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IRCT20190426043377N3 IRCT 2021-05-22 Kermanshah University of Medical Sciences The Effect of Water-based Stretching and Pilates Exercises on Ankylosing Spondylitis The Effect of Six Weeks of Water-based Stretching and Pilates Exercises on Pain, Function, Spine Posture, and Foot Pressure Distribution in Patients with Ankylosing Spondylitis 2021-07-06 anticipated 45 Complete https://irct.ir/trial/56058 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: In this study, simple individual randomization using Random Number Allocation software was used. The assignment sequence is hidden by the numbered envelopes, which are numbered sequentially, and the envelopes are opened only after all the initial and basic assessments of the participants have been made. The random assignment sequence is performed by one of the study partners who is not involved in the evaluations and remains secret from the evaluators and other research colleagues, Blinding description: Outcome assessors do not know the assigned group of subjects; Because the assignment of individuals to groups is done by a person outside the research and after evaluating the pre-test, he introduces the assigned group to him. N/A Ankylosing Spondylitis. Intervention 1: Intervention group: Pilates in water: Pilates in water training program includes 12 sessions in the shallow, semi-deep and deep part of Azadi pool in Kermanshah on even days, 3 sessions per week with water temperature of 28 to 29 degrees Celsius. Each training session is 60 minutes and includes the following: The correct way of abdominal breathing and the basic principles of the sessions, including the main physical exercises in different positions (standing, floating in two positions, arch and back) and with resistance bands ( TheraBand Elastic Band Hygienic Corporation, Akron, OH, USA) Combines training balls, rims, clamps attached to bars around the pool, steppe and wood. Intervention 2: Control group: medication; NSAIDs & Anti TNF (weekly, two weekly, and monthly). Intervention 3: Intervention group: Stretching exercise in water: The stretching program in water in this study includes 24 sessions of water exercise activity in the shallow part of Azadi pool in Kermanshah on even days, 3 sessions per week with water temperature of 33 to 30 degrees Celsius and intensity of exercise 50 Up to 75% of the maximum heart rate is performed. Each training session is 60 minutes, which is divided into 3 parts: 10 to 15 minutes of warm-up and 35-45 minutes of the main exercises. In general, the movements performed in this stage include a series of stretching movements, walking in directions. Jogging in water, upper limb movements while the lower limbs are immobile, lower limb movements while the upper limbs are fixed, and upper and lower limb movements will be performed simultaneously by the exercise instructor. The water is designed according to the condition and ability of patients according to the instructions of the American Physical Medicine Association. No - There is not a plan to make this available Justification or reason for not sharing IPD is There is no more information
public Farzaneh Gandomi
Razi University, Bagh-e- Abrisham Ave.
Kermanshah Iran (Islamic Republic of) 6715663137 +98 83 3428 3272 gandomi777@gmail.com Razi Univesity scientific Farzaneh Gandomi
Razi Univesity, Bagh - e- Abrisham Ave.
Kermanshsh Iran (Islamic Republic of) 6715673136 +98 83 3428 3270 gandomi777@gmail.com Razi University Iran (Islamic Republic of) No progression of the bamboo spine on radiographical scan Bath Ankylosing Spondylitis Disease Activity Index (BAS-DAI) of 4.0 points or lower Lack of regular exercise for the last 6 months Use of medication for the last 6 months no limit no limit Both Those with uncontrolled chronic diseases or psychiatric history and currently on psychiatric medication M45 Ankylosing spondylitis Rehabilitation Treatment - Drugs Rehabilitation Intervention group: Pilates in water: Pilates in water training program includes 12 sessions in the shallow, semi-deep and deep part of Azadi pool in Kermanshah on even days, 3 sessions per week with water temperature of 28 to 29 degrees Celsius. Each training session is 60 minutes and includes the following: The correct way of abdominal breathing and the basic principles of the sessions, including the main physical exercises in different positions (standing, floating in two positions, arch and back) and with resistance bands ( TheraBand Elastic Band Hygienic Corporation, Akron, OH, USA) Combines training balls, rims, clamps attached to bars around the pool, steppe and wood. Control group: medication; NSAIDs & Anti TNF (weekly, two weekly, and monthly) Intervention group: Stretching exercise in water: The stretching program in water in this study includes 24 sessions of water exercise activity in the shallow part of Azadi pool in Kermanshah on even days, 3 sessions per week with water temperature of 33 to 30 degrees Celsius and intensity of exercise 50 Up to 75% of the maximum heart rate is performed. Each training session is 60 minutes, which is divided into 3 parts: 10 to 15 minutes of warm-up and 35-45 minutes of the main exercises. In general, the movements performed in this stage include a series of stretching movements, walking in directions. Jogging in water, upper limb movements while the lower limbs are immobile, lower limb movements while the upper limbs are fixed, and upper and lower limb movements will be performed simultaneously by the exercise instructor. The water is designed according to the condition and ability of patients according to the instructions of the American Physical Medicine Association. Primary outcome: pain. Timepoint: Before and after 8-week. Method of measurement: Pain by the visual analog scale (VAS). Spine range of motion (ROM). Timepoint: Before and after 8-week. Method of measurement: Spine range of motion by inclinometer. Spine posture. Timepoint: Before and after 8-week intervention. Method of measurement: Spine posture by Spinal mouse. Foot pressure distribution. Timepoint: Before and after 8-week intervention. Method of measurement: Foot pressure distribution by PT scan. Pulmonary Function. Timepoint: Before and after 8-week intervention. Method of measurement: Spirometry device. Kermanshah University of Medical Sciences Approved 2021-03-03 Ethics Committee of Kermanshah University of Medical Sciences Center No. 2, Shahid Beheshti Blvd. Kermanshah Kermanshah Iran (Islamic Republic of)