{"title":"瑞士球运动改善强直性脊柱炎患者的肌肉力量和行走表现:一项随机对照试验","authors":"Marcelo Cardoso de Souza , Fábio Jennings , Hisa Morimoto , Jamil Natour","doi":"10.1016/j.rbre.2016.09.009","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><p>The purpose was to evaluate the effectiveness of a progressive muscle strengthening program using a Swiss ball for AS patients.</p></div><div><h3>Methods</h3><p>Sixty patients with AS were randomized into the intervention group (IG) or the control group (CG). Eight exercises were performed by the IG patients with free weights on a Swiss ball two times per week for 16 weeks. The evaluations were performed by a blinded evaluator at baseline and after 4, 8, 12 and 16 weeks using the following instruments: the one-repetition maximum test (1 RM), BASMI, BASFI, HAQ-S, SF-36, 6-minute walk test, time up and go test, BASDAI, ASDAS, ESR and CRP dosage and Likert scale.</p></div><div><h3>Results</h3><p>There was a statistical difference between groups for: strength (1 RM capacity) in the following exercises: abdominal, rowing, squat, triceps and reverse fly (<em>p</em> <!--><<!--> <!-->0.005); 6-minute walk test (<em>p</em> <!--><<!--> <!-->0.001); timed up and go test (<em>p</em> <!-->=<!--> <!-->0.025) and Likert scale (<em>p</em> <!--><<!--> <!-->0.001), all of them with better results for the IG. No differences were observed between the groups with respect to the functional capacity evaluation using the BASFI, HAQ-S, BASMI, SF-36, TUG, ASDAS, ESR and CPR dosage.</p></div><div><h3>Conclusions</h3><p>Progressive muscle strengthening using a Swiss ball is effective for improving muscle strength and walking performance in patients with AS.</p></div>","PeriodicalId":101096,"journal":{"name":"Revista Brasileira de Reumatologia (English Edition)","volume":"57 1","pages":"Pages 45-55"},"PeriodicalIF":0.0000,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rbre.2016.09.009","citationCount":"18","resultStr":"{\"title\":\"Swiss ball exercises improve muscle strength and walking performance in ankylosing spondylitis: a randomized controlled trial\",\"authors\":\"Marcelo Cardoso de Souza , Fábio Jennings , Hisa Morimoto , Jamil Natour\",\"doi\":\"10.1016/j.rbre.2016.09.009\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objective</h3><p>The purpose was to evaluate the effectiveness of a progressive muscle strengthening program using a Swiss ball for AS patients.</p></div><div><h3>Methods</h3><p>Sixty patients with AS were randomized into the intervention group (IG) or the control group (CG). Eight exercises were performed by the IG patients with free weights on a Swiss ball two times per week for 16 weeks. The evaluations were performed by a blinded evaluator at baseline and after 4, 8, 12 and 16 weeks using the following instruments: the one-repetition maximum test (1 RM), BASMI, BASFI, HAQ-S, SF-36, 6-minute walk test, time up and go test, BASDAI, ASDAS, ESR and CRP dosage and Likert scale.</p></div><div><h3>Results</h3><p>There was a statistical difference between groups for: strength (1 RM capacity) in the following exercises: abdominal, rowing, squat, triceps and reverse fly (<em>p</em> <!--><<!--> <!-->0.005); 6-minute walk test (<em>p</em> <!--><<!--> <!-->0.001); timed up and go test (<em>p</em> <!-->=<!--> <!-->0.025) and Likert scale (<em>p</em> <!--><<!--> <!-->0.001), all of them with better results for the IG. No differences were observed between the groups with respect to the functional capacity evaluation using the BASFI, HAQ-S, BASMI, SF-36, TUG, ASDAS, ESR and CPR dosage.</p></div><div><h3>Conclusions</h3><p>Progressive muscle strengthening using a Swiss ball is effective for improving muscle strength and walking performance in patients with AS.</p></div>\",\"PeriodicalId\":101096,\"journal\":{\"name\":\"Revista Brasileira de Reumatologia (English Edition)\",\"volume\":\"57 1\",\"pages\":\"Pages 45-55\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2017-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://sci-hub-pdf.com/10.1016/j.rbre.2016.09.009\",\"citationCount\":\"18\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Revista Brasileira de Reumatologia (English Edition)\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2255502116300761\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Revista Brasileira de Reumatologia (English Edition)","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2255502116300761","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 18
摘要
目的评估使用瑞士球进行性肌肉强化方案对AS患者的有效性。方法60例AS患者随机分为干预组(IG)和对照组(CG)。IG患者在瑞士球上进行8项运动,每周2次,持续16周。在基线和4、8、12和16周后,由盲法评估者使用以下工具进行评估:单次最大测试(1 RM)、BASMI、BASFI、HAQ-S、SF-36、6分钟步行测试、up and go测试、BASDAI、ASDAS、ESR和CRP剂量以及李克特量表。结果:腹部、划船、深蹲、肱三头肌、反飞运动的力量(1 RM容量)组间差异有统计学意义(p <0.005);6分钟步行测验(p <0.001);计时和去测试(p = 0.025)和李克特量表(p <0.001),所有这些都对IG有更好的效果。使用BASFI、HAQ-S、BASMI、SF-36、TUG、ASDAS、ESR和CPR剂量进行功能能力评估,两组间无差异。结论瑞士球进行性肌肉强化对改善AS患者的肌肉力量和行走能力是有效的。
Swiss ball exercises improve muscle strength and walking performance in ankylosing spondylitis: a randomized controlled trial
Objective
The purpose was to evaluate the effectiveness of a progressive muscle strengthening program using a Swiss ball for AS patients.
Methods
Sixty patients with AS were randomized into the intervention group (IG) or the control group (CG). Eight exercises were performed by the IG patients with free weights on a Swiss ball two times per week for 16 weeks. The evaluations were performed by a blinded evaluator at baseline and after 4, 8, 12 and 16 weeks using the following instruments: the one-repetition maximum test (1 RM), BASMI, BASFI, HAQ-S, SF-36, 6-minute walk test, time up and go test, BASDAI, ASDAS, ESR and CRP dosage and Likert scale.
Results
There was a statistical difference between groups for: strength (1 RM capacity) in the following exercises: abdominal, rowing, squat, triceps and reverse fly (p < 0.005); 6-minute walk test (p < 0.001); timed up and go test (p = 0.025) and Likert scale (p < 0.001), all of them with better results for the IG. No differences were observed between the groups with respect to the functional capacity evaluation using the BASFI, HAQ-S, BASMI, SF-36, TUG, ASDAS, ESR and CPR dosage.
Conclusions
Progressive muscle strengthening using a Swiss ball is effective for improving muscle strength and walking performance in patients with AS.