Document Detail


A three-week multidisciplinary in-patient rehabilitation programme had positive long-term effects in patients with ankylosing spondylitis: randomized controlled trial.
MedLine Citation:
PMID:  23138412     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To evaluate the mean overall effects over a 1-year period of a multidisciplinary in-patient rehabilitation programme for patients with ankylosing spondylitis.
DESIGN: Observer-blinded, randomized controlled trial, with assessments made after 4 and 12 months. Patients: Forty-six patients received a 3-week in-patient rehabilitation programme and 49 patients received treatment as usual.
METHODS: Primary outcomes were disease activity measured with the Bath Ankylosing Spondylitis Disease Activity Scale (BASDAI), and function measured with the Bath Ankylosing Spondylitis Functional Index (BASFI). Secondary outcomes included well-being, spinal and hip mobility, and health-related quality of life measured with the Medical Outcome Study Short Form-36. Overall treatment effects were estimated with Mixed models repeated measures analyses.
RESULTS: Significant overall treatment effects in favour of the rehabilitation group were found in the BASDAI score (mean difference over the 1-year period -10.0, 95% confidence interval: -3.7 to -16.3), in well-being (-7.3, 95% confidence interval: -1.0 to -14.7), and in the Medical Outcome Study Short Form-36 variables social functioning, role physical, role mental and bodily pain (mean differences ranging from 5.8 (pain) to 10.7 (role physical)).
CONCLUSION: A 3-week in-patient rehabilitation programme had positive overall effects on disease activity, pain, function and well-being, and should be considered an important complement to medical disease management in persons with ankylosing spondylitis.
Authors:
Ingvild Kjeken; Ingvild Bø; Aud Rønningen; Cristina Spada; Petter Mowinckel; Kåre Birger Hagen; Hanne Dagfinrud
Publication Detail:
Type:  Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of rehabilitation medicine     Volume:  45     ISSN:  1651-2081     ISO Abbreviation:  J Rehabil Med     Publication Date:  2013 Mar 
Date Detail:
Created Date:  2013-03-06     Completed Date:  2013-07-09     Revised Date:  2014-05-30    
Medline Journal Info:
Nlm Unique ID:  101088169     Medline TA:  J Rehabil Med     Country:  Sweden    
Other Details:
Languages:  eng     Pagination:  260-7     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Disability Evaluation*
Female
Health Status Indicators
Hospitalization
Humans
Male
Middle Aged
Patient Care Team
Physical Therapy Modalities
Quality of Life
Recovery of Function
Spondylitis, Ankylosing / rehabilitation*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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