Impact of Inspiratory Muscle Training on Breathing and Exercise in Ankylosing Spondylitis

Effect of Inspiratory Muscle Training on Respiratory Functions and Exercise Capacity in Patients With Ankylosing Spondylitis Receiving Anti-TNF Therapy: Randomized Controlled Study.

Not applicable Interventional Kayseri City Hospital · NCT06287983

This study is testing if a special breathing exercise program can help people with ankylosing spondylitis breathe better and improve their ability to exercise while they are on anti-TNF treatment.

Quick facts

PhaseNot applicable
Study typeInterventional
Enrollment44 (estimated)
Ages18 Years to 65 Years
SexAll
SponsorKayseri City Hospital Government
Locations1 site (Kayseri)
Trial IDNCT06287983 on ClinicalTrials.gov

What this trial studies

This study evaluates the effects of inspiratory muscle training combined with anti-TNF treatment on respiratory functions and exercise capacity in patients with ankylosing spondylitis (AS). Patients diagnosed with AS who have been on anti-TNF therapy for at least six months will participate in a structured exercise program, which includes inspiratory muscle training. The study aims to assess the relationship between pulmonary function, exercise performance, disease activity, spinal mobility, and quality of life. A total of 44 patients will be randomly assigned to either the intervention or control group for a six-week exercise regimen.

Who should consider this trial

Good fit: Ideal candidates are patients diagnosed with ankylosing spondylitis who have been receiving anti-TNF therapy for at least six months and have specific pulmonary function test results.

Not a fit: Patients with serious mental disorders, uncontrolled hypertension, diabetes, or other significant cardiac or pulmonary conditions may not benefit from this study.

Why it matters

Potential benefit: If successful, this approach could enhance respiratory function and overall exercise capacity in patients with ankylosing spondylitis.

How similar studies have performed: While the specific combination of inspiratory muscle training and anti-TNF therapy in AS is novel, similar approaches in other conditions have shown promising results.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Patients diagnosed with ankylosing spondylitis according to the Modified New York Criteria
* Patients with BASDAI score \<4.1 who received Anti-TNF therapy for at least 6 months
* Patients whose maximum inspiratory pressure value is \<80% in the Pulmonary Function Test
* Patients who had a cardiac examination within the last year and no cardiac pathology was detected.

Exclusion Criteria:

* The patient has a serious mental disorder
* Presence of neurological and pulmonary disease that would prevent the patient from using the PFT device
* Presence of uncontrolled hypertension
* Presence of uncontrolled diabetes
* Presence of uncontrolled cardiac arrhythmia
* Uncontrolled heart failure
* High-risk unstable angina and all acute cardiac diseases (acute myocardial infarction, acute endocarditis, myocarditis or pericarditis)
* Symptomatic severe aortic stenosis
* Acute pulmonary embolism or pulmonary infarction
* Severe pulmonary hypertension
* Presence of systemic infection or malignancy
* Pregnancy

Where this trial is running

Kayseri

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Ankylosing Spondylitis
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.