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Exercise Modality Lab Report

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To find the most effective exercise modality for patients with Ankylosing Spondylitis (AS).

By Janice Lloyd, September 2016.

Introduction
Ankylosing Spondylitis (AS) is an inflammatory autoimmune Arthritis which is usually diagnosed from early teens to fifty years of age.
Although 8% of the population has the Gene HLA-B27, they do not have AS, however, 9 out of 10 people with AS have the Gene. Recently two more Gene's were found that have been associated with AS, IL23R & ARTS1.
AS is diagnosed by blood tests, physical examination, Xray's and family history.
AS affects the Sacroiliac Joint (SIJ) the Spine (LX, TX,& CX) and can also affect the eyes, lungs, bowel, and skin. As a result of the inflammation in AS patients, new bone may grow around …show more content…
Methods
A cross-reference between Aquatic exercise (AE), Aerobic fitness (AF), and Swiss ball exercises (SBE)
All modalities showed improvements in the following test, Visual Analog Scale (VAS), Modified Schober Test (MST), Chest Expansion (CE), Bath Ankylosing Spondylitis Functional Index (BASFI), Bath Ankylosing Spondylitis Metrology Index (BASMI), Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) Lumbar Flexion/Extention (LF/E) and Short-Form 36 (SF-36), and the modified New York Criteria.

In the AF study, 70 patients with AS were selected for the study, using the NYC they were split into 2 groups Control group(CG) and Intervention group (IG).
CG performed only stretching exercises and the IG group did 50 minutes walking 3 times a week for 12 weeks 1 finishing each session with stretching. Ergospirometry on a treadmill was how aerobic capacity was assessed at 6,12 and 24 weeks immediately before randomization and after.1
Improvements were significant in BASFI, HAQ-S, BASMI, BASDAI and ASDAS in both groups. Aerobic training in AS patients improves aerobic capacity and walking distance however, it didn’t provide additional benefits in functional capacity,mobility disease activity, quality of life and lipid levels when compared to CG

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