Adherency to exercise and axspa

Introduction

Axial Spondyloarthritis (axSpA) is a chronic inflammatory disease that primarily affects the spine and sacroiliac joints, leading to pain and stiffness. Regular exercise is considered a cornerstone of axSpA management, alongside medication. However, adherence to exercise recommendations among axSpA patients is often suboptimal. Understanding the barriers and benefits perceived by these patients can help in designing better interventions to improve exercise adherence.

Key Insights

Perceived Benefits of Exercise:
- The main perceived benefits of exercise among axSpA patients are improvements in physical performance, including cardiovascular function, muscle strength, physical fitness, stamina, and flexibility.
Barriers to Exercise:
- Common barriers include concerns about appearance in exercise clothes, lack of exercise facilities, and insufficient encouragement from family members.
Supervised Group Exercise (SGE):
- Enhancements in SGE, such as personalized exercise plans and high-intensity aerobic exercise, have shown to improve functioning in about a third of participants. However, full implementation of these enhancements remains challenging.
Measurement of Physical Activity:
- The adapted axSpA-SQUASH questionnaire has shown improved content validity and measurement properties for assessing daily physical activity in axSpA patients, making it a more suitable tool compared to the original SQUASH.

Conclusion

The main barriers to exercise for axSpA patients include social and environmental factors, while the primary benefits are related to physical performance improvements. Enhancements in supervised group exercise programs can improve patient outcomes, but full implementation is challenging. The axSpA-SQUASH questionnaire is a validated tool that can better assess physical activity levels in these patients. Addressing these barriers and leveraging validated tools can help improve exercise adherence among axSpA patients.

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Adherency to exercise and axspa

Summary

Introduction

Key Insights

Conclusion

Sources and full results

AB0791 Why Do Patients with Axial Spondyloarthritis (AXSPA) Perform Little Aerobic Exercise? A Study of Perceived Barriers and Benefits in 153 Axspa Patients

The main barriers to exercising for axSpA patients are exercise milieu problems and family discouragement, while the main perceived benefit is better physical performance.

OP0071-HPR PILOT IMPLEMENTATION OF ENHANCEMENTS IN SUPERVISED GROUP EXERCISE FOR PEOPLE WITH AXIAL SPONDYLOARTHRITIS (AXSPA) IN THE NETHERLANDS

Enhancements in supervised group exercise for people with axSpA in the Netherlands led to significant improvements in self-reported functioning and physical activity levels.

FRI0568 MEASURING DAILY PHYSICAL ACTIVITY IN AXSPA PATIENTS: CONTENT VALIDITY AND MEASUREMENT PROPERTIES OF THE NEW AXSPA-SQUASH

The adapted AxSpA-SQUASH questionnaire improves content validity and measurement properties for daily physical activity in axial spondyloarthritis patients, with better correlation to accelerometer data and stronger correlations to disease activity, physical functioning, and quality of life.

SAT0619 ATTITUDES AND PERCEPTIONS OF PHYSICAL ACTIVITY IN PATIENTS WITH SPONDYLOARTHRITIS: A SYSTEMATIC REVIEW

Up to half of patients with axial spondyloarthritis do not meet established physical activity recommendations, with walking, swimming, pool exercise, and cycling being the most common forms.

FRI0630-HPR The Impact of Stretching on Axial Spondyloarthritis (AXSPA): A Literature Review

Regular multi-modal exercise, including stretching, is beneficial for patients with axial spondyloarthritis, potentially reducing systemic inflammation and improving joint function.

High intensity exercise for 3 months reduces disease activity in axial spondyloarthritis (axSpA): a multicentre randomised trial of 100 patients

High intensity exercise for 3 months reduces disease symptoms, inflammation, and improves physical function and cardiovascular health in patients with axial spondyloarthritis.

Physical therapy in axial spondyloarthritis: guidelines, evidence and clinical practice.

Physical therapy, particularly high-intensity exercise, is crucial for managing axial spondyloarthritis, improving disease activity and reducing cardiovascular risk factors.

SAT0639-HPR HOW DO PEOPLE WITH AXSPA PERCEIVE THE IMPACT OF DISEASE AND PHYSICAL ACTIVITY?

People with axial spondyloarthritis (axSpA) perceive their disease burden and physical activity importance as stable over time, with no correlation found between disease activity and daily physical activity levels.

Efficacy of High Intensity Exercise on Disease Activity and Cardiovascular Risk in Active Axial Spondyloarthritis: A Randomized Controlled Pilot Study

High intensity endurance and strength exercise improved disease activity and reduced cardiovascular risk factors in patients with active axial spondyloarthritis.

High-Intensity Exercise Improves Fatigue, Sleep, and Mood in Patients With Axial Spondyloarthritis: Secondary Analysis of a Randomized Controlled Trial

High-intensity exercise for 3 months improved fatigue, sleep, mood, and general health in patients with axial spondyloarthritis, but long-term effects were not seen.

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