Tag: Ankylosing spondylitis

The impact of physical activity on the functional status of patients with ankylosing spondylitis (AS) – A literature review

Bernadeta Piwowar-Kuczyńska, Monika Urbaniak, Michał Zabojszcz, Mateusz Curyło

 

Bernadeta Piwowar-Kuczyńska, Monika Urbaniak, Michał Zabojszcz, Mateusz Curyło – The impact of physical activity on the functional status of patients with ankylosing spondylitis (AS) – A literature review. Fizjoterapia Polska 2023; 23(4); 202-206

DOI: https://doi.org/10.56984/8ZG20A311

Abstract
Introduction. Ankylosing spondylitis (AS) is one of the most common rheumatoid diseases. In the course of this disease, the musculoskeletal system is mainly involved. The treatment process should take into an account the patient’s current general condition, disease progression and function.
Aim of the study. The purpose of this study was to attempt to assess the effect of physical activity on the functional status of patients with ankylosing spondylitis based on the available literature.
Material and methods. The available literature was analyzed based on English-language databases PubMed, ScienceDirect and others, using the Google Scholar search engine. Seventeen articles were analyzed out of 55 retrieved by the above method.  Publications published up to 10/10/2023 were used as search criteria using the following keywords: ankylosing spondylitis, physical activity, physiotherapy.
Results. For the most part, physical activity performed by patients with AS appears to be effective in improving their function. Additional studies are needed to determine more clearly the effect of unguided exercise on this group of patients.
Conclusions. Contemporary studies indicate that patient-performed physical activity mostly appears to be effective in the treatment of ankylosing spondylitis. The results of studies on the effectiveness of the use of unguided exercise by patients are divergent. They indicate both high and low effectiveness depending on the study conducted. Further research in this area is needed to draw more firm conclusions.
Key words:
ankylosing spondylitis, physical activity, physiotherapy
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The assessment of the analgesic action of whole-body cryotherapy in patients with ankylosing spondylitis

Agata Stanek, Armand Cholewka, Grzegorz Cieślar, Irena Rosmus-Kuczia, Zofia Drzazga, Aleksander Sieroń

Agata Stanek, Armand Cholewka, Grzegorz Cieślar, Irena Rosmus-Kuczia, Zofia Drzazga, Aleksander Sieroń – The assessment of the analgesic action of whole -body cryotherapy in patients with ankylosing spondylitis. Fizjoterapia Polska 2011; 11(1); 49-55

Abstract
Currently, one of the therapeutic methods of physical medicine applied in physiotherapeutic treatment of patients with ankylosing spondylitis is the whole-body cryotherapy – the short appliance of temperatures lower than -100°C in order to trigger physical reactions in response to cold as an adjunctive method in better preparation of patients for kinesiotherapy. The aim of the study was to assess the analgesic effect of the whole-body cryotherapy in patients with ankylosing spondylitis.32 males with ankylosing spondylitis were subjected to the trial, who were divided randomly into two 16-person groups, which did not different significantly with regard to age, duration and severity of the disease. The groups underwent ten whole-body cryotherapy with subsequent kinesiotherapy procedures or only 10 kinesiotherapy procedures, respectively. On the first day before the treatment cycle beginning and the first day after treatment completion the patients assess the pain intensity by means of 10-point visual analogue scale (WAS).In patients with ankylosing spondylitis after the completion of a cycle of whole-body cryotherapy procedures the significant reduction of pain intensity amounted to 46% in average (p<0,05) was observed.Whole-body cryotherapy procedures demonstrate a significant analgesic effect in patients with ankylosing spondylitis.
Key words:
ankylosing spondylitis, whole-body cryotherapy, analgesic effect
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Effect of whole-body cryotherapy on proteinogram in patients with ankylosing spondylitis

Agata Stanek, Armand Cholewka, Katarzyna Wencel, Grzegorz Cieślar, Jolanta Gaduła, Janusz Szczypior, Karolina Sieroń-Stołtny, Zofia Drzazga, Aleksander Sieroń

Agata Stanek, Armand Cholewka, Katarzyna Wencel, Grzegorz Cieślar, Jolanta Gaduła, Janusz Szczypior, Karolina Sieroń-Stołtny, Zofia Drzazga, Aleksander Sieroń – Effect of whole-body cryotherapy on proteinogram in patients with ankylosing spondylitis. Fizjoterapia Polska 2011; 11(2); 115-122

Abstract
Whole-body cryotherapy with subsequent kinesiotherapy evokes positive anti-inflammatory effects in case of patients with locomotor system inflammatory disorders, however, the mechanism of this effect has not been satisfactorily explained so far. One of the essential laboratory indicators of the inflammatory process activity is distribution of serum protein fractions. The aim of the study was to determine the effect of whole-body cryotherapy on proteinogram parameters in the patients with ankylosing spondylitis.32 males with ankylosing spondylitis participated in the trial. The subjects were randomly divided into two groups of 16 persons who did not significantly differ with regard to age, duration and severity of the disease. Both groups underwent ten whole-body cryotherapy procedures with subsequent kinesitherapy or only 10 kinesitherapy procedures. On the first day before the beginning of the treatment cycle and on the first day after treatment completion blood samples were collected from the patients in order to determine the total protein concentrations and the share of particular serum protein fractions.On completion of the whole-body cryotherapy treatment cycle a statistically significant increase in alpha2-globulins share and a decrease in beta1-globulins share in serum proteinogram were observed in patients with ankylosing spondylitis.In patients with ankylosing spndylitis whole-body cryotherapy treatment corrects proteinograms in a different way than kinesitherapy does. The changes in the share of particular proteinogram fractions in patients subjected to cryotherapy are most probably related to the anti-inflammatory and anti-oxidative effects of cryogenic temperatures.
Key words:
ankylosing spondylitis, whole-body cryotherapy, proteinogram
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Place of physical therapy with particular emphasis on exercises and massage in the treatment of patients with Ankylosing Spondylitis

Mateusz Wojciech Romanowski

M. W. Romanowski – Place of physical therapy with particular emphasis on exercises and massage in the treatment of patients with Ankylosing Spondylitis. Fizjoterapia Polska 2020; 20(3); 90-101

Abstract
Place of physical therapy with particular emphasis on exercises and massage in the treatment of patients with Ankylosing SpondylitisThe process includes the sacroiliac joints, spinal joints and ligaments, fibrous rings and peripheral joints. From 0.1% to 0.5% of the population in Central Europe suffer from AS. Treatment of patients with AS requires, first of all, combining pharmacotherapy with non-pharmacological treatment including mainly: physical exercise, massage, participation in self-help groups, education, manual therapy, hydrotherapy, electrotherapy, acupuncture, balneotherapy, spa therapy, systemic cryotherapy, lifestyle modification. So far, no single, proper algorithm for non-pharmacological treatment of patients with AS has been developed.
Key words:
Ankylosing spondylitis, physiotherapy, rheumatology, exercise, massage
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