Evidence map›Paper›PMID 42026199›Full record

Observational studyRheumatology international2026

Exercise adherence, perceived exercise benefits and barriers, and spinal mobility in ankylosing spondylitis: a cross-sectional study.

Ahmet Usen, Ozlem Kuculmez, Mithat Oguz Yavuz

Abstract readObservational Study
In one paragraph

Observational study in Rheumatology international, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Ahmet UsenDepartment of Physical Medicine and Rehabilitation, Medipol University Faculty of Medicine, TEM Avrupa Otoyolu Göztepe Çıkışı No: 1, Bagcilar, 34214, Istanbul, Türkiye. ahmetusen1@hotmail.com.ORCID http://orcid.org/0000-0002-2754-1232
Ozlem KuculmezDepartment of Physical Medicine and Rehabilitation, Başkent University Alanya Hospital, Alanya, Türkiye.ORCID http://orcid.org/0000-0002-8900-0060
Mithat Oguz YavuzDepartment of Physical Medicine and Rehabilitation, Medipol University Faculty of Medicine, TEM Avrupa Otoyolu Göztepe Çıkışı No: 1, Bagcilar, 34214, Istanbul, Türkiye.ORCID http://orcid.org/0009-0006-0143-7791

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Exercise adherence is essential in the management of Ankylosing Spondylitis (AS), yet its association with perceived exercise benefits/barriers and spinal mobility is not fully understood. This study aimed to assess exercise adherence and investigate its relationships with perceived exercise benefits and barriers, spinal mobility, and clinical characteristics in patients with AS. Seventy-one patients with AS were included in this cross-sectional study. Exercise adherence was assessed using the Exercise Adherence Rating Scale (EARS). Perceived benefits and barriers were evaluated with the Exercise Benefits/Barriers Scale (EBBS). Spinal mobility was assessed using the Bath Ankylosing Spondylitis Metrology Index (BASMI). Correlation analyses and multivariable linear regression were performed to identify independent predictors of exercise adherence. The EARS total score was 33.48 ± 10.81 (median 34, range 13–59). EARS total score showed a strong positive correlation with EBBS benefits (r = 0.608, p < 0.001), while the correlation with EBBS barriers was not significant (r = 0.198, p = 0.098). In multivariable regression analysis, BASMI (β = − 1.73, p = 0.001), EBBS benefits (β = 0.463, p < 0.001), and disease duration (β = 0.423, p = 0.019) were independently associated with exercise adherence. In patients with AS, higher exercise adherence is independently associated with greater perceived benefits of exercise, longer disease duration, and lower spinal mobility impairment. Interventions targeting motivational factors and mobility limitations may improve adherence to prescribed exercise programs.

Indexed as

ExerciseExercise TherapyPatient ComplianceSpondylitis, AnkylosingAdultCross-Sectional StudiesDisability EvaluationFemaleHumansMaleMiddle AgedPerceptionRange of Motion, ArticularSpineTreatment OutcomeAnkylosing spondylitisExercise therapyHealth behaviorPatient complianceSpine

Identifiers

PMID42026199
PMCPMC13106261

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.