15 MONTHS FOLLOW-UP OF INTENSIVE INPATIENT PHYSIOTHERAPY AND EXERCISE IN ANKYLOSING-SPONDYLITIS

被引:44
作者
VIITANEN, JV
LEHTINEN, K
SUNI, J
KAUTIAINEN, H
机构
[1] Rehabilitation Institute of the Finnish Rheumatism Association, University of Tampere
[2] Department of Clinical Medicine, University of Tampere
关键词
ANKYLOSING SPONDYLITIS; SPINAL MOBILITY; REHABILITATION; EXERCISE; FOLLOW-UP;
D O I
10.1007/BF02207674
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Long-term effects of three or four-week inpatient physiotherapy and exercise courses were studied in 141 adult patients with ankylosing spondylitis (AS). Eight cervical and thoracolumbar range of motion (ROM) measurements and straight leg raise test, vital capacity (VC) and fitness index were measured at the beginning and end of an intensive course and 15 months later. All nine mobility measurements, vital capacity and fitness index were significantly improved after the course. Fifteen months later only chest expansion and vital capacity had significantly deteriorated from the baseline, while CR, FFD and fitness index were still significantly better. Disease duration did not influence treatment results. We conclude that it is possible by means of intensive rehabilitation courses to prevent for more than one year deterioration of spinal function and fitness in AS patients irrespective of disease duration,
引用
收藏
页码:413 / 419
页数:7
相关论文
共 28 条
[11]  
Allington L., Cunnington S., Mathews M., Speedley J., Trussell E., Ward E., McKenzie J., Swannell A., The effect of regular physiotherapy on mobility and shape of the spine in patients with ankylosing spondylitis over a two-year period, Br J Rheumatol, 25, Abstr, (1987)
[12]  
Richards A., Ankylosing spondylitis and exercise, Br J Rheumatol, 28, (1989)
[13]  
Kraag G., Stokes B., Groh J., Helewa A., Goldsmith C., The effects of comprehensive home physiotherapy and supervision on patients with ankylosing spondylitis — A randomized controlled trial, J Rheumatol, 17, pp. 228-233, (1990)
[14]  
Hidding A., Van der Linden S., De Witte L., Therapeutic effects of individual physical therapy in ankylosing spondylitis related to duration of disease, Clin Rheumatol, 12, pp. 334-340, (1993)
[15]  
Hidding A., Van der Linden S., Boers M., Gielen S., De Witte L., Kester A., Dijkmans B., Moolenburg D., Is group physical therapy superior to individualized therapy in ankylosing spondylitis, Arthr Care Res, 6, pp. 117-125, (1993)
[16]  
Parry W.C., Management of ankylosing spondylitis, Proceedings of the Royal Society of Medicine, 59, pp. 619-623, (1966)
[17]  
Treiber W., Langzeit-Verlauf der Spondylitis ankylosans in Abhängigkeit von der Behandlung, Z Rheumafrsch, 26, pp. 335-339, (1967)
[18]  
Tomlinson M., Barefoot J., Dixon A., Intensive in-patient physiotherapy courses improve movement and posture in ankylosing spondylitis, Physiotherapy, 5, pp. 238-240, (1986)
[19]  
O'Driscoll S., Jayson M., Baddeley H., Neck movements in ankylosing spondylitis and their responses to physiotherapy, Ann Rheum Dis, 37, pp. 64-66, (1978)
[20]  
Viitanen J., Suni J., Kautiainen H., Liimatainen M., Takala H., Effect of physiotherapy on spinal mobility in ankylosing spondylitis, Scand J Rheumatol, 21, pp. 38-41, (1992)