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A randomised trial of three different physiotherapy regimes in ankylosing spondylitis
Helliwell PS, Abbott CA, Chamberlain MA
Physiotherapy 1996 Feb;82(2):85-90
clinical trial
4/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: No; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

We randomised 44 patients with ankylosing spondylitis to receive (a) intensive in-patient physiotherapy, (b) out-patient hydrotherapy and home exercises, or (c) home exercises alone. Assessments were made at two time points prior to treatment, immediately after treatment, and two, four and six months after treatment. The hydrotherapy regimes produced significantly better short-term improvement in cervical rotation than the exercise only regime, and both in-patient and hydrotherapy patients reported more subjective improvement. However, at six months, there were no differences in outcomes between the three groups.

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