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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Effect of eccentric exercise and shock wave therapy in patients with Achilles tendinopathy – a review of the literature

Bernadeta Piwowar-Kuczyńska, Monika Urbaniak, Mateusz Curyło

 

Bernadeta Piwowar-Kuczyńska, Monika Urbaniak, Mateusz Curyło – Effect of eccentric exercise and shock wave therapy in patients with Achilles tendinopathy – a review of the literature. Fizjoterapia Polska 2023; 23(4); 92-96

DOI: https://doi.org/10.56984/8ZG20A1BB

Abstract
Aim of study. The purpose of this study was to evaluate the effectiveness of training using eccentric exercises and shock wave therapy in people with Achilles tendinopathy.
Material and methods. The available literature was analyzed based on English-language databases PubMed, Scopus, ScienceDirect, Medline and others, using the Google Scholar search engine. Twenty articles were analyzed out of 120 retrieved by the above method. Publications published up to 24/09/2023 were used, using the following keywords: Achilles tendinopathy, physiotherapy, shock wave, Alfredson protocol, eccentric exercises.
Results: After analyzing the papers, it was noted that eccentric exercises based on the Alfredson protocol are effective in the treatment of Achilles tendinopathy. Shock wave therapy appears to be a mostly safe and effective form of treatment.
Conclusions. Contemporary research indicates that conservative treatment methods in the form of eccentric exercises and shock wave therapy appear to be effective in the treatment of Achilles tendinopathy. Although studies on the effectiveness of using shock wave therapy are of low quality for the most part, it appears to be a safe and effective form of treatment for Achilles tendinopathy.
Key words:
Achilles tendinopathy, physiotherapy, shock wave, Alfredson protocol, eccentric exercises
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