Behaviour change intervention increases physical activity, spinal mobility and quality of life in adults with ankylosing spondylitis: a randomised trial
| Autor: | Jonathan Moran, Tom O'Dwyer, Fiona Wilson, Ann Monaghan, Finbarr O'Shea |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Adult
Male medicine.medical_specialty Behaviour change Blinding Physical fitness Health Behavior Physical Therapy Sports Therapy and Rehabilitation Health Promotion Motor activity law.invention 03 medical and health sciences 0302 clinical medicine Physical medicine and rehabilitation Quality of life Randomized controlled trial law Intervention (counseling) ankylosing spondylitis medicine Humans Spondylitis Ankylosing 030212 general & internal medicine Range of Motion Articular GeneralLiterature_REFERENCE(e.g. dictionaries encyclopedias glossaries) Exercise 030203 arthritis & rheumatology Ankylosing spondylitis Analysis of Variance exercise business.industry motor activity lcsh:RM1-950 Middle Aged medicine.disease Self Efficacy lcsh:Therapeutics. Pharmacology quality of life Physical Fitness Physical therapy physical fitness Quality of Life Female Analysis of variance business |
| Zdroj: | Journal of Physiotherapy, Vol 63, Iss 1, Pp 30-39 (2017) |
| ISSN: | 1836-9561 |
| Popis: | Questions: Does a 3-month behaviour change intervention targeting physical activity (PA) increase habitual physical activity in adults with ankylosing spondylitis (AS)? Does the intervention improve health-related physical fitness, AS-related features, and attitude to exercise? Are any gains maintained over a 3-month follow-up? Design: Parallel-group, randomised, controlled trial with concealed allocation, assessor blinding and intention-to-treat analysis. Participants: Forty adults with a diagnosis of AS, on stable medication, and without PA-limiting comorbidities. Intervention: Over a 3-month period, the experimental group engaged in individually-tailored, semi-structured consultations aiming to motivate and support individuals in participating in PA. The control group continued with usual care. Outcome measures: The primary outcome was PA measured by accelerometry over 1 week. Secondary outcomes included clinical questionnaires and measures of health-related physical fitness. Measures were taken at baseline, post-intervention, and after a 3-month follow-up period. Results: Baseline characteristics were similar across groups, except age and body composition. There were statistically significant, moderate-to-large time-by-group effects in health-enhancing PA (mixed-design ANOVA for overall effect F (2, 76)=14.826, p F (2, 76)=5.691, p χ 2 (2)=8.400, p Conclusion: Health-enhancing PA, spinal mobility and quality of life were significantly improved after the intervention, and improvements were maintained at 3-month follow-up. Trial registration: NCT02374502. [O'Dwyer T, Monaghan A, Moran J, O'Shea F, Wilson F (2016) Behaviour change intervention increases physical activity, spinal mobility and quality of life in adults with ankylosing spondylitis: a randomised trial. Journal of Physiotherapy XX: XX-XX] |
| Databáze: | OpenAIRE |
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