Physiotherapy interventions for ankylosing spondylitis.

摘要: Background Ankylosing spondylitis (AS) is a chronic, inflammatory rheumatic disease. Physiotherapy considered an important part of the overall management AS. Objectives To summarise available scientific evidence on effectiveness physiotherapy interventions in AS. Search methods We searched Cochrane Central Register Controlled Trials (CENTRAL), MEDLINE, EMBASE, AMED, CINAHL and PEDro up to January 2007 for all relevant publications, without any language restrictions. We checked reference lists articles contacted authors included articles. Selection criteria We randomised quasi-randomised studies with AS patients where at least one comparison groups received physiotherapy. The main outcomes interest were pain, stiffness, spinal mobility, physical function patient global assessment. Data collection analysis Two reviewers independently selected trials inclusion, extracted data assessed trial quality. Investigators obtain missing information. Main results Eleven total 763 participants this updated review. Four compared individualised home exercise programs or supervised program no intervention reported low quality effects mobility (Relative percentage differences (RPDs) from 5-50%) (four points 33-point scale). Three group home-exercise moderate small (RPDs 7.5-18%) assessment (1.46 cm) favour exercises. In study, three-week inpatient spa-exercise therapy followed by 37 weeks weekly outpatient (without spa) was alone; there pain (18%), (24%) (27%) combined therapy. One study daily balneotherapy only program, another fresh water None these showed significant between-group differences. experimental conventional program; statistically change scores nearly measures program. Authors' conclusions The results review suggest that individual home-based better than intervention; exercises; alone.