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Psychological effects of calisthenic exercises on neuroinflammatory and rheumatic diseases

Psychische Wirkungen von gymnastischen Übungen auf neuroinflammatorische und rheumatische Erkrankungen

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Abstract

Background

The aim of this study was to evaluate the effects of calisthenic exercises on psychological status in patients with ankylosing spondylitis (AS) and multiple sclerosis (MS).

Methods

This study comprised 40 patients diagnosed with AS randomized into two exercise groups (group 1 = hospital-based, group 2 = home-based) and 40 patients diagnosed with MS randomized into two exercise groups (group 1 = hospital-based, group 2 = home-based).

Results

The exercise programme was completed by 73 participants (hospital-based = 34, home-based = 39). Mean age was 33.75 ± 5.77 years. After the 8-week exercise programme in the AS group, the home-based exercise group showed significant improvements in erythrocyte sedimentation rates (ESR). The hospital-based exercise group showed significant improvements in terms of the Bath AS Metrology Index (BASMI) and Hospital Anxiety and Depression Scale-Anxiety (HADS-A) scores. After the 8-week exercise programme in the MS group, the home-based and hospital-based exercise groups showed significant improvements in terms of the 10-m walking test, Berg Balance Scale (BBS), HADS-A, and MS international Quality of Life (MusiQoL) scores. There was a significant improvement in the hospital-based and a significant deterioration in the home-based MS patients according to HADS-Depression (HADS-D) score.

Conclusion

The positive effects of exercises on neurologic and rheumatic chronic inflammatory processes associated with disability should not be underestimated.

Zusammenfassung

Hintergrund

Ziel der vorliegenden Studie war die Untersuchung der Wirkungen von gymnastischen Übungen auf die psychische Verfassung von Patienten mit Spondylitis ankylosans (AS) und multipler Sklerose (MS).

Methoden

Die Studie umfasste 40 Patienten mit der Diagnose AS, die randomisiert in 2 Übungsgruppen aufgeteilt wurden (Gruppe 1: stationär, Gruppe 2: ambulant), und 40 Patienten mit der Diagnose MS, die ebenfalls randomisiert in 2 Übungsgruppen aufgeteilt wurden (Gruppe 1: stationär, Gruppe 2: ambulant).

Ergebnisse

Vollständig absolviert wurde das Übungsprogramm von 73 Patienten (stationär: 34, ambulant: 39). Das Durchschnittsalter betrug 33,75 ± 5,77 Jahre. Nach dem 8-wöchigen Übungsprogramm in der AS-Gruppe zeigten sich bei der ambulanten Übungsgruppe signifikante Verbesserungen bei der Blutsenkungsgeschwindigkeit (BSG). Die stationäre Übungsgruppe wies signifikante Verbesserungen in Bezug auf den BASMI-Score (Bath AS Metrology Index) und den HADS-A-Score (Hospital Anxiety and Depression Scale-Anxiety) auf. Nach dem 8-wöchigen Übungsprogramm in der MS-Gruppe zeigten sich sowohl in der ambulanten als auch in der stationären Übungsgruppe signifikante Verbesserungen hinsichtlich des 10-m-Gehtests, des BBS-Ergebnisses (Berg Balance Scale), des HADS-A- sowie des MusiQoL-Scores (MS international Quality of Life). Beim HADS-D-Score (HADS-Depression) bestand eine signifikante Verbesserung bei den stationären und eine signifikante Verschlechterung bei den ambulanten MS-Patienten.

Schlussfolgerung

Die positiven Wirkungen von gymnastischen Übungen auf neurologische und rheumatische chronisch entzündliche Prozesse mit Behinderung sollten nicht unterschätzt werden.

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References

  1. Weinshenker BG (1995) The natural history of multiple sclerosis. Clin Neurol Neurosurg 13:119–146

    CAS  Google Scholar 

  2. Compston A, Coles A (2008) Multiple sclerosis. Lancet 372:1502–1517

    Article  CAS  PubMed  Google Scholar 

  3. Cakit B, Nacir B, Genc H et al (2010) Cycling progressive resistance training for people with multiple sclerosis: a randomized controlled study. Am J Phys Med Rehabil 89:446–457

    Article  Google Scholar 

  4. McVeigh CM, Cairns AP (2006) Diagnosis and management of ankylosing spondylitis. BMJ 333:581–585

    Article  PubMed Central  PubMed  Google Scholar 

  5. Fox MW, Burton M, Burton OM, Kilgore JE (1993) Neurological complications of ankylosing spondylitis. J Neurosurg 78:871–878

