Effectiveness of a Biopsychosocial Exercise Approach in Rheumatic Diseases

Edibe Ünal¹, Gamze Arın², Nur Banu Karaca³, Fatma Birgül Oflaz², Aykut Özçadırcı², Abdulsamet Erden⁴, Berkan Armağan⁴, Yavuz Yakut⁵ and Şule Apraş Bilgen⁴, ¹Department of Physiotherapy and Rehabilitation, Hacettepe University Faculty of Health Sciences, Ankara, Turkey, ²Department of Physical Therapy and Rehabilitation, Hacettepe University Faculty of Health Sciences, Ankara, Turkey, ³Department of Physical Therapy and Rehabilitation, Hacettepe University Faculty of Health Sciences, ankara, Turkey, ⁴Rheumatology Division, Hacettepe University Faculty of Medicine, Ankara, Turkey, ⁵Department of Physiotherapy and Rehabilitation, Hasan Kalyoncu University Faculty of Health Sciences, Ankara, Turkey

Meeting: 2018 ACR/ARHP Annual Meeting

Keywords: exercise, New Therapeutics, psychosocial, rehabilitation and rheumatic disease

Session Information

Date: Sunday, October 21, 2018

Title: Measures and Measurements of Healthcare Quality Poster – ARHP

Session Type: ACR Poster Session A

Session Time: 9:00AM-11:00AM

Background/Purpose: The trend towards biopsychosocial approaches is increasing today and studies on psychosocial effects of exercise are limited in the literature. There is a need for framed exercise programs to assess clinical effectiveness of biopsychosocial approaches. There is a specific approach named as Cognitive Exercise Therapy Approach (the authors request that the abbreviation stays as “BETY” as the original in Turkish), which has newly developed its biopsychosocial assessment scale.The purpose of this study is to investigate the effectiveness of BETY in rheumatic patients comparing to a control group.

Methods: Twenty-nine patients with rheumatic diseases were included in this study. Patients were divided into two groups; BETY group (n=14) and control group (n=15). BETY Scale for biopsychosocial status, Hospital Anxiety and Depression (HADS) for depression and anxiety, Health Assessment Questionnaire (HAQ) for daily living activity evaluation were used pre- and post-treatment. BETY approach is performed in a period of one hour, 3 times a week for 12 weeks and includes clinical pilates exercises, dancetherapy-authentic movement and pain management information. The control group did not take any exercise treatment.

Results: Mean age of the BETY group and control group was 48,86±8 and 40,47±10,97 respectively. There were significant improvements in BETY scale and HADS anxiety and depression scores in BETY group (p<0.05). Although HADS depression score was changed (p<0,05), no changes were recorded in control group in other parameters (p>0.05) (Table.1.). There wasn’t any change in the HAQ scores of both groups (p>0.05).

Table 1. Comparison between two groups.

	BETY Group (n=14)			Control Group (n=15)			Between groups
Age	48,86±8			40,47±10,97
BMI	25,68±3,19			26,49±4.89
	Before Median (25th-75th)	After Median (25th-75th)	p	Before Median (25th-75th)	After Median (25th-75th)	p	p
BETY Score	60 (47,25-82)	39 (30,75-48,75)	0,013	62 (54-78)	61 (47-76)	0,409	0,347
HAQ	9 (4,75-14,75)	4 (2,5-10)	0,068	13 (6-20)	11 (1-16)	0,624	0,363
HADS-A	9,5 (6,75-12,75)	5 (1,5-5)	0,002	10 (5-12)	10 (7-12)	0,778	0,001
HADS-D	8 (5-10)	4 (1,5-5)	0,014	10 (9-12)	9 (4-11)	0,014	0,235

Conclusion: BETY program was effective on anxiety, depression and biopsychosocial status of patients. This study is important in demonstrating the effectiveness of a framed biopsychosocial exercise approach. More detailed studies are needed in several patient groups.

Disclosure: E. Ünal, None; G. Arın, None; N. B. Karaca, None; F. B. Oflaz, None; A. Özçadırcı, None; A. Erden, None; B. Armağan, None; Y. Yakut, None; Ş. Apraş Bilgen, None.

To cite this abstract in AMA style:

Ünal E, Arın G, Karaca NB, Oflaz FB, Özçadırcı A, Erden A, Armağan B, Yakut Y, Apraş Bilgen Ş. Effectiveness of a Biopsychosocial Exercise Approach in Rheumatic Diseases [abstract]. Arthritis Rheumatol. 2018; 70 (suppl 9). https://acrabstracts.org/abstract/effectiveness-of-a-biopsychosocial-exercise-approach-in-rheumatic-diseases/. Accessed .

« Back to 2018 ACR/ARHP Annual Meeting

ACR Meeting Abstracts - https://acrabstracts.org/abstract/effectiveness-of-a-biopsychosocial-exercise-approach-in-rheumatic-diseases/