Dallas VA Medical Center and University of Texas Southwestern Medical Center, Dallas, TX, USA.
Division of Rheumatology, Department of Medicine, University of Toronto, and Centre for Prognosis Studies in the Rheumatic Diseases, Toronto Western Hospital, University Health Network, Toronto, ON, Canada.
Best Pract Res Clin Rheumatol. 2014 Oct;28(5):779-92. doi: 10.1016/j.berh.2014.10.003. Epub 2014 Nov 1.
It is accepted that the optimal management of spondyloarthritis requires a combination of non-pharmacological and pharmacological interventions. Non-pharmacologic therapy in spondyloarthritis has generally focused on the exercise regimens whose purpose is to maintain mobility and strength, relieve symptoms, prevent or decrease spinal deformity, contribute to long-term cardiopulmonary health, and improve overall function and quality of life. Exercise programs such as home exercise, group exercise, inpatient programs, and spa exercise have all been the subject of multiple reports that are reviewed here. Studies reviewed support the use of exercise, spa therapy, manual therapy, and electrotherapeutic modalities. Additional topics that are finding relevance in spondyloarthritis are the behavioral interventions that maximize knowledge, motivation for compliance, and healthy lifestyle choices including smoking cessation, weight management, diet, and probiotics. However, the quality and generalizability of the studies are limited.
人们普遍认为，脊柱关节炎的最佳治疗方法需要结合非药物和药物干预。脊柱关节炎的非药物治疗通常侧重于运动方案，其目的是保持活动能力和力量、缓解症状、预防或减少脊柱畸形、促进长期心肺健康以及改善整体功能和生活质量。这里回顾了多种报告中提到的家庭锻炼、团体锻炼、住院计划和温泉疗养等运动方案。所审查的研究支持使用运动、温泉疗法、手法治疗和电疗方式。在脊柱关节炎中发现相关的其他主题是最大限度地提高知识、遵医嘱的动机以及健康生活方式选择的行为干预，包括戒烟、体重管理、饮食和益生菌。然而，研究的质量和普遍性有限。
