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Clinical effect of "Tai Chi spinal exercise" on spinal motor function in patients with axial spondyloarthritis
Ma C, Qu K, Wen B, Zhang Q, Gu W, Liu X, Shao P, Shi Y, Wang B
International Journal of Clinical and Experimental Medicine 2020;13(2):673-681
clinical trial
5/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; 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*

OBJECTIVE: To investigate the effect of "Tai Chi spinal exercise" on spinal motor function in patients with axial spondyloarthritis (ax-SpA). METHOD(S): Eighty-four patients with ax-SpA were collected and randomly divided into the observation group and the control group, with 42 patients in each group. On the basis of non-steroidal anti-inflammatory drugs (NSAIDs) treatment, the control group received standard exercise therapy (including bridge-style movement, crouching movement and other conventional exercise methods), and the observation group practiced "Tai Chi spinal exercise" (which is modified and developed from the Tai Chi Chuan). After 12 weeks of intervention, the bath ankylosing spondylitis disease activity index (BASDAI) score, the bath ankylosing spondylitis functional index (BASFI) score, the c-reactive protein (CRP)-based ankylosing spondylitis disease activity score (ASDAS-CRP), visual analog scale (VAS) score of low back pain, and the spondyloarthritis research consortium of Canada (SPARCC) score in two groups were compared. In addition, the fingertip-to-ground distance, ear-to-wall distance, and the erythrocyte sedimentation rate (ESR), CRP, Dickopff-related protein 1 (DKK-1) levels were measured. RESULT(S): After 12 weeks of intervention, the BASDAI score, BASFI score, ASDAS-CRP score, VAS score of low back pain and SPARCC score of the observation group were all lower than those of the control group (all p < 0.05). The fingertip-to-ground distance and the ear-to-wall distance of the observation group were also lower than those of the control group (both p < 0.05). Besides, the serum ESR, CRP and DKK-1 levels in the observation group were lower than those in the control group (all p < 0.05). CONCLUSION(S): Compared with the standard exercise therapy, "Tai Chi spinal exercise" has an ideal effect in patients with ax-SpA, which could more effectively relieve the low back pain and improve the spinal motor function, with shorter training time and better compliance.

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