Sharan Deepak, Rajkumar Joshua S
Department of Orthopaedics and Rehabilitation, RECOUP Neuromusculoskeletal Rehabilitation Centre, Bangalore, India.
Department of Orthopaedics and Rehabilitation, Department of Physiotherapy, RECOUP Neuromusculoskeletal Rehabilitation Centre, Bangalore, India.
Curr Rheumatol Rev. 2017;13(2):121-125. doi: 10.2174/1573397112666161025112750.
Ankylosing Spondylitis (AS) is a chronic inflammatory disease with gradual onset, largely affecting the axial skeleton. As leads to varying degrees of restricted spinal mobility, pain and loss of functional capacity. Rehabilitation, especially physiotherapy and exercises, are considered integral components of its management. Various rehabilitation modalities are available for the benefit of individuals with AS, but a sequenced protocol has not been reported. A scientific review was performed using the following search engines: MEDLINE (Pubmed), COCHRANE Library and Physiotherapy Evidence Database (PEDro). Studies, which had at least one of the groups receiving rehabilitation, and the major outcomes studied including pain, stiffness, mobility (spine and chest wall) and physical function (disease activity, ADL, QOL and global function) were selected. A total of 28 studies were shortlisted for the review which included a total of 1926 subjects with AS. The review of literature showed that individuals with AS had beneficial effects from exercise programmes compared to no exercise. Patient education, active involvement and motivation of individuals with AS played an important role in the overall treatment outcomes. Based on the review, a four-phase sequenced rehabilitation protocol has been laid down for the benefit of individuals with AS.
强直性脊柱炎（AS）是一种起病隐匿的慢性炎症性疾病，主要影响中轴骨骼。AS会导致不同程度的脊柱活动受限、疼痛和功能丧失。康复治疗，尤其是物理治疗和运动锻炼，被认为是其治疗的重要组成部分。有多种康复方式可供AS患者选用，但尚未有关于康复方案顺序的报道。我们使用以下搜索引擎进行了一项科学综述：MEDLINE（PubMed）、Cochrane图书馆和物理治疗证据数据库（PEDro）。选取了至少有一组接受康复治疗的研究，以及研究的主要结局，包括疼痛、僵硬、活动度（脊柱和胸壁）和身体功能（疾病活动度、日常生活活动能力、生活质量和整体功能）。共有28项研究入围该综述，这些研究共纳入了1926例AS患者。文献综述表明，与不运动相比，运动方案对AS患者有有益影响。对AS患者的患者教育、积极参与和激励在总体治疗结局中起着重要作用。基于该综述，为AS患者制定了一个四阶段的康复方案顺序。
