intensity, function, and fatigue were measured before and after treatments. RESULTS: Except for the chest expanding, all variables in the Aqua Stretch group changed significantly after six weeks (p< 0.05). QOL (p= 0.002), 6MWT (p= 0.016), and Schober flexion (p= 0.011) showed changes, while BASDAI (p= 0.0001), VAS (p= 0.0001), fatigue (p= 0.0001), and Schober extension (p= 0.028) showed significant decreases. Except for chest expansion and Schober extension, which did not alter significantly after six-week of Aqua Pilates (p> 0.05), all other variables did. There was an increasing trend in 6MWT and Schober flexion (p= 0.021) and a decreasing trend in BASDAI (p= 0.002), VAS (p= 0.0001) and fatigue (p= 0.002). Except for QOL (p= 0.016), no statistically significant differences were found between the groups. CONCLUSION: All variables had a significant change after six-week Aqua Stretch, except for the chest expanding. Chest expanding and Schober extension were the variables which had no significant change after six-week Aqua Pilates. With the exception of QOL, no statistically significant differences were found between the groups. Aqua Stretch had the greatest effect on the VAS, as measured by the minimum clinically relevant differences (MCID). Moreover, in Aqua Stretch alone, there was a notable impact on fatigue, QOL, and the BASDAI. FAU - Soufivand, Parviz AU - Soufivand P AD - Rheumatology Department, Clinical Research Development Center, Imam Reza Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran. FAU - Gandomi, Farzaneh AU - Gandomi F AD - Sport Injuries and Corrective Exercises Department, Sport Sciences Faculty, Razi University, Kermanshah, Iran. FAU - Assar, Shirin AU - Assar S AD - Rheumatology Department, Clinical Research Development Center, Imam Reza Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran. FAU - Abbasi, Homayoun AU - Abbasi H AD - Sports Management Department, Sport Sciences Faculty, Razi University, Kermanshah, Iran. FAU - Salimi, Mehran AU - Salimi M AD - Health and Sport Medicine Department, Sport Sciences Faculty, Tehran University, Tehran, Iran. FAU - Ezati, Mozhgan AU - Ezati M AD - Rheumatology Department, Clinical Research Development Center, Imam Reza Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran. FAU - Pournazari, Mehran AU - Pournazari M AD - Rheumatology Department, Clinical Research Development Center, Imam Reza Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran. FAU - Shahsavari, Soodeh AU - Shahsavari S AD - Health Information Technology Department, Faculty of Allied Sciences, Kermanshah University of Medical Sciences, Kermanshah, Iran. LA - eng PT - Journal Article PT - Randomized Controlled Trial PL - Netherlands TA - J Back Musculoskelet Rehabil JT - Journal of back and musculoskeletal rehabilitation JID - 9201340 SB - IM MH - Humans MH - *Spondylitis, Ankylosing/therapy MH - Quality of Life MH - Pain MH - Physical Examination MH - Fatigue OTO - NOTNLM OT - Spine OT - disability OT - fatigue OT - patient OT - rheumatoid srthritis EDAT- 2023/11/19 18:41 MHDA- 2024/03/25 06:42 CRDT- 2023/11/19 15:18 PHST- 2024/03/25 06:42 [medline] PHST- 2023/11/19 18:41 [pubmed] PHST- 2023/11/19 15:18 [entrez] AID - BMR230077 [pii] AID - 10.3233/BMR-230077 [doi] PST - ppublish SO - J Back Musculoskelet Rehabil. 2024;37(2):355-367. doi: 10.3233/BMR-230077.