Abstract
We compared the short-term effects of Stanger bath therapy and conventional exercises on spinal mobility, functional capacity, disease activity, and quality of life with conventional exercise alone in ankylosing spondylitis (AS) patients. A total of 58 patients with a diagnosis of AS according to the modified New York criteria were included in this randomized prospective study. The patients were divided into two groups. Patients in group I (n = 30) received Stanger bath therapy and an exercise program. Group II (n = 28) patients were given the same exercise program but did not receive Stanger bath therapy. Patients were evaluated before (T0) and at the end of the treatments (T1). Evaluation parameters were the Bath AS Metrology Index (BASMI), Bath AS Functional Index (BASFI), Bath AS Disease Activity Index (BASDAI), and AS Quality of Life (ASQoL). In both patient groups, a significant improvement was determined in all clinical outcomes between T0 and T1 except for BASMI in group II. Comparison of the groups showed significantly superior results in group I parameters of BASMI, BASFI, BASDAI, and ASQoL. Stanger bath therapy showed beneficial effects in spinal mobility, functional capacity, disease activity, and quality of life in AS patients immediately after the treatment period. We recommend Stanger bath therapy for AS patients in the short-term, but further research is imperative to assess whether improvement is sustained over a long-term follow-up.
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References
Ahn MS (2003) Clinical features of ankylosing spondylitis. In: Hochberg MC, Silman AJ, Smolen J, Weinblatt ME, Weisman MH (eds) Rheumatology. Elsevier, Philadelphia, pp 1161–1181
Dougados M (1995) Diagnostic features of ankylosing spondylitis. Br J Rheumatol 34:301–303
Braun J, Pincus T (2002) Mortality, course of disease and prognosis of patients with ankylosing spondylitis. Clin Exp Rheumatol 20:S16–S22
Hidding A, van der Linden S, de Witte L (1993) Therapeutic effects of individual physical therapy in ankylosing spondylitis related to duration of disease. Clin Rheumatol 12:334–340
Fernandez-de-Las-Penas C, Alonso-Blanco C, Morales-Cabezas M et al (2005) Two exercise interventions for the management of patients with ankylosing spondylitis: a randomized controlled trial. Am J Phys Med Rehabil 84:407–419
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
Altan L, Bingol U, Aslan M et al (2006) The effect of balneotherapy on patients with ankylosing spondylitis. Scand J Rheumatol 35:283–289
Hidding A, van der Linden S, Boers M et al (1993) Is group physical therapy superior to individualized therapy in ankylosing spondylitis? A randomized controlled trial. Arthritis Care Res 6:117–125
Sundstrom B, Ekergard H, Sundelin G (2002) Exercise habits among patients with ankylosing spondylitis. A questionnaire based survey in the County of Vasterbotten, Sweden. Scand J Rheumatol 31:163–167
Hashkes PJ (2002) Beneficial effect of climatic therapy on inflammatory arthritis at Tiberias Hot Springs. Scand J Rheumatol 31:172–177
van Tubergen A, Landewe R, van der Heijde D et al (2001) Combined spa-exercise therapy is effective in patients with ankylosing spondylitis: a randomized controlled trial. Arthritis Rheum 45:430–438
Elkayam O, Wigler I, Tishler M et al (1991) Effect of spa therapy in Tiberias on patients with rheumatoid arthritis and osteoarthritis. J Rheumatol 18:1799–1803
Tuna N (2000) Elektroterapi. Nobel Typ, İstanbul
Fransen M (2004) When is physiotherapy appropriate? Best Pract Res Clin Rheumatol 18:477–489
Kayhan O (1995) Lectures and seminars in physical medicine and rehabilitation. Marmara University, İstanbul
Van der Linden S, Valkenburg HA, Cats A (1984) Evaluation of diagnostic criteria for ankylosing spondylitis. A proposal for modification of the New York criteria. Arthritis Rheum 27:361–368
Rulffs W, Boegelein K (1995) Elektrotherapie, 3 Auflage. Pflaum, Munchen
Gacheva Y (1993) Fizikalna Terapiya. Meditzina i Fizkultura, Sofia
Jenkinson TR, Mallorie PA, Whitelock HC et al (1994) Defining spinal mobility in ankylosing spondylitis. The Bath AS Metrology Index. J Rheumatol 21:1694–1698
Calin A, Garrett S, Whitelock H et al (1994) A new approach to defining functional ability in ankylosing spondylitis: the development of the Bath Ankylosing Spondylitis Functional Index. J Rheumatol 21:2281–2285
Garrett S, Jenkinson T, Kennedy LG et al (1994) A new approach to defining disease status in ankylosing spondylitis: the Bath Ankylosing Spondylitis Disease Activity Index. J Rheumatol 21:2286–2291
Doward LC, Spoorenberg A, Cook SA et al (2003) Development of the ASQoL: a quality of life instrument specific to ankylosing spondylitis. Ann Rheum Dis 62:20–26
Eksioglu E, Yazar D, Bal A et al (2007) Effects of Stanger bath therapy on fibromyalgia. Clin Rheumatol 26:691–694
Karagulle MZ, Karagulle M (2004) Balneotherapy and spa therapy of rheumatic diseases in Turkey: a systematic review. Forsch Komplementmed Klass Naturheilkunde 11:33–41
Lehman JF, Lateur BJ (1994) Ultrasound, shortwave, microwave, laser, superficial heat and cold in the treatment of pain. In: Wall P, Melzack R (eds) Textbook of pain. Churchill Livingstone, London, pp 1237–1246
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Eda Gurcay, Serdil Yuzer, Emel Eksioglu, Ajda Bal, and Aytul Cakci declare no conflicts of interest.
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Gurcay, E., Yuzer, S., Eksioglu, E. et al. Stanger bath therapy for ankylosing spondylitis: illusion or reality?. Clin Rheumatol 27, 913–917 (2008). https://doi.org/10.1007/s10067-008-0873-5
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DOI: https://doi.org/10.1007/s10067-008-0873-5