Rehabilitation of patients with spondyloarthritis: a narrative review

Nonpharmacological interventions are one of the mainstreams of treatment for patients with spondyloarthritis (SpA). They include education, measures regarding joint protection, posture and rest, therapeutic exercise, physical therapy modalities, orthoses, and acupuncture. A key component in the reha...

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Main Authors: Simeon Grazio, Frane Grubišić, Vedran Brnić
Format: Article
Language:English
Published: Medical Association of Zenica-Doboj Canton 2019-08-01
Series:Medicinski Glasnik
Subjects:
Online Access:http://ljkzedo.ba/mgpdf/mg31/31_Grazio_1047_A.pdf
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author Simeon Grazio
Frane Grubišić
Vedran Brnić
author_facet Simeon Grazio
Frane Grubišić
Vedran Brnić
author_sort Simeon Grazio
collection DOAJ
description Nonpharmacological interventions are one of the mainstreams of treatment for patients with spondyloarthritis (SpA). They include education, measures regarding joint protection, posture and rest, therapeutic exercise, physical therapy modalities, orthoses, and acupuncture. A key component in the rehabilitation of patients with SpA entities is therapeutic exercise, which can be performed as land-based or water-based. Positive effects of the exercises are manifested in reducing pain, maintaining mobility, improving posture, increasing aerobic capacity and improving quality of life. The best effects can be obtained when exercise is performed under the supervision of a physiotherapist at a health institution. The majority of studies on therapeutic exercise in SpA are related to ankylosing spondylitis (AS), while there is a paucity of studies devoted to other conditions. Although progress has been made in the quantity and quality of research on this topic, there are still issues regarding the quality of studies and considerable variability among them, which makes it difficult to compare different methods and harmonize and develop rehabilitation protocols according to evidence-based medicine.
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spelling doaj.art-61377860dba34da482b4b447bc9aa8632022-12-21T21:17:45ZengMedical Association of Zenica-Doboj CantonMedicinski Glasnik1840-01321840-24452019-08-0116214415610.17392/1047-19Rehabilitation of patients with spondyloarthritis: a narrative reviewSimeon Grazio0Frane Grubišić1Vedran Brnić2Department of Rheumatology, Physical and Rehabilitation Medicine, University Hospital Centre Sestre milosrdnice, School of Medicine, University of Zagreb; Referral Centre for Spondyloarthritides, Ministry of Health, Republic of Croatia, UEMS PRM Board Training Centre in Physical and Rehabilitation Medicine, Zagreb, Croatia Department of Rheumatology, Physical and Rehabilitation Medicine, University Hospital Centre Sestre milosrdnice, School of Medicine, University of Zagreb; Referral Centre for Spondyloarthritides, Ministry of Health, Republic of Croatia, UEMS PRM Board Training Centre in Physical and Rehabilitation Medicine, Zagreb, Croatia Department of Rheumatology, Physical and Rehabilitation Medicine, University Hospital Centre Sestre milosrdnice, School of Medicine, University of Zagreb; Referral Centre for Spondyloarthritides, Ministry of Health, Republic of Croatia, UEMS PRM Board Training Centre in Physical and Rehabilitation Medicine, Zagreb, Croatia Nonpharmacological interventions are one of the mainstreams of treatment for patients with spondyloarthritis (SpA). They include education, measures regarding joint protection, posture and rest, therapeutic exercise, physical therapy modalities, orthoses, and acupuncture. A key component in the rehabilitation of patients with SpA entities is therapeutic exercise, which can be performed as land-based or water-based. Positive effects of the exercises are manifested in reducing pain, maintaining mobility, improving posture, increasing aerobic capacity and improving quality of life. The best effects can be obtained when exercise is performed under the supervision of a physiotherapist at a health institution. The majority of studies on therapeutic exercise in SpA are related to ankylosing spondylitis (AS), while there is a paucity of studies devoted to other conditions. Although progress has been made in the quantity and quality of research on this topic, there are still issues regarding the quality of studies and considerable variability among them, which makes it difficult to compare different methods and harmonize and develop rehabilitation protocols according to evidence-based medicine.http://ljkzedo.ba/mgpdf/mg31/31_Grazio_1047_A.pdfexercisephysical therapy modalitiesrehabilitationspondylarthritis rehabilitation
spellingShingle Simeon Grazio
Frane Grubišić
Vedran Brnić
Rehabilitation of patients with spondyloarthritis: a narrative review
Medicinski Glasnik
exercise
physical therapy modalities
rehabilitation
spondylarthritis rehabilitation
title Rehabilitation of patients with spondyloarthritis: a narrative review
title_full Rehabilitation of patients with spondyloarthritