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[Home based and group based exercise programs in patients with ankylosing spondylitis: systematic review]
Acta Reumatologica Portuguesa
|September 9, 2016
Summary
Group-based exercise programs appear more effective than home-based programs for Ankylosing Spondylitis (AS) patients. However, any exercise is better than none for improving functional benefits in AS.
Area of Science:
- Rheumatology
- Physical Therapy
- Evidence-Based Medicine
Background:
- Ankylosing Spondylitis (AS) is a chronic inflammatory disease affecting the spine and peripheral joints, significantly reducing patient quality of life.
- Physical therapy is a recommended non-pharmacological treatment for managing AS, including preventing deformities.
Purpose of the Study:
- To systematically review and summarize evidence on the effectiveness of home-based versus group-based exercise programs for patients with Ankylosing Spondylitis.
Main Methods:
- A systematic review of articles published between January 2004 and January 2014 was conducted using the PubMed database.
- Inclusion and exclusion criteria were applied, and eight randomized controlled trials were selected for full-text review.
Main Results:
- All included studies demonstrated functional benefits for patients with AS participating in exercise programs.
- Four studies focused on home-based programs, and four focused on group-based programs, with both showing positive outcomes.
Conclusions:
- Group-based exercise programs show greater effectiveness compared to home-based programs for Ankylosing Spondylitis patients.
- Engaging in home-based exercise programs is more beneficial than no exercise intervention for individuals with AS.

