Rehabilitation of patients with ankylosing spondyloartritis

Nikolovska, Lence and Timevska, Simona (2019) Rehabilitation of patients with ankylosing spondyloartritis. International Journal, Scientific Papers, 35 (4). pp. 1189-1194. ISSN 2545-4439


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Abstract: Ankylosing spondyloarthritis, (AS), also known as Bekhterew's disease, is a chronic multisystem inflammatory disease that belongs to a class of seronegative spondyloarthritides and it mainly affects joints in the spine and the sacroiliac joint in the pelvis, causing complete fusion and even destructive lesions.
The purpose of the study is to determine the efficacy of physical medicine and kinesiotherapy in the rehabilitation of patients with ankylosing spondyloarthritis.
The study included 13 patients with ankylosing spondyloarthritis treated at the Department of Physical Therapy and Rehabilitation at the Clinical Hospital - Stip. Functional tests and measurements (MMT, goniometry) were performed on all patients to determine the mobility and functionality of the spine and other joints before and after the rehabilitation program. Men are more often affected by this disease than women. The first symptoms of the disease can occur at the age of 20-40 years, and it takes 1-5 years for a diagnosis to be made on the basis of laboratory and radiological examinations and a physical examination. The main symptoms of the disease are: fatigue, spinal pain, joint pain and swelling, morning stiffness, chest tightness and difficulty breathing.
Treatment consists of medication, physical medicine and kinesiotherapy. The application of kinesiotherapy positively affects the function of the spinal column and functional abilities in patients by increasing the index of sagittal motility of the cervical, thoracic and especially the lumbar spine, respiratory index, improvement in latency and right lateral flexion. finger-under, the difficulties in performing daily activities of patients, as well as the reduction of disease activity. These results are in line with results from other studies in the professional literature on the role and impact of kinesiotherapy in the treatment of ankylosing spondyloarthritis.
Key words: ankylosing spondyloarthritis, functionality of the spine, functional abilities of patients, treatment, kinesiotherapy
Field: Medical science and Health

Item Type: Article
Subjects: Medical and Health Sciences > Health sciences
Divisions: Faculty of Medical Science
Depositing User: Lence Nikolovska
Date Deposited: 21 Apr 2020 09:33
Last Modified: 21 Apr 2020 09:33

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