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身体康复医学评论综述

每年出版 4 

ISSN 打印: 0896-2960

ISSN 在线: 2162-6553

SJR: 0.141 SNIP: 0.129 CiteScore™:: 0.6 H-Index: 18

Indexed in

Exercise and Ankylosing Spondylitis—Which Exercises Are Appropriate? A Critical Review

卷 18, 册 1, 2006, pp. 39-62
DOI: 10.1615/CritRevPhysRehabilMed.v18.i1.20
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摘要

Ankylosing Spondylitis (AS) is a chronic rheumatic disorder involving the axial skeleton that progressively limits spinal mobility. Exercises are considered as basic therapy to increase the functional capacity and quality of life in these patients. Today, there are different exercise programs for AS; however, not all of these exercises are specific for patients with this disease. Although an analysis of the peer-reviewed literature shows that exercise is effective in the management of AS patients, adequate, well-designed follow-up studies are still required due to the heterogeneous follow-up periods of the published trials. The main question that clinicians need to address is: Which exercises are more appropriate for patients with AS? In the present article we discuss a scientific justification for the employment of global and functional approaches for the management of these patients. With that aim, we examine the principles of the Global Posture Re-education (GPR) method, a rehabilitation method based on the concept of muscle chains. With this concept in mind, physical therapists can analyze, from a functional and global viewpoint, which exercises would be more appropriate for the management of patients with AS. Moreover, we also discuss the protocol that we employ in our clinic, based on the concept of muscle chains, which has been analyzed in a randomized controlled trial published by our research group.

对本文的引用
  1. WANG Ching-Yi, CHIANG Pin-Yen, LEE Hong-Shen, WEI James Cheng-Chung, The effectiveness of exercise therapy for ankylosing spondylitis: a review, International Journal of Rheumatic Diseases, 12, 3, 2009. Crossref

  2. Alonso-Blanco Cristina, Fernández-de-las-Peñas César, Cleland Joshua A., Preliminary Clinical Prediction Rule for Identifying Patients With Ankylosing Spondylitis Who Are Likely to Respond to an Exercise Program, American Journal of Physical Medicine & Rehabilitation, 88, 6, 2009. Crossref

  3. Alonso Blanco C., Rodríguez López E.S., Fernández de las Peñas C., Cambios espirométricos tras la aplicación de un programa de cinesiterapia en la espondilitis anquilosante: estudio piloto, Fisioterapia, 31, 3, 2009. Crossref

  4. Lubrano Ennio, Spadaro Antonio, Amato Giorgio, Benucci Maurizio, Cavazzana Ilaria, Chimenti Maria Sole, Ciancio Giovanni, D׳Alessandro Giuseppe, Angelis Rossella De, Lupoli Salvatore, Lurati Alfredo Maria, Naclerio Caterina, Russo Romualdo, Semeraro Angelo, Tomietto Paola, Zuccaro Carmelo, De Marco Gabriele, Tumour necrosis factor alpha inhibitor therapy and rehabilitation for the treatment of ankylosing spondylitis: A systematic review, Seminars in Arthritis and Rheumatism, 44, 5, 2015. Crossref

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