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Related Experiment Videos

Physiotherapy interventions for ankylosing spondylitis.

H Dagfinrud1, T K Kvien, K B Hagen

  • 1Section for Health Science, University of Oslo, P.O. box 1153, Blindern, Gydas vei 8, Oslo, Norway, 0316. h.s.dagfinrud@medisin.uio.no

The Cochrane Database of Systematic Reviews
|October 21, 2004
PubMed
Summary

Physiotherapy, including home exercise programs and supervised group sessions, offers benefits for ankylosing spondylitis (AS) management. Combined spa-exercise therapy shows superior results compared to standard physiotherapy alone.

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Area of Science:

  • Rheumatology
  • Physical Therapy
  • Evidence-Based Medicine

Background:

  • Ankylosing spondylitis (AS) is a chronic inflammatory rheumatic disease.
  • Physiotherapy is crucial for managing AS consequences.

Purpose of the Study:

  • To review scientific evidence on the effectiveness of physiotherapy interventions for ankylosing spondylitis (AS).

Main Methods:

  • Searched multiple databases (CENTRAL, MEDLINE, EMBASE, etc.) up to February 2004.
  • Included randomized and quasi-randomized studies meeting AS New York criteria.
  • Assessed outcomes: pain, stiffness, spinal mobility, physical function, and patient global assessment.

Main Results:

  • Home exercise programs showed low-quality evidence of benefit over no intervention for spinal mobility and function.

Related Experiment Videos

  • Supervised group physiotherapy demonstrated moderate-quality evidence of small benefits over home exercises in spinal mobility and patient global assessment.
  • Combined inpatient spa-exercise therapy with outpatient physiotherapy yielded moderate-quality evidence of greater effects on pain, physical function, and patient global assessment compared to outpatient physiotherapy alone.

    • Conclusions:

    • Home exercise programs are superior to no intervention for AS.
    • Supervised group physiotherapy is more effective than home exercises.
    • Combined spa-exercise and physiotherapy interventions show greater benefits than physiotherapy alone.
    • Further research is needed to explore other physiotherapy interventions for AS.