Division of Rheumatology, Department of Physical Medicine and Rehabilitation, Gevher Nesibe Hospital, Erciyes University, School of Medicine, Kayseri, Turkey.
Int J Rheum Dis. 2012 Jun;15(3):229-38. doi: 10.1111/j.1756-185X.2011.01700.x. Epub 2011 Dec 12.
Physiotherapy is an integral part of the management of ankylosing spondylitis (AS) and there is a need for recommendations which focus on the rehabilitation of patients with AS. We aimed to develop recommendations for the physical therapy and rehabilitation of patients with AS based on the evidence and expertise.
The Anatolian Group for the Assessment in Rheumatic Diseases (ANGARD) is a scientific group of Turkish academicians (physiatrists and rheumatologists) who are experts in the rehabilitation of patients with AS. A systematic literature search summarizing the current available physiotherapy and rehabilitation trials in AS were presented to the experts before a special 2-day meeting. Experts attending this meeting first defined a framework based on the main principles and thereafter collectively constructed six major recommendations on physiotherapy and rehabilitation in AS. After the meeting an email survey was conducted to rate the strength of the recommendations.
Six key recommendations which cover the general principles of rehabilitation in AS in terms of early intervention, initial and follow-up assessments and monitoring, contraindications and precautions, key advice for physiotherapy methods and exercise were constructed.
These recommendations were developed using evidence-based data and expert opinion. The implementation of these recommendations should encourage a more comprehensive and methodical approach in the rehabilitation of patients with AS. Regular lifelong exercise is the mainstay of rehabilitation and there is a considerable need for well-designed studies which will enlighten the role of physical therapy in the management of AS.
物理疗法是强直性脊柱炎（AS）治疗的重要组成部分，需要有专门针对 AS 患者康复的建议。本研究旨在基于证据和专业知识为 AS 患者的物理治疗和康复制定建议。
安纳托利亚风湿病评估组（ANGARD）是一个由土耳其学者（理疗师和风湿病学家）组成的科学团体，他们是 AS 患者康复方面的专家。在一次为期两天的特别会议之前，专家们对总结了当前 AS 中物理治疗和康复试验的系统文献检索进行了讨论。参加这次会议的专家首先根据主要原则定义了一个框架，然后共同制定了关于 AS 中物理治疗和康复的六项主要建议。会后进行了电子邮件调查，以评估建议的强度。
构建了涵盖 AS 康复基本原则的 6 项关键建议，包括早期干预、初始和随访评估和监测、禁忌证和注意事项、物理治疗方法和运动的主要建议。
这些建议是基于循证数据和专家意见制定的。实施这些建议应鼓励对 AS 患者的康复采用更全面和系统的方法。定期进行终身运动是康复的基础，非常需要精心设计的研究来阐明物理治疗在 AS 治疗中的作用。