    Article  CAS  PubMed  Google Scholar 

  6. Lim HJ, Lim HS, Lee MS (2005) Relationship between selfefficacy and exercise duration in patients with ankylosing spondylitis. Clin Rheumatol 24:442–443

    Article  PubMed  Google Scholar 

  7. Dagfinrud H, Kvien TK, Hagen KB (2005) The cochrane review of physiotherapy interventions for ankylosing spondylitis. J Rheumatol 32:1899–1906

    PubMed  Google Scholar 

  8. Calin A, Garret SL, Whitelock HC (1994) New aproach to de defining functional ability in ankylosing spondylitis: the development of the bath ankylosing spondylitis functional index. J Rheumatol 21:2281–2285

    CAS  PubMed  Google Scholar 

  9. Garret S, Jenkinson T, Kennedy G (1994) A new approach to defining disease status in ankylosing spondylitis: the bath ankylosing spondylitis disease activity index. J Rheumatol 21:2286–2291

    Google Scholar 

  10. Fernandez-de-Las-Penas C, Alonso-Blanco C, Alguacil-Diego IM et al (2006) One-year follow-up of two exercise interventions for the management of patients with ankylosing spondylitis: a randomized controlled trial. Am J Phys Med Rehabil 85:559–567

    Article  PubMed  Google Scholar 

  11. Sweeney S, Taylor G, Calin A (2002) The effect of a home based exercise intervention package on outcome in ankylosing spondylitis: a randomized controlled trial. J Rheumatol 29:763–766

    PubMed  Google Scholar 

  12. Doward LC, Spoorenberg A, Cook SA et al (2003) Development of ASQoL: a quality of life instrument specific to ankylosing spondylitis. Ann Rheum Dis 62:20–26

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  13. Jones SD, Steiner A, Garrett SL, Calin A (1996) The Bath Ankylosing Spondylitis Patient Global Score (BAS-G). Br J Rheumatol 35:66–71

    Article  CAS  PubMed  Google Scholar 

  14. Cattaneo D, Jonsdottir J, Zocchi M et al (2007) Effects of balance exercises on people with multiple sclerosis: a pilot study. Clin Rehabil 21:771–781

    Article  CAS  PubMed  Google Scholar 

  15. Smedal T, Lygren H, Myhr K-M et al (2006) Balance and gait improved in patients with MS after physiotherapy based on the Bobath concept. Physiother Res Int 11:104–116

    Article  PubMed  Google Scholar 

  16. Kurtzke J (1983) Rating neurological impairment in multiple sclerosis: an expanded disability status Scale (EDSS). Neurology 33:1444–1452

    Article  CAS  PubMed  Google Scholar 

  17. Berg K, Wood-Dauphinee S, Williams J et al (1983) Measuring balance in the elderly: validation of an instrument. Can J Public Health 83:7

    Google Scholar 

  18. Taylor N, Dodd K, Prasad D et al (2006) Progressive resistance exercise for people with multiple sclerosis. Disabil Rehabil 28:1119–1126

    Article  CAS  PubMed  Google Scholar 

  19. Gehlsen G, Grigsby S, Winant D (1984) Effects of an aquatic fitness program on the muscular strength and endurance of patients with multiple sclerosis. Phys Ther 64:653–657

    CAS  PubMed  Google Scholar 

  20. Wiles CM, Newcombe RG, Fuller KJ et al (2001) Controlled randomised crossover trial of the effects of physiotherapy on mobility in chronic multiple sclerosis. J Neurol Neurosurg Psychiatry 70:174–179

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  21. Debolt L, Mccubbin J (2004) The effects of homebased resistance exercise on balance, power, and mobility in adults with multiple sclerosis. Arch Phys Med Rehabil 85:290–297

    Article  PubMed  Google Scholar 

  22. Zigmond AS, Snaith RP (1983) The hospital anxiety and depression scale. Acta Psychiatr Scand 67:361–370

    Article  CAS  PubMed  Google Scholar 

  23. Aydemir O, Guvenir T, Kuey L et al (1997) Validity and reability of Turkish version of hospital anxiety and depression scale. Turk Psikiyatri Derg 8:280–287

    Google Scholar 

  24. Petajan JH, Gappmaier E, White AT et al (1996) Impact of aerobic training on fitness and quality of life in multiple sclerosis. Ann Neurol 39:432–441

    Article  CAS  PubMed  Google Scholar 

  25. Romberg A, Virtanen A, Ruutiainen J (2005) Longterm exercise improves functional impairment but not quality of life in multiple sclerosis. J Neurol 252:839–845

    Article  PubMed  Google Scholar 

  26. Azoulay D, Vachapova V, Shihman B et al (2005) Lower brain derived neurotrophic factor inserum of relapsing remitting MS: reversal by glatiramer acetate. J Neuroimmunol 167:215–218

