Improvement in pain intensity, spine stiffness, and mobility during a controlled individualized physiotherapy program in ankylosing spondylitis

Gyurcsik, Zsuzsanna Némethné; András, Anita; Bodnár, Nóra; Szekanecz, Zoltán; Szántó, Sándor

doi:10.1007/s00296-011-2325-9

Cited by 31 publications

(26 citation statements)

References 24 publications

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“…Similar findings were made by other investigators in patients with respiratory and musculoskeletal diseases, [18][19][20][21] after a rehabilitation program. 22,23 We performed linear regression analysis to determine which variable could best explain the chest wall mobility variation. For axillary cirtometry, maximum inspiratory pressure was the variable that best explained the variation (R 2 0.23, P Ͻ .001).…”

Section: Discussionmentioning

confidence: 99%

Chest Wall Mobility Is Related to Respiratory Muscle Strength and Lung Volumes in Healthy Subjects

et al. 2013

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BACKGROUND: Chest wall mobility is often measured in clinical practice, but the correlations between chest wall mobility and respiratory muscle strength and lung volumes are unknown. We investigate the associations between chest wall mobility, axillary and thoracic cirtometry values, respiratory muscle strength (maximum inspiratory pressure and maximum expiratory pressure), and lung volumes (expiratory reserve volume, FEV 1 , inspiratory capacity, FEV 1 /FVC), and the determinants of chest mobility in healthy subjects. METHODS: In 64 healthy subjects we measured inspiratory capacity, FVC, FEV 1 , expiratory reserve volume, maximum inspiratory pressure, and maximum expiratory pressure, and chest wall mobility via axillary and thoracic cirtometry. We used linear regression to evaluate the influence of the measured variables on chest wall mobility. RESULTS: The subjects' mean ؎ SD values were: age 24 ؎ 3 years, axillary cirtometry 6.3 ؎ 2.0 cm, thoracic cirtometry 7.5 ؎ 2.3 cm; maximum inspiratory pressure 90.4 ؎ 10.6% of predicted, maximum expiratory pressure 92.8 ؎ 13.5% of predicted, inspiratory capacity 99.7 ؎ 8.6% of predicted, FVC 101.9 ؎ 10.6% of predicted, FEV 1 98.2 ؎ 10.3% of predicted, expiratory reserve volume 90.9 ؎ 19.9% of predicted. There were significant correlations between axillary cirtometry and FVC (r ‫؍‬ 0.32), FEV 1 (r ‫؍‬ 0.30), maximum inspiratory pressure (r ‫؍‬ 0.48), maximum expiratory pressure (r ‫؍‬ 0.25), and inspiratory capacity (r ‫؍‬ 0.24), and between thoracic cirtometry and FVC (r ‫؍‬ 0.50), FEV 1 (r ‫؍‬ 0.48), maximum inspiratory pressure (r ‫؍‬ 0.46), maximum expiratory pressure (r ‫؍‬ 0.37), inspiratory capacity (r ‫؍‬ 0.39), and expiratory reserve volume (r ‫؍‬ 0.47). In multiple regression analysis the variable that best explained the axillary cirtometry variation was maximum inspiratory pressure (R 2 0.23), and for thoracic cirtometry it was FVC and maximum inspiratory pressure (R 2 0.32). CONCLUSIONS: Chest mobility in healthy subjects is related to respiratory muscle strength and lung function; the higher the axillary cirtometry and thoracic cirtometry values, the greater the maximum inspiratory pressure, maximum expiratory pressure, and lung volumes in healthy subjects.

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Section: Discussionmentioning

confidence: 99%

Chest Wall Mobility Is Related to Respiratory Muscle Strength and Lung Volumes in Healthy Subjects

et al. 2013

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“…Back, pelvic and hip regions are commonly involved, producing pain. The pain may be felt in the gluteal and sacroiliac region [1]. Researchers have defined chronic back pain of insidious onset as one of the most common presenting feature of AS [3].…”

Section: Ankylosing Spondylitis (As)mentioning

confidence: 99%

“…AS is a chronic progressive disease which involves the axial skeleton and the peripheral joints [1]. The changes are usually observed in the synovial joints and at sites where the tendons and ligaments are attached to the bones [2].…”

Section: Ankylosing Spondylitis (As)mentioning

confidence: 99%

Antagonizing IL-6 in Ankylosing Spondylitis: A Short Review

Sakthiswary¹,

Das

2012

IADT

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Ankylosing spondylitis (AS) is a chronic inflammatory disorder with predilection for the axial skeleton, leading to progressive restricted mobility and deformity of the spine. The fundamental mechanism involves autoimmunity orchestrated by T cells. Similar to other rheumatic diseases, the complex interplay of cytokines such as tumour necrosis factor alpha, interleukin-6 (IL 6) and interleukin-10 (IL 10) has been implicated in the pathogenesis of the disease. Despite extensive research over the past decades, the treatment options for AS, are limited. Non steroidal antiinflammatory drugs are the first line of therapy, whereas anti TNF drugs are administered for refractory cases which fail to respond to the treatment. There have been conflicting views on the correlation of IL 6 with disease activity in AS. As such, the debate on the role of anti IL6 in AS is still ongoing. Anti IL 6 such as tocilizumab and siltuximab have proven efficacy based on the large randomized controlled trials. The Food and Drug Administration (FDA) has approved these drugs for treating rheumatoid arthritis and systemic juvenile idiopathic arthritis. Researchers have adventurously experimented anti IL 6 therapy in AS but the conclusions made were not consolidated into international guidelines or consensus statement for clinical practice. In the present review, we explore the role of anti IL6 in the treatment of AS based on the cumulative evidence over recent years.

