Clinical Research Directory

Inclusion Criteria: * Age between 18 and 60 years. * Fulfillment of the Assessment of SpondyloArthritis international Society (ASAS) classification criteria for spondyloarthritis and/or diagnosis of ankylosing spondylitis according to the Modified New York criteria. * Willingness to participate in the study and provision of informed consent. Exclusion Criteria: * Presence of a respiratory or cardiovascular disease that may affect exercise capacity, including chronic obstructive pulmonary disease, asthma, cardiac arrhythmia, or heart failure. * Recent surgery that prevents participation in the exercise program. * Upper-extremity musculoskeletal injury or history of thoracic trauma that may interfere with the exercise program. * Chronic neuromuscular or musculoskeletal disease limiting upper-extremity function. * Obesity, malignancy, or epilepsy. * Pregnancy or breastfeeding. * Severe contractures or axial deformities, including chest deformity, advanced kyphosis greater than 40 degrees, scoliosis, or rotoscoliosis. * Neurological or psychiatric disorders, including ongoing depression, that may interfere with participation in the study.