The Effectiveness of Matrix Rhythm Therapy in Patients with Ankylosing Spondylitis

Yıl 2024, Cilt: 8 Sayı: 3, 196 - 202, 30.12.2024

Elif Gur Kabul , Begüm Akar , Zulal Tatar , Bilge Başakcı Çalık , Murat Yiğit

https://doi.org/10.30565/medalanya.1510041

Öz

Aim: The aim of this study was to investigate the effects of matrix rhythm therapy in addition to exercise treatment on mobility, functionality, disease activity, presence of enthesitis, quality of life, biopsychosocial level, fatigue, sleep quality and exercise beliefs in patients with Ankylosing Spondylitis (AS).

Method: Total of 7 AS patients, 3 women and 4 men, were included in the study. In addition to exercise treatment, matrix rhythm therapy was applied to patients with AS, 2 days a week for 6 weeks. Exercise treatment consisted of a total of 20 exercises aimed at increasing flexibility and muscle strength. Matrix rhythm therapy started from the thoracic region and progressed to the lumbar region and lower extremities. Mobility was evaluated with Bath Ankylosing Spondylitis Metrology Index (BASMI), functional limitations with Bath Ankylosing Spondylitis Functional Index (BASFI), disease activity with Bath Ankylosing Spondylitis Disease Activity Index (BASDAI), the presence of enthesitis with Maastrich Ankylosing Spondylitis Enthesitis Score (MASES), quality of life with Ankylosing Spondylitis Quality of Life Questionnaire (ASQol), disease-related biopsychosocial level with Biopsychosocial Questionnaire (BETY-BQ), fatigue with Multidimensional Assessment of Fatigue Scale (MAF), sleep quality with Pittsburgh Sleep Quality Index (PSQI), exercise beliefs with Exercise Beliefs Questionnaire. All evaluations were performed in approximately 60 minutes pre and post intervention.

Results: When the data were analyzed, there was a significant difference in BASMI- intermalleolar distance (p:0.041), MAF (p:0.028) PSQI (p:0.046) Exercise Beliefs Questionnaire/ Benefit (p: 0.027) and Disadvantage (p:0.042) scores after the intervention compared to before the intervention.

Conclusions: Matrix rhythm therapy applied in addition to exercise treatment increased hip abduction and sleep quality, reduced fatigue, and positively affected exercise-related beliefs in patients with AS.

Anahtar Kelimeler

Ankylosing spondylitis, therapy, exercise

Ankilozan Spondilit’li Hastalarda Matrix Ritm Terapinin Etkinliği

Öz

Amaç: Bu çalışmanın amacı, Ankilozan Spondilit (AS)’li hastalarda egzersiz tedavisine ek olarak uygulanan matriks ritm terapinin mobilite, fonksiyonellik, hastalık aktivitesi, entezit varlığı, yaşam kalitesi, biyopsikososyal düzey, yorgunluk, uyku kalitesi ve egzersiz inanışları üzerine etkisini incelemekti.

Yöntem: Çalışmaya 3 kadın ve 4 erkek olmak üzere toplam 7 AS hastası dahil edildi. AS’li hastalara haftada 2 gün 6 hafta boyunca egzersiz tedavisine ek olarak matriks ritm terapi uygulaması yapıldı. Egzersiz tedavisi, esneklik ve kas kuvvetini arttırmaya yönelik toplam 20 egzersizden oluşmakta idi. Matriks ritm terapiye, torakal bölgeden başlanıldı ve lumbal bölge ve alt ekstremitelere doğru ilerlendi. Mobilite Bath Ankilozan Spondilit Mobilite İndeksi (BASMİ) ile, fonksiyonel limitasyonlar Bath Ankilozan Spondilit Fonksiyonel İndeks (BASFİ) ile, hastalık aktivitesi Bath Ankilozan Spondilit Hastalık Aktivitesi İndeksi (BASHAİ) ile, entezit varlığı Maastricht Ankilozan Spondilit Entezit Skoru (MASES) ile, yaşam kalitesi Ankilozan Spondilit Yaşam Kalitesi Anketi (ASYKA) ile, hastalıkla ilişkili biyopsikososyal düzey Bilişsel Egzersiz Terapi Yaklaşımı Ölçeği (BETY-BQ) ile, yorgunluk Yorgunluğu Çok Boyutlu Değerlendirme Ölçeği (YÇBDÖ) ile, uyku kalitesi Pittsburgh Uyku Kalitesi İndeksi (PUKİ) ile, egzersiz inançları Egzersiz İnançları Anketi ile değerlendirildi. Tüm değerlendirmeler, müdahale öncesi ve sonrasında yaklaşık 60 dakika da gerçekleştirildi.

Bulgular: Veriler analiz edildiğinde, müdahale sonrasında müdahale öncesine göre BASMI- intermalleolar mesafe (p:0.041); YÇBDÖ (p:0.028); PUKİ (p:0.046), Egzersiz İnançları Anketi/ Avantaj (p: 0.027) ve Dezavantaj (p:0.042) puanlarında anlamlı düzeyde fark vardı.

Sonuç: Egzersiz tedavisine ek olarak uygulanan matriks ritm terapi uygulaması, AS’li hastalarda kalça abduksiyonunu ve uyku kalitesini arttırmış, yorgunluğu azaltmış ve egzersizle ilgili inanışları olumlu yönde etkilemiştir.

Anahtar Kelimeler

Ankilozan spondilit, terapi, egzersiz

Kaynakça

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