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Therapy Interventions for Upper Limb Amputees Undergoing Selective Nerve Transfers
07:59

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Published on: October 29, 2021

Physical therapy and surgery.

Rafael Valle-Onate1, Michael M Ward, Gail S Kerr

  • 1Military Hospital School of Medicine, Universidad la Sabana, Bogota, Colombia.

The American Journal of the Medical Sciences
|May 1, 2012
PubMed
Summary
This summary is machine-generated.

Physical therapy and orthopedic surgery are key for ankylosing spondylitis (AS). Combined inpatient and outpatient therapy offers the most symptom improvement, while total hip replacement shows good long-term success.

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Last Updated: May 22, 2026

Therapy Interventions for Upper Limb Amputees Undergoing Selective Nerve Transfers
07:59

Therapy Interventions for Upper Limb Amputees Undergoing Selective Nerve Transfers

Published on: October 29, 2021

Area of Science:

  • Rheumatology
  • Orthopedics
  • Physical Medicine and Rehabilitation

Background:

  • Ankylosing spondylitis (AS) management involves physical therapy and orthopedic surgery.
  • Exercise recommendations are standard, but optimal therapeutic approaches remain unclear.

Purpose of the Study:

  • To review the efficacy of physical therapy and orthopedic surgical interventions for ankylosing spondylitis.
  • To assess the outcomes of different therapeutic strategies in AS management.

Main Methods:

  • Literature review of controlled trials and clinical recommendations.
  • Analysis of surgical outcomes, including total hip replacement and spinal surgery in AS patients.

Main Results:

  • Supervised physical therapy surpasses individual/unsupervised exercise for symptom relief.
  • Combined inpatient and outpatient therapy yields the greatest benefits.
  • Total hip replacement demonstrates favorable long-term implant survival in AS.
  • Heterotopic ossification rates post-hip replacement are comparable to other conditions.
  • Corrective spinal surgery is infrequent and demands specialized expertise.

Conclusions:

  • Integrated physical therapy programs are crucial for managing ankylosing spondylitis symptoms.
  • Total hip replacement is an effective surgical option for advanced AS.
  • Further research is needed to define optimal exercise protocols and therapeutic sequencing.