Is the whole-body cryotherapy a beneficial supplement to exercise therapy for patients with ankylosing spondylitis?
Romanowski MW, Straburzyńska-Lupa A
Journal of back and musculoskeletal rehabilitation · 12 citations
Review labels
Neutral facts our review recorded about how this study was done. They describe method, never whether we like the result.
How it was studied
- Design
- Randomized controlled trial (classified by our AI screen)
- Studied in
- People
- Main outcome
- Health markers and function
Who paid for it
- Funding
- Funding not disclosed
Publication
- Published
- 2019-10-01 · J Back Musculoskelet Rehabil · vol. 33 · issue 2 · pp. 185–192
- Publisher
- IOS Press
- Cited
- 25 citations · more than 73% of similar papers · 0.8× the field average
- References
- 44 works
- Access
- Paywalled
- Research areas
- Spondyloarthritis Studies and Treatments · Exercise and Physiological Responses · Rheumatoid Arthritis Research and Therapies
- Keywords
- Ankylosing spondylitis, Cryotherapy, Medicine, Physical therapy, Spondylitis, Physical medicine and rehabilitation, Internal medicine, Surgery
- MeSH
- spine, humans, spondylitis, ankylosing, adrenal cortex hormones, anti-inflammatory agents, non-steroidal, range of motion, articular, treatment outcome, combined modality therapy, exercise, exercise therapy, cryotherapy, severity of illness index, adolescent, adult, aged, middle aged, female, male, young adult
2 authors
From PL
- Mateusz Wojciech Romanowski · correspondingPoznan University of Medical Sciences
- Anna Straburzyńska‐LupaUniversity of Physical Culture in Kraków
Abstract
Background
The treatment of ankylosing spondylitis (AS) patients requires a combination of non-pharmacological (education, exercise and physical therapy), as well as pharmacological treatment modalities. The optimal management of AS still remains unresolved.
Objective
The aim was to measure and compare the effects of whole-body cryotherapy (WBC) at -110∘C and at -60∘C and exercise therapy alone on disease activity and the functional parameters of patients with AS.
Methods
Ninety-two patients were allocated to three groups: with WBC at -110∘C or at -60∘C (each concurrent with exercise therapy), or exercise therapy alone. Disease activity and the functional parameters of the patients were measured at study entry and at the end of the 8-day treatment.
Results
Supervised therapy, irrespective of the program, led to a significant reduction in disease activity (Bath Ankylosing Spondylitis Disease Activity Index: BASDAI, Ankylosing Spondylitis Disease Activity Score: ASDAS-CRP), disease-related back pain, fatigue, duration and intensity of morning stiffness and a significant improvement in the patient's functional capacity (Bath Ankylosing Spondylitis Functional Index: BASFI), spine mobility (Bath Ankylosing Spondylitis Metrology Index: BASMI) and chest expandability, with no changes in the levels of CRP. It has been demonstrated that following therapy, the group that underwent cryotherapy at -110∘C manifested significantly reduced disease activity (BASDAI) compared with exercise therapy only (p= 0.024).
Conclusion
Adding cryotherapy at -110∘C to exercise therapy led to significantly reduced disease activity expressed in BASDAI, compared with exercise therapy alone.
Abstract via Europe PMC. Copyright remains with the authors or publisher.
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