    Article  CAS  PubMed  Google Scholar 

  27. Zheng H, Liu Y, Li W et al (2006) Beneficial effects of exercise and its molecular mechanisms on depression in rats. Behav Brain Res 168:47–55

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  28. Ward MM (1999) Health-related quality of life in ankylosing spondylitis: a survey of 175 patients. Arthritis Care Res 12:247–255

    Article  CAS  PubMed  Google Scholar 

  29. Martindale J, Smith J, Sutton CJ et al (2006) Disease and psychological status in ankylosing spondylitis. Rheumatology 45:1288–1293

    Article  CAS  PubMed  Google Scholar 

  30. Sinead B, Roxanne C, Helen D et al (2013) The effect of physical activity and motivation on function in ankylosing spondylitis: a cohort study. Semin Arthritis Rheum 42:619–626

    Article  Google Scholar 

  31. Lee J, Dunlop D, Ehrlich-Jones L et al (2012) The public health impact of risk factors for physical inactivity in adults with rheumatoid arthritis. Arthritis Care Res (Hoboken) 64:488–493

    Article  Google Scholar 

  32. Kirk KM, Hickie IB, Martin NG (1999) Fatigue as related to anxiety and depression in a community-based sample of twins aged over 50. Soc Psychiatry Psychiatr Epidemiol 34:85–90

    Article  CAS  PubMed  Google Scholar 

  33. Da Costa D, Dritsa M, Ring A et al (2004) Mental health status and leisure-time physical activity contribute to fatigue intensity in patients with spondylarthropathy. Arthritis Rheum 51:1004–1008

    Article  Google Scholar 

  34. Missaoui B, Revel M (2006) Fatigue in ankylosing spondylitis. Ann Readapt Med Phys 49:305–308, 389–391

    Article  CAS  PubMed  Google Scholar 

  35. Karapolat H, Akkoc Y, Sari I et al (2007) Comparison of groupbased exercise versus home-based exercise in patients with ankylosing spondylitis: effects on bath ankylosing spondylitis Indices, quality of life and depression. Clin Rheumatol 27:695–700

    Article  PubMed  Google Scholar 

  36. Stroud NM, Minahan CL (2009) The impact of regular physical activity on fatigue, depression and quality of life in persons with multiple sclerosis. Health Qual Life Outcomes 7:68

    Article  PubMed Central  PubMed  Google Scholar 

  37. Sorosky S, Stilp S, Akuthota V (2008) Yoga and Pilates in the management of low back pain. Curr Rev Musculoskelet Med 1:39–47

    Article  PubMed Central  PubMed  Google Scholar 

Download references

Compliance with ethical guidelines

Conflict of interest. O. Taspinar, T. Aydın, A. Celebi, Y. Keskin, S. Yavuz, M. Guneser, A. Camli, M. Tosun, N. Canbaz, and M. Gok state that there are no conflicts of interest. All studies on humans described in the present manuscript were carried out with the approval of the responsible ethics committee and in accordance with national law and the Helsinki Declaration of 1975 (in its current, revised form). Informed consent was obtained from all patients included in studies.

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Authors and Affiliations

  1. Faculty of Medicine, Department of Physical Medicine and Rehabilitation, Bezmi Alem Vakıf University, Istanbul, Turkey

    O. Taspinar MD, T. Aydın MD, M. Guneser MD, N. Canbaz & M. Gok

  2. Faculty of Medicine, Department of Neurology, Bezmi Alem Vakıf University, Istanbul, Turkey

    A. Celebi MD

  3. Department of Pyhisical Therapy and Rehabilitation, Medeniyet University Goztepe Training And Research Hospital, Goztepe, Turkey

    Y. Keskin MD

  4. Department of Pyhisical Therapy and Rehabilitation, Edirne State Hospital, Edirne, Turkey

    S. Yavuz MD

  5. Faculty of Medicine, Department of Internal Medicine, Bezmi Alem Vakıf University, Istanbul, Turkey

    A. Camli MD

  6. Department of Department of Ortopedics and Traumatology, Karaman State Hospital, Karaman, Turkey

    M. Tosun MD

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  1. O. Taspinar MD
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  2. T. Aydın MD
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  9. N. Canbaz
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  10. M. Gok
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Correspondence to O. Taspinar MD.

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Taspinar, O., Aydın, T., Celebi, A. et al. Psychological effects of calisthenic exercises on neuroinflammatory and rheumatic diseases. Z Rheumatol 74, 722–727 (2015). https://doi.org/10.1007/s00393-015-1570-9

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