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Physiotherapy interventions for ankylosing spondylitis.

H Dagfinrud1, K Hagen

  • 1University of Oslo, Section for Health Science, P.O.box 1153, Blindern, Oslo, Norway, 0316. h.s.dagfinrud@helsefag.uio.no

The Cochrane Database of Systematic Reviews
|November 1, 2001
PubMed
Summary

Physiotherapy may help manage ankylosing spondylitis (AS) symptoms like pain and stiffness. However, more research is needed to confirm the effectiveness of specific physiotherapy interventions for AS.

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Area of Science:

  • Rheumatology
  • Physical Therapy
  • Evidence-Based Medicine

Background:

  • Ankylosing spondylitis (AS) is a chronic rheumatic condition requiring comprehensive management.
  • Physiotherapy is recognized as a crucial component of AS treatment due to its potential to mitigate disease consequences.

Purpose of the Study:

  • To systematically review and synthesize existing scientific evidence on the efficacy of physiotherapy interventions for managing ankylosing spondylitis.
  • To identify the most effective physiotherapy modalities for AS patients.

Main Methods:

  • A comprehensive literature search was conducted across multiple databases (Cochrane, MEDLINE, EMBASE, CINAHL, Pedro) up to February 2000.
  • Included studies were randomized or quasi-randomized trials involving AS patients (New York criteria) with at least one physiotherapy intervention group.

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  • Key outcome measures included spinal mobility, pain, stiffness, physical function, and global assessment of change.

    • Main Results:

    • Three trials with 241 participants were included, all exhibiting a moderate to high risk of bias.
    • Supervised group physical therapy showed greater benefits for pain and stiffness (50% improvement) compared to individualized home exercise programs.
    • One trial indicated that an exercise and disease education program was more effective than no intervention.

    Conclusions:

    • While preliminary findings suggest positive effects of physiotherapy for AS, current evidence is limited and carries a risk of bias.
    • Further high-quality research is necessary to determine optimal physiotherapy interventions and applications for ankylosing spondylitis.
    • Insufficient evidence currently exists to support or refute specific physiotherapy recommendations for AS management.