Most studies showed a positive effect of exercise on Bath Ankylosing Spondylitis Disease Activity Index , Bath Ankylosing Spondylitis Functional Index , pain , mobility , function and quality of life .
Results support a multimodal approach , including educational sessions and maintaining home-based program .
Ankylosing spondylitis ( AS ) is a chronic and inflammatory rheumatic disease , characterized by pain and structural and functional impairments , such as reduced mobility and axial deformity , which lead to diminished quality of life .
Its treatment includes not only drugs , but also nonpharmacological therapy .
Exercise appears to be a promising modality .
The aim of this study is to review the current evidence and evaluate the role of exercise either on l and or in water for the management of patients with AS in the biological era .
Favorable effect of rehabilitation on balance in ankylosing spondylitis: a quasi-randomized controlled clinical trial
Abstract Balance impairment is a frequent and undertreated manifestation in ankylosing spondylitis , leading to increased risk of falls and lower quality of life . Our aim was to assess supervised training and home-based rehabilitation efficacy on balance improvement in ankylosing spondylitis subjects on biologic agents . This was a single-blinded , quasi-r and omized parallel study in a single outpatient Rehabilitation Clinic of a tertiary referral center . Subjects with ankylosing spondylitis on biologic agents were assigned either to supervised training and home-based rehabilitation program ( rehabilitation group ) plus educational – behavioral therapy , or to educational – behavioral therapy alone ( educational groups ) . The same therapist provided therapy . Outcome measures were assessed at baseline ( T0 ) , end of treatment ( T1 ) and at 7-month follow-up ( T2 ) . Rheumatologic outcomes were Bath Ankylosing Spondylitis Metrology Index , Bath Ankylosing Spondylitis Functional Index and Bath Ankylosing Spondylitis Disease Activity Index . Balance parameters ( anterior – posterior oscillation , latero-lateral oscillation , sway area , sway density and sway path ) were evaluated by stabilometry in a condition of open and closed eyes . Forty-six subjects ( 36 M , 10 F ) were enrolled . Demographic data and clinical status at baseline were comparable between the two groups ( 22 rehabilitation group , 20 educational group ) . Primary outcome was sway density that improved both at T1 ( SDy : open eyes p = 0.003 , closed eyes p = 0.004 ) and at T2 ( SDx : open eyes p = 0.0015 , closed eyes p = 0.032 ) . A trend toward improvement in the rehabilitation group rather than in the educational group emerged for balance parameters , especially those measured with closed eyes ( 0.004 < p < 0.048 at T1 and 0.004 < p < 0.036 at T2 ) . Supervised training and home exercise lead to balance improvement in people with ankylosing spondylitis . Eyes-closed trials show a more marked trend toward improvement , and this may suggest a positive effect of rehabilitation on proprioception
Most studies showed a positive effect of exercise on Bath Ankylosing Spondylitis Disease Activity Index , Bath Ankylosing Spondylitis Functional Index , pain , mobility , function and quality of life .
Results support a multimodal approach , including educational sessions and maintaining home-based program .
Ankylosing spondylitis ( AS ) is a chronic and inflammatory rheumatic disease , characterized by pain and structural and functional impairments , such as reduced mobility and axial deformity , which lead to diminished quality of life .
Its treatment includes not only drugs , but also nonpharmacological therapy .
Exercise appears to be a promising modality .
The aim of this study is to review the current evidence and evaluate the role of exercise either on l and or in water for the management of patients with AS in the biological era .