DGRh-S3-Leitlinie Axiale Spondyloarthritis inklusive Morbus Bechterew und Frühformen

Kiltz, Uta; Mau, W.; Smolenski, U. C.; Repschläger, U; Böhle, E.; Stemmer, M; Oberschelp, U; Schneider, Elke; Swoboda, B.; Böhm, H.; Braun, Jürgen

doi:10.1007/s00393-014-1442-8

Cited by 4 publications

(1 citation statement)

References 20 publications

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“…Ganzkörperkältetherapie in Kältekammern oder Eiswasser wurde mit 8 -30 Applikationen bei in der Regel -110 °C für bis zu 5 Minuten in Kombination mit Medikamenten und zum Teil anderen physikalischen Therapieformen durchgeführt. Nach der Applikation wurde auch damit eine Minderung der Schmerzintensität und Entzündungsaktivität nach dem DAS28-Score festgestellt.LeitlinienDeutsche S3-Leitlinien geben praktische Empfehlungen für die physikalische Therapie bei früher RA und axialer SpA[16][17][18] (▶ Tab. 1).…”

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Evidenzbasierte physikalische Therapie bei rheumatischen Krankheiten

Mau¹

2016

Dtsch med Wochenschr

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New studies increase the evidence, that different applications of physical therapy are effective. In patients with rheumatoid arthritis (RA) physiotherapy of the hands improve strength, joint mobility and activity without increased risk of pain nor inflammation. A theory-based physiotherapy of the hands shows clinical effectiveness and cost-utility. In patients with spondyloarthritides supervised group exercise training is more effective than home exercise programs. Compared with biologics only combined exercise training and tumour necrosis factor alpha inhibitor therapy improve mobility and disease activity more effectively. Aerobic exercise training reduces fatigue in RA. Working wrist splints and static resting splints improve pain and grip strength. Static resting splints reduce the risk of hand deformities. Local and whole body cryotherapy show short term improvement of pain and inflammatory activity. German S3-guidelines recommend enhanced utilisation of physical therapy as well as coordinated multiprofessional team care and rehabilitation.

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Evidenzbasierte physikalische Therapie bei rheumatischen Krankheiten

Mau¹

2016

Dtsch med Wochenschr

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Management der axialen Spondyloarthritis

2016

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The term spondyloarthritis (SpA) is now increasingly used to classify and diagnose patients who are characterized by inflammation in the axial skeleton and peripheral manifestations (arthritis and enthesitis). The management of SpA should be tailored according to the current manifestations of the disease, the disease activity and functional impairment. The current article focuses on diagnosis and therapy in patients with axial SpA. Diagnostic procedures are discussed in light of diagnostic utility and feasibility in daily routine care. Cornerstones of treatment in patients with axial SpA are a combination of regular exercise and pharmacological treatment options aiming at anti-inflammatory strategies.

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Evidenzbasierte Empfehlung zur Diagnostik und Therapie der axialen Spondyloarthritis

et al. 2016

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The clinical course of axial spondyloarthritis (SpA) is variable and characterized by chronic back pain and extraspinal manifestations, such as asymmetrical arthritis, dactylitis and enthesitis. Extra-articular manifestations in the eyes (anterior uveitis), skin (psoriasis) and intestines (chronic inflammatory bowel disease) are also frequent manifestations in patients with SpA. Due to the heterogeneity of disease manifestations and the partial concentration on structural alterations in the sacroiliac joints visible in X‑ray images, the diagnosis is often delayed for many years. An important step in the direction of improved early recognition of axial SpA was establishment of the Assessment of SpondyloArthritis International Society (ASAS) classification criteria published in 2009, which focused on the initally deep-seated back pain and chronicity in relatively young patients as well as the importance of magnetic resonance imaging and HLA B 27 determination in the early stages of the disease. In order to achieve the foundations for an effective and timely therapy of affected patients, in 2014 on the initiative of the German Society of Rheumatology, S3 guidelines on axial SpA including Bechterew's disease and early forms were formulated in cooperation with other specialist societies. This article gives an overview of the contents of the S3 guidelines on axial SpA.

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DGRh-S3-Leitlinie Axiale Spondyloarthritis inklusive Morbus Bechterew und Frühformen

Cited by 4 publications

References 20 publications

Evidenzbasierte physikalische Therapie bei rheumatischen Krankheiten

Evidenzbasierte physikalische Therapie bei rheumatischen Krankheiten

Management der axialen Spondyloarthritis

Evidenzbasierte Empfehlung zur Diagnostik und Therapie der axialen Spondyloarthritis

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