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Exercise for ankylosing spondylitis: An evidence-based consensus statement.

Janet R Millner1, John S Barron2, Kirsty M Beinke3

  • 1Menzies Institute for Medical Research, University of Tasmania, Private Bag 23, Hobart, Tasmania 7001, Australia.

Seminars in Arthritis and Rheumatism
|October 24, 2015
PubMed
Summary
This summary is machine-generated.

This study provides practical exercise recommendations for ankylosing spondylitis (AS), offering guidance on type, dosage, and adherence for better management of this chronic condition.

Keywords:
Ankylosing spondylitis (AS)exercisefunctionmobilitypain

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Area of Science:

  • Rheumatology
  • Exercise Science
  • Physical Therapy

Background:

  • Exercise is recognized as beneficial for ankylosing spondylitis (AS).
  • Current guidelines lack specific exercise prescription details for AS.
  • A need exists for practical, evidence-based exercise recommendations.

Purpose of the Study:

  • To develop practical, sustainable exercise prescription recommendations for individuals with AS.
  • To combine existing evidence with clinical expertise for guideline development.
  • To address the paucity of detailed information on exercise type and dosage in AS.

Main Methods:

  • Modified Delphi technique used to generate clinical questions.
  • Systematic literature reviews conducted for each question.
  • Draft recommendations developed through expert consensus and feedback from patient and health professional groups.

Main Results:

  • Consensus recommendations and practice points established for assessment, monitoring, safety, disease management, AS-specific exercise, physical activity, dosage, adherence, and setting.
  • A adaptable framework for exercise in chronic musculoskeletal conditions was created.
  • Feedback indicated the consensus statement is valuable for best practice exercise prescription in AS.

Conclusions:

  • The recommendations offer an evidence-based approach to exercise in AS.
  • Identified evidence gaps include optimal exercise program design, long-term adherence, and subgroup-specific needs.
  • Widespread dissemination and implementation are crucial for optimizing exercise outcomes in AS.