Evaluation of a special concept of physical therapy in spondyloarthritis: German multimodal rheumatologic complex treatment for spondyloarthritis.

摘要: OBJECTIVES Multimodal rheumatologic complex treatment (MRCT) is a specific concept of German inpatient care focusing on physical therapy for patients with rheumatic diseases suffering from exacerbated pain and functional impairment. As key in the spondyloarthritis (SpA), we conducted monocentric retrospective analysis effects MRCT status SpA including axial (axSpA), non-radiographic (nr-axSpA) psoriatic arthritis involvement (axPsA). METHODS 134 episodes provided to 100 between 2014 2017 were analysed. We evaluated changes intensity, disease activity before after episode. In addition, assessed potential influences various patient characteristics, course comorbidities. RESULTS Overall, resulted significant amelioration (NRS: p < 0.001), improvement capacity (FFbH: p = 0.03; HAQ: p = 0.02; BASFI: p < 0.001) reduction (BASDAI p < 0.001; DAS28: p = 0.009). general, axSpA, nr-axSpA axPsA comparable. Different aspects its previous did not have effect outcome parameters. Comorbidities (e.g. fibromyalgia) significantly influence response. CONCLUSION only decreases improves function but also reduces irrespective comorbidities fibromyalgia), thus underlining importance non-pharmacological SpA.Key Points• Physical component treating SpA.• impairment.• fibromyalgia).• could be role model by means as are influenced therapy, duration or it has no side effects.