Document Detail

Disability motivates patients with ankylosing spondylitis for more frequent physical exercise.
MedLine Citation:
PMID:  12638106     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To evaluate whether patients with ankylosing spondylitis who perform disease-specific exercises more frequently have fewer functional limitations and disability than those who exercise more often. DESIGN: Cross-sectional; retrospective chart review. SETTING: Rehabilitation center in Austria. PARTICIPANTS: A sample of 1,500 patients with ankylosing spondylitis (1,163 men, 337 women; mean age +/- standard deviation, 50+/-12 y; disease duration, 21+/-11 y) grouped by how many times per week they performed disease-specific exercises for at least 5 minutes: group A (n=542), less than 1 time; group B (n=691), 1 to 3 times; and group C (n=267), more than 3 times. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Self-report of exercise frequency and a German version of the Health Assessment Questionnaire for the spondyloarthropathies (HAQ-S). RESULTS: The HAQ-S showed significant differences among the groups (analysis of variance on ranks, P<.001). In pairwise multiple comparison, group A showed significantly less disability (median, 0.5; interquartile range [IQR], 0.2-0.8) than group B (median, 0.6; IQR, 0.3-0.9) or group C (median, 0.7; IQR, 0.3-1.0). CONCLUSION: Patients with less disability exercised less than their more disabled counterparts. The reasons for this difference, particularly the issue of motivation, deserve more attention.
Albrecht Falkenbach
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Archives of physical medicine and rehabilitation     Volume:  84     ISSN:  0003-9993     ISO Abbreviation:  Arch Phys Med Rehabil     Publication Date:  2003 Mar 
Date Detail:
Created Date:  2003-03-14     Completed Date:  2003-03-27     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  2985158R     Medline TA:  Arch Phys Med Rehabil     Country:  United States    
Other Details:
Languages:  eng     Pagination:  382-3     Citation Subset:  AIM; IM    
Copyright Information:
Copyright 2003 by the American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation
Gasteiner Heilstollen Hospital, Bad Gastein-Böckstein, Bad Gastein, Austria.
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MeSH Terms
Chronic Disease
Cross-Sectional Studies
Disability Evaluation
Disabled Persons / psychology*
Exercise / psychology*
Middle Aged
Rehabilitation Centers / statistics & numerical data
Retrospective Studies
Spondylitis, Ankylosing / physiopathology,  psychology*,  rehabilitation*

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