Document Detail


Does physical therapy still have a place in the treatment of ankylosing spondylitis?
MedLine Citation:
PMID:  18388519     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE OF REVIEW: To review studies of various physical therapy programs in ankylosing spondylitis and identify their benefits and potential indications in the treatment of this disease. RECENT FINDINGS: Various exercise and physical therapy programs have been evaluated in clinical studies. Home exercise programs have been shown to improve symptoms, mobility, function and overall quality of life. Formal physical therapy under the supervision of a physical therapist has been shown to improve posture, fitness, mobility, function and mood. Water therapy may improve symptoms, function and overall sense of health. Inpatient rehabilitation may provide rapid short-term improvement in pain and stiffness, mobility, function and quality of life for patients with severe active disease. SUMMARY: Despite the advances in the pharmacological therapy of ankylosing spondylitis, physical therapy remains an essential part of the management plan. Even though data are not sufficient to determine which specific physical therapy program should be recommended, physicians should implement such nonpharmacological therapy as part of a comprehensive management strategy for this disease. All patients should receive instructions on proper posture and home exercises and be encouraged to perform water exercises if they can. Formal physical therapy and, in most severe cases, inpatient rehabilitation may be of benefit to select patients with ankylosing spondylitis.
Authors:
Mazen Elyan; Muhammad Asim Khan
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Current opinion in rheumatology     Volume:  20     ISSN:  1040-8711     ISO Abbreviation:  Curr Opin Rheumatol     Publication Date:  2008 May 
Date Detail:
Created Date:  2008-04-04     Completed Date:  2008-07-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9000851     Medline TA:  Curr Opin Rheumatol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  282-6     Citation Subset:  IM    
Affiliation:
Case Western Reserve University School of Medicine, Metro Health Campus, Ohio 44109, USA. mkahn@metrohealth.org
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MeSH Terms
Descriptor/Qualifier:
Exercise Therapy / methods*
Humans
Hydrotherapy
Physical Therapy Modalities*
Randomized Controlled Trials as Topic
Self Care
Spondylitis, Ankylosing / therapy*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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