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KMID : 0123520190260020141
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Journal of muscle and joint health
2019 Volume.26 No. 2 p.141 ~ p.154
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A Meta-analysis for the Effects of Exercise on Pulmonary Function in Patients with Ankylosing Spondylitis
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Kim Eun-Jeong
Lee Eun-Nam
Yu Eun-Jeong
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Abstract
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Purpose: This study aimed to analyze the effects of exercise on pulmonary function in patients with ankylosing spondylitis (AS).
Methods: Randomized controlled trials (RCTs) were identified by searching MEDLINE, EMBASE, CENTRAL, and CINAHL (through Jan 2019). Three reviewers independently retrieved articles, extracted data, and assessed method-ological quality using the Cochrane’s Risk of Bias for randomized studies.
Results: Fourteen studies met the inclusion criteria with a total of 729 participants. CE (SMD 0.58, 95% CI 0.41~0.75, p<.001) and VO2peak (SMD 0.56, 95% CI 0.24~0.88, p=.001) had a significant effect on the most exercise interventions. As a secondary variable, BASFI (SMD -0.53, 95% CI -0.70~-0.37, p<.001), BASMI (SMD -0.75, 95% CI -0.92~-0.58, p<.001) showed an effect size of more than medium. However, PFT and QoL did not produce a significant results.
Conclusion: Pulmonary involvement is common in patients with AS and might have disturbed functionality and exercise modality. Exercise can be an effective intervention to improve pulmonary function in patients with AS. More attention is needed to improve the chest and spinal mobility to maintain the appropriate pulmonary function. It is also necessary to consider how to construct a patient-tailored exercise program to increase performance, accuracy and safety of exercise.
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KEYWORD
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Ankylosing spondylitis, Exercise, Meta-analysis
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