AB1369-HPR THE EFFECTS OF CLINICAL PILATES TRAINING IN INDIVIDUALS WITH PRIMARY SJOGREN S SYNDROME

Abstract

Background Primary Sjgrens syndrome (PSS), occurs in people with no other rheumatic disease, is a chronic, systemic, autoimmune disease characterized by lymphocytic infiltration of all exocrine glands, especially tears and salivary glands (1,2). Exercise training is commonly recommended in the approach of individuals with rheumatic disease and clinical pilates training have positive effects on endurance, functional mobility and quality of life. Nonetheless there is limited study related exercise training and no study which examined the efficacy of clinical pilates training in individuals with PSS in literature. Therefore, our study is very important. Objectives The aim of the study was to examine the effects of clinical pilates training on trunk and lower extremity endurance, functional mobility, emosyonel status, sleep quality, functional level and quality of life in individuals with PSS. Methods The study included 23 voluntary individuals (22 female,1 male; mean age: 50.529.38 years), with PSS who were diagnosed with primary Sjgrens syndrome according to 2016 American College of Rheumatology/European League Against Rheumatism Classification Criteria and according to Chisholm-Mason classification between grade 3 and 4 who applied to Pamukkale University Department of Internal Medicine, Department of Rheumatology. Anterior and lateral bridge was used to determine trunk endurance, 30-Second Chair Stand Test (30s-CST) and The Timed Up and Go (TUG) Test for lower extremity endurance, Lower Extremity Functional Scale (LEFS) for functional mobility, Beck Depression Inventory (BDI) and Beck Anxiety Inventory (BAI) for emotional status, Pittsburgh Sleep Quality Index (PSQI) for sleep quality, Health Assessment Questionnaire (HAQ) for functional level and Short Form 36 (SF-36) for quality of life, right after demographic information and disease related data were recorded. The all assessments were made before and after clinical pilates training. All participants attended 60-min exercises training (5-min warm up, 45-min clinical pilates exercises, 10-min cool down) three times a week for 8 weeks which was progressively challenged and applied by a Physiotherapist with 2 years of experience in this field. Wilcoxon test were used to examine the factors related to functional level. Results After training in all evaluations a statistically advanced level of significant improvement compared to pre-training values in individuals with PSS (p Conclusion Muscular endurance and functional level and the associated with emosyonel status, sleep and quality of life are important for individuals with PSS. Exercise approaches for these parameters are recommended. This study showed that clinical pilates exercise programs have positive effects on trunk and lower extremity endurance, functional mobility, emosyonel status, sleep quality, functional level and quality of life in individuals with PSS.