The aim of the study is to investigate the effect of dynamic balance exercises added to current medical treatment on balance in patients with ankylosing spondylitis.
The study was planned as a randomized controlled study. Forty participants with a clinically confirmed diagnosis of AS according to ASAS criteria will be recruited from the PAU Department of Physical Medicine and Rehabilitation (PMR). These participants who meet the inclusion and exclusion criteria will be randomly divided into 2 groups. The trial will be carried out at Pamukkale University Department of Physical Medicine and Rehabilitation between January 2024 and July 2025. The local ethics committee approved the study. All participants will be informed about the purpose and content of the study and will sign written consent to participate in the study. Participant's age, gender, body mass index, education, occupation, medications, duration of diagnosis, comorbidity, functional status and pain will be questioned and recorded. Group1: Group receiving dynamic balance exercise with tecnobody prokin 252 balance device added to current medical treatment (Intervention group) The first group will be given dynamic balance exercises with the tecnobody prokin 252 device and participants will continue their current medical treatment. These dynamic balance exercises will be performed in 3 days a week for 6 weeks. Each exercise will last 30 minutes. It will take 18 sessions in total. These exercises include 14 balance exercise movements performed on tecnobody prokin 252 balance device (manufactured in Italy). Group 2: Group receiving current medical treatment (control group) Participants in this group will receive only current medical treatment. Care will be taken not to change the medical treatments of the participants during the study. All participants will be evaluated with the following evaluation parameters before the treatment and at the end of 6 weeks.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
40
Dynamic balance exercise with tecnobody prokin 252 balance device
Dynamic balance measurements
The TecnoBody Prokin 252 system was used to assess balance in the standing position for all participants. This equipment provides data on average track error and stability index.
Time frame: a day before rehabilitation
Dynamic balance measurements
The TecnoBody Prokin 252 system was used to assess balance in the standing position for all participants. This equipment provides data on average track error and stability index.
Time frame: 6 weeks after the start of rehabilitation
ASQoL
A disease-specific, patient-completed outcome measure for patients with AS. The scale consists of 18 questions with two answers as 0 'no' and 1 'yes' for each item. The total score ranges from 0-18, with a high score indicating good quality of life.
Time frame: a day before rehabilitation
ASQoL
A disease-specific, patient-completed outcome measure for patients with AS. The scale consists of 18 questions with two answers as 0 'no' and 1 'yes' for each item. The total score ranges from 0-18, with a high score indicating good quality of life.
Time frame: 6 weeks after the start of rehabilitation
Bath Ankylosing Spondylitis Disease Activity Index (BASDAI)
It consists of 6 VAS measures of fatigue, spinal and peripheral joint pain, tenderness and morning stiffness. Morning stiffness is measured in terms of both severity and duration. The mean score for the two questions on morning stiffness is calculated and summed with the scores for the other questions. The BASDAI score is obtained by converting the total value into a 0-10 scale. Below four is considered inactive disease and four and above is considered active disease.
Time frame: a day before rehabilitation
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Bath Ankylosing Spondylitis Disease Activity Index (BASDAI)
It consists of 6 VAS measures of fatigue, spinal and peripheral joint pain, tenderness and morning stiffness. Morning stiffness is measured in terms of both severity and duration. The mean score for the two questions on morning stiffness is calculated and summed with the scores for the other questions. The BASDAI score is obtained by converting the total value into a 0-10 scale. Below four is considered inactive disease and four and above is considered active disease.
Time frame: 6 weeks after the start of rehabilitation
Bath Ankylosing Spondylitis Functional Index (BASFI)
It is a quick, easy-to-administer functional index consisting of ten items developed to assess the functional status of patients. The total BASFI score is evaluated between 0-10.
Time frame: a day before rehabilitation
Bath Ankylosing Spondylitis Functional Index (BASFI)
It is a quick, easy-to-administer functional index consisting of ten items developed to assess the functional status of patients. The total BASFI score is evaluated between 0-10.
Time frame: 6 weeks after the start of rehabilitation
Bath Ankylosing Spondylitis Metrology Index (BASMI)
It is used to measure the level of spinal mobility of patients. The higher the BASMI score, the more severe the patient's limitation of movement.
Time frame: a day before rehabilitation
Bath Ankylosing Spondylitis Metrology Index (BASMI)
It is used to measure the level of spinal mobility of patients. The higher the BASMI score, the more severe the patient's limitation of movement.
Time frame: 6 weeks after the start of rehabilitation