ORIJINAL ARAŞTIRMA
Ankilozan Spondilit Hastalarında Telefon Takip Sisteminin Egzersiz Uyumu ve Hastalık Aktivitesine Etkisi-Açık Etiketli: Randomize Kontrollü Bir Çalışma
The Effect of Telephone Follow-Up System on Exercise Compliance and Disease Activity in Ankylosing Spondylitis Patients-an Open-Label: Randomized Controlled Trial
Received Date : 23 Dec 2022
Accepted Date : 23 Mar 2023
Available Online : 27 Mar 2023
Mehmet OKÇUa, Figen TUNCAYa, Fatmanur Aybala KOÇAKa, Hakan HATIRLIa,
Yakup ERDENb, Samet Sancar KAYAa
aDepartment of Physical Medicine and Rehabilitation, Kırşehir Ahi Evran University Faculty of Medicine, Kırşehir, Türkiye
bClinic of Physical Medicine and Rehabilitation, İzzet Baysal Physical Treatment Training and Research Hospital, Bolu, Türkiye
Doi: 10.31609/jpmrs.2022-95047 - Makale Dili: EN
J PMR Sci. 2023;26(3):290-8
ÖZET
Amaç: Ankilozan spondilitte (AS) egzersiz tedavisi, tedavi kılavuzlarında
şiddetle tavsiye edilmektedir ancak AS’de egzersiz tedavisine
uyum düşüktür. Yapılan araştırmalar, bazı kronik hastalıklarda telefon takip
sisteminin tedaviye uyumu artırdığını gösterse de AS’de telefon takip sisteminin
etkisini gösteren veriler oldukça kısıtlıdır. Bu çalışmada, AS’li hastalarda
telefon takip sisteminin egzersiz tedavi uyumuna ve hastalık
aktivitesine etkisinin incelenmesi amaçlanmıştır. Gereç ve Yöntemler: Bu
çalışma, telefon takip sistemi olan 24 AS hastası ile AS tanısı alan 29 kontrol
hastasının karşılaştırıldığı randomize kontrollü bir çalışma olarak tasarlandı.
Hastalar 12 hafta boyunca takip edildi. Haftalık egzersiz süreleri, Bath
Ankilozan Spondilit Hastalığı Aktivite İndeksi (BASHAİ) skorları ve haftalık
analjezik miktarları klinik sonuç ölçütleriydi. Bulgular: Kontrol grubunda
egzersiz süresinde anlamlı artış, BASHAİ skorunda ve analjezik
miktarında anlamlı azalma olmadı. Ancak telefon takip sistemi grubunda
12 hafta sonunda başlangıca göre egzersiz süresinde anlamlı artış, BASHAİ
skorunda ve analjezik miktarında anlamlı azalma saptandı. Sonuç: Telefon
takip sistemi AS hastalarında egzersiz süresini etkin bir şekilde artırmakta,
BASHAİ skorunu ve analjezik kullanımını azaltmaktadır.
Anahtar Kelimeler: Ankilozan spondilit; egzersiz; egzersiz uyumu; BASHAİ; telefon takip sistemi
ABSTRACT
Objective: Exercise therapy in ankylosing spondylitis (AS) is
strongly recommended by treatment guidelines, but adherence and compliance
with exercise therapy in AS are low. Although studies have shown that
the telephone follow-up system increases treatment compliance in some
chronic diseases, data showing the effect of the telephone follow-up system
in AS are very limited. This study aimed to examine the effect of the telephone
follow-up system on disease activity and exercise treatment compliance
in patients with AS. Material and Methods: In this study, a
randomized controlled study was designed comparing 24 AS patients with
a telephone follow-up system and 29 control patients diagnosed with AS. Patients
were followed up for 12 weeks. Weekly exercise durations, Bath
Ankylosing Spondylitis Disease Activity Index (BASDAI) scores and
weekly analgesic amounts were clinical outcome measures. Results: There
was no significant increase in exercise duration, no significant decrease in
BASDAI score, or the amount of analgesic in the control group. However,
there was a significant increase in exercise duration, a significant decrease
in the BASDAI score, and the amount of analgesic at the end of 12 weeks
in the telephone follow-up system group compared to the baseline. Conclusion:
The telephone call follow-up system effectively increases exercise
duration and decreases BASDAI score and analgesic use in AS patients.
Keywords: Ankylosing spondylitis; exercise; exercise compliance; BASDAI; telephone follow-up system
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