| dc.description.abstract | Background: Ankylosing spondylitis (AS) is a rheumatic disease that can cause
a restrictive lung condition. Pulmonary rehabilitation increases lung capacity in
patients with lung disease. In this study, we aimed to show increase in exercise
capacity, decrease in dyspnea and change in quality of life with pulmonary rehabilitation in patients with AS.
Objectives: In this study, we included 20 AS patients of whom admitted to our
outpatient clinic. At the beginning and end of the study, patients some findings
such as SFT, FEV1 values, saturations, arterial blood pressures and heart rates
were recorded separately. Also, BODE index results, 6-minute walk test (MWT)
values, BORG dyspnea scores, Modified Medical Research Council (MMRC)
dyspnea scales, Anxiety Stress Scales (ASS) were examined. Short Form-36
(SF-36) questionnaires were filled out.
Methods: Patients underwent rehabilitation for 8 weeks, two days in a week at
hospital and one day at home. According to their exercise tolerances in rehabilitation, patients were given upper and lower limb endurance training, strength
training, flexibility and stretching exercises, balance exercises, inspiratory muscles training.
Results: In our study, patients with AS showed significant improvement in
MMRC, borg dyspnea scales and 6 MWT at the end of rehabilitation compared
to beginning of rehabilitation (p<0.05). It is shown that there was significant
improvement in the values of PEF % and FVC%, when the difference averages
before and after rehabilitation were compared (p < 0.05) but there was no difference in FEV1 %, FEV1/FVC values (p > 0.05). There was also significant
improvement in BASDAI-BASFI values (P=0.006, P=0.016, respectively). The
bode index showed no significant difference (p > 0.05). There was significant
improvement in anxiety on ASS. Only the mental parameter showed significant
improvement when parameters evaluated by the SF-36 survey (p < 0.05). There
was no significant difference in the rest of all parameters (p>0.05). | en_US |
