{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T15:23:04Z","timestamp":1789831384055,"version":"4.0.1"},"reference-count":30,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2023,4,25]],"date-time":"2023-04-25T00:00:00Z","timestamp":1682380800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J of Rheum Dis"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>Exercise training is crucial for managing ankylosing spondylitis. We evaluated the effects of exercise with different levels of supervision on clinical outcomes in patients with ankylosing spondylitis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We performed a single\u2010blind randomized controlled trial in a university outpatient clinic. Overall, 45 (31 men) patients with ankylosing spondylitis were randomly allocated to 3 groups. The mean (SD) for age and disease duration were 39.3 (9.3) and 8.4 (7.8) years. The primary outcome was chest expansion in cm, and the secondary outcomes were the index scores of 5 standard questionnaires. For each participant, adalimumab 40\u2009mg\/0.8\u2009mL\/2\u2009wk was injected and a 3\u2010session exercise program per week for 1\u2009month was prescribed. Controls received a pamphlet on the exercise program. Another group received the pamphlet and underwent a 2\u2010hour training session. The supervised group received the pamphlet, and the 2\u2010hour training, and completed the program by attending each exercise session in the clinic.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Within\u2010group analysis showed significant improvement in chest expansion (<jats:italic>P<\/jats:italic>\u2009=\u20090.016) and all subjective or objective questionnaire scores (all <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001) for the full\u2010supervised group. Between\u2010group analysis implied best outcomes for chest expansion (<jats:italic>P<\/jats:italic>\u2009=\u20090.046), Ankylosing Spondylitis Disease Activity Score (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001), Bath Disease Activity (<jats:italic>P<\/jats:italic>\u2009=\u20090.010), and Metrology (<jats:italic>P<\/jats:italic>\u2009=\u20090.002) Indices for ankylosing spondylitis. The group with 2\u2010hour training experienced an improvement in some indices, and the control group did not show significant changes in the outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>We recommend the prescription of a supervised training program instead of in\u2010home exercises for patients with ankylosing spondylitis.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1756-185x.14711","type":"journal-article","created":{"date-parts":[[2023,4,25]],"date-time":"2023-04-25T12:38:50Z","timestamp":1682426330000},"page":"1120-1128","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["The effects of supervision on the outcomes of exercise training in patients with ankylosing spondylitis: A single\u2010blind randomized controlled trial"],"prefix":"10.1111","volume":"26","author":[{"given":"Maryam","family":"Hosseini","sequence":"first","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Imam Khomeini Hospital Tehran University of Medical Sciences  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarvenaz","family":"Rahimibarghani","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Imam Khomeini Hospital Tehran University of Medical Sciences  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sahar","family":"Ghorbanpour","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Imam Khomeini Hospital Tehran University of Medical Sciences  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shafieh","family":"Movassaghi","sequence":"additional","affiliation":[{"name":"Department of Rheumatology, Faculty of Medicine, Imam Khomeini Hospital Tehran University of Medical Sciences  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seyede Zahra","family":"Emami\u2010Razavi","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Imam Khomeini Hospital Tehran University of Medical Sciences  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohaddeseh","family":"Azadvari","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Imam Khomeini Hospital Tehran University of Medical Sciences  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-7977-2709","authenticated-orcid":false,"given":"Mina","family":"Abdi","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Imam Khomeini Hospital Tehran University of Medical Sciences  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,4,25]]},"reference":[{"issue":"5","key":"e_1_2_13_2_1","first-page":"742","article-title":"Ankylosing spondylitis and uveitis: overview","volume":"52","author":"Gouveia EB","year":"2012","journal-title":"Rev Bras Reumatol"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0235678"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/acr.22831"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1080\/14397595.2020.1745409"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare10010132"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.25259\/SNI_294_2022"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12955-022-02026-5"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.41042"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.semarthrit.2015.08.003"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1136\/annrheumdis-2013-203419"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1756-185X.2009.01411.x"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/eci.13352"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.4102\/sajp.v77i1.1546"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/24.3.242"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10067-022-06177-0"},{"issue":"4","key":"e_1_2_13_17_1","first-page":"295","article-title":"Adalimumab in ankylosing spondylitis: an evidence\u2010based review of its place in therapy","volume":"2","author":"Hennigan S","year":"2008","journal-title":"Core Evid"},{"key":"e_1_2_13_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00296-011-2186-2"},{"issue":"4","key":"e_1_2_13_19_1","first-page":"508","article-title":"Urolithiasis in ankylosing spondylitis: correlation with Bath ankylosing spondylitis disease activity index (BASDAI), Bath ankylosing spondylitis functional index (BASFI) and Bath ankylosing spondylitis metrology index (BASMI)","volume":"3","author":"Fallahi S","year":"2012","journal-title":"Caspian J Intern Med"},{"key":"e_1_2_13_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00296-013-2888-8"},{"key":"e_1_2_13_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10067-010-1407-5"},{"issue":"8","key":"e_1_2_13_22_1","first-page":"1609","article-title":"A new scoring system for the Bath ankylosing spondylitis metrology index (BASMI)","volume":"22","author":"Jones SD","year":"1995","journal-title":"J Rheumatol"},{"key":"e_1_2_13_23_1","doi-asserted-by":"publisher","DOI":"10.1002\/acr.20575"},{"key":"e_1_2_13_24_1","doi-asserted-by":"publisher","DOI":"10.1136\/ard.2010.138594"},{"key":"e_1_2_13_25_1","doi-asserted-by":"publisher","DOI":"10.3899\/jrheum.091359"},{"key":"e_1_2_13_26_1","doi-asserted-by":"publisher","DOI":"10.1298\/jjpta.7.23"},{"key":"e_1_2_13_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbspin.2008.06.013"},{"key":"e_1_2_13_28_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10067-003-0850-y"},{"key":"e_1_2_13_29_1","doi-asserted-by":"publisher","DOI":"10.1111\/1756-185X.14315"},{"key":"e_1_2_13_30_1","volume-title":"The Effectiveness of Group and Home\u2010Based Exercise on Psychological Status in People with Ankylosing Spondylitis: A Systematic Review and Meta\u2010Analysis","author":"Lane B","year":"2022"},{"key":"e_1_2_13_31_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000019229"}],"container-title":["International Journal of Rheumatic Diseases"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1756-185X.14711","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,20]],"date-time":"2023-08-20T03:32:33Z","timestamp":1692502353000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/1756-185X.14711"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,4,25]]},"references-count":30,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2023,6]]}},"alternative-id":["10.1111\/1756-185X.14711"],"URL":"https:\/\/doi.org\/10.1111\/1756-185x.14711","archive":["Portico"],"relation":{},"ISSN":["1756-1841","1756-185X"],"issn-type":[{"value":"1756-1841","type":"print"},{"value":"1756-185X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,4,25]]},"assertion":[{"value":"2023-01-07","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-04-14","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-04-25","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}