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“…Nakon sprovedenog fizikalnog tretmana u trajanju od 3 meseca, došlo je do poboljšanja kako subjektivnih, tako i funkcionalnih parametara, znatnog smanjenja intenziteta bola i ukočenosti kičme. Autori ukazuju i na značajnu korelaciju funkcionalnog statusa bolesnika u odnosu na dužinu trajanja i aktivnost bolesti [7]. Takođe su u istraživanju Aytekin et al ispitivani efekti programa vežbi preporučenih u kućnim uslovima, u koje je bilo uključeno 80 pacijenata.…”

Section: Diskusijaunclassified

Evaluation of mobility of the spinal column in patients with ankylosing spondylitis

Agoc¹,

Lazarevic²,

Janković³

et al. 2016

Tim Med Glas

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MEDICINSKI FAKULTET, UNIVERZITET NOVI SAD, KLINIKA ZA MEDICINSKU REHABILITACIJU, KCV Sažetak:Ankilozantni spondilitis (AS) je hronična, zapaljenska, reumatska bolest koja zahvata sakroilijačne zglobove, enteze i sinovijske zglobove kičmenog stuba (KS) i vremenom dovodi do njihove osifikacije. Cilj: Cilj ove studije bio je procena sagitalne pokretljivosti KS i respiratornog indeksa pacijenata sa AS u toku fizikalnog tretmana u trajanju od tri nedelje, kao i u odnosu na kontrolnu grupu zdravih ispitanika. Materijal i metode: Ova retrospektivna studija je obuhvatila 70 muškaraca od 25 do 78 godina starosti, od kojih su 35 muškaraca sa dijagnostikovanim AS činili eksperimentalnu grupu, dok je 35 muškaraca, bez tegoba i bola u leđima, činilo kontrolnu grupu zdravih ispitanika. Svi pacijenti iz eksperimentalne grupe su stacionarno lečeni u Specijalnoj bolnici za reumatske bolesti u Novom Sadu u periodu od 2008. do 2013. godine. Sagitalna pokretljivos KS i respiratorni indeks utvrđeni su santimetarskom trakom, a na osnovu indeksa sagitalne pokretljivosti (ISP) kičme i inspiratornoekspiratorne razlike u obimu grudnog koša. Rezultati ispitivanja ukazuju na statistički značajno povećanje svih ISP kičmenog stuba i respiratornog indeksa kod ispitanika iz eksperimentalne grupe po završenom fizikalnom tretmanu u odnosu na vrednosti sa početka tretmana (p>0,05), kao i na značajno ograničenje sagitalne pokretljivosti kičmenog stuba i respiratornog indeksa na kraju tretmana, u odnosu na zdravu grupu ispitanika (p<0,05). Zaključak: Fizikalni tretman doveo je do poboljšanja sagitalne pokretljivosti kičmenog stuba i respiratornog indeksa kod pacijenata obolelih od AS, što potvrđuje njegovu delotvornost. Značajna ograničenja pokretljivosti KS i respiratornog indeksa i na kraju tretmana, u odnosu na kontrolnu grupu, ukazuju na teška funkcionalna ograničenja ovih bolesnika. Ključne reči: ankilozantni spondilitis, pokretljivost kičmenog stuba, fizikalni tretman. Summary:Ankylosing spondylitis (AS) is a chronic, inflammatory, rheumatic disease which affects the sacroiliac joints, enteze and synovial joints of the spine, rarely of the root and other peripheral joints and eventually leads to the ossification of the affected structures. Objective: The aim of this study was to evaluate the sagittal mobility of the spine and respiratory index in patients with ankylosing spondylitis during physical treatment for the period of three weeks, and in relation to the control group of healthy subjects. Materials and methods: The study was designed as a retrospective study of 70 men 25 to 78 years of age, of whom 35 diagnosed with ankylosing spondylitis accounted for the experimental group, while the 35 others with no symptoms and back pain made the control group of healthy subjects. All subjects in the experimental group were hospitalized and treated for three weeks in the Special Hospital for Rheumatic Diseases in Novi Sad in the period 2008 till 2013. The evaluation of sagittal mobility of the spine and the respiration index were determined with a...

show abstract

Improvement in pain intensity, spine stiffness, and mobility during a controlled individualized physiotherapy program in ankylosing spondylitis

Cited by 31 publications

References 24 publications

Chest Wall Mobility Is Related to Respiratory Muscle Strength and Lung Volumes in Healthy Subjects

Chest Wall Mobility Is Related to Respiratory Muscle Strength and Lung Volumes in Healthy Subjects

Antagonizing IL-6 in Ankylosing Spondylitis: A Short Review

Evaluation of mobility of the spinal column in patients with ankylosing spondylitis

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