Gandomi (2022) The efect of Aqua Stretching exercises and Pilates on pain, function and spine posture in patients with ankylosing spondylitis: a randomized controlled trial


The study by Gandomi et al. examines the effects of Aqua Stretching and Aqua Pilates exercises on individuals with Ankylosing Spondylitis (AS), focusing on pain, function, and spinal posture. AS is a chronic inflammatory condition that significantly impacts patients’ quality of life, making effective rehabilitation crucial.


Forty patients with AS were divided into Aqua Stretch, Aqua Pilates, and control groups. The experimental groups underwent specific exercise programs in water for six weeks, while the control group continued routine drug treatments. The study assessed pain using the Visual Analog Scale, functional capacity with the Bath Ankylosing Spondylitis Functional Index and 40-meter walking test, quality of life through the AS quality of life questionnaire, and spinal posture using the Spinal Mouse.


Both Aqua Stretch and Aqua Pilates significantly improved pain, function, and quality of life compared to the control group. The Aqua Stretch group showed superior results in pain reduction, functional improvement, and quality of life enhancement. However, no significant differences were found in spinal posture improvement between the exercise groups and the control group.


The study highlights the therapeutic potential of water-based exercises for AS patients, emphasizing the benefits of Aqua Stretching over Aqua Pilates in certain aspects. The buoyancy, resistance, and warmth of water contribute to the exercises’ effectiveness, offering a comfortable environment that reduces pain and enhances mobility and function.


Aqua Stretching and Aqua Pilates are beneficial interventions for AS patients, improving pain, function, and quality of life. Aqua Stretching, in particular, demonstrated superior outcomes in specific measures, suggesting it as a preferable option for AS rehabilitation.

Keywords: Ankylosing Spondylitis, Aqua Stretch, Aqua Pilates, pain relief, functional improvement, spinal posture, Aqua exercises for Ankylosing Spondylitis

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