Evidence map›Paper›PMID 42717216›Full record

ArticleTurkish journal of physical medicine and rehabilitation2026

Feasibility and exploratory outcomes of a multimodal pulmonary rehabilitation program in radiographic axial spondyloarthritis: A prospective single-arm pilot study.

Nilay Şahin, Nurhan Sarıoğlu, Ender Salbaş, Büşra Görcan

Abstract read
In one paragraph

Article in Turkish journal of physical medicine and rehabilitation, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Nilay ŞahinDepartment of Physical Medicine and Rehabilitation, Balıkesir University Faculty of Medicine, Balıkesir, Türkiye.ORCID 0000-0001-6062-6935
Nurhan SarıoğluDepartment of Chest Diseases (Pulmonology), Balıkesir University Faculty of Medicine, Balıkesir, Türkiye.ORCID 0000-0002-5180-9649
Ender SalbaşDepartment of Physical Medicine and Rehabilitation, Balıkesir University Faculty of Medicine, Balıkesir, Türkiye.ORCID 0000-0001-7460-2889
Büşra GörcanDepartment of Physical Medicine and Rehabilitation, Balıkesir Atatürk City Hospital, Balıkesir, Türkiye.ORCID 0009-0006-8353-0876

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: To assess the feasibility and safety of an 8-week multimodal pulmonary rehabilitation (PR) program in adults with radiographic axial spondyloarthritis (r-axSpA) and to describe exploratory pre- to post-intervention changes in clinical outcomes. Patients and Methods: This prospective, single-center, single-arm pilot feasibility study enrolled 20 adults with stable r-axSpA. The program included two supervised hospital sessions and one structured home session per week for 8 weeks, combining aerobic conditioning, resistance and mobility exercises, and respiratory exercises. Primary outcomes were assessment retention, supervised-session attendance, and adverse events. Clinical measures were exploratory and included 6-minute walk distance (6MWD), dyspnea, spirometry, Bath Ankylosing Spondylitis Disease Activity Index (BASDAI), Bath Ankylosing Spondylitis Functional Index, Hospital Anxiety and Depression Scale, and Turkish 36-Item Short Form Health Survey. Results: Seventeen of 20 participants completed the full week 8 assessment (assessment retention 85%). Median supervised attendance was 14 of 16 planned sessions (87.5%), and no serious adverse events were recorded. The mean 6MWD change was +25.7 m [95% confidence interval (CI): 20.0 to 32.5]. The Borg dyspnea score changed by -0.7 (95% CI: -0.9 to -0.5), and BASDAI changed by -0.41 (95% CI: -0.76 to -0.14). Nominal improvements were also observed in selected spirometric and psychosocial measures. Conclusion: The multimodal PR program was feasible and safely deliverable in this small cohort. Because the study utilized a single-arm design, included participants with low baseline dyspnea, and was not powered to test effectiveness, the observed clinical changes are strictly hypothesis-generating. These findings do not establish clinically meaningful benefit but provide a strong rationale and foundational metrics for designing adequately powered, randomized controlled trials with objective adherence monitoring.

Indexed as

Axial spondyloarthritisdyspneaexercise capacityfeasibilitypilot studypulmonary rehabilitation

Identifiers

PMID42717216
PMCPMC13618781

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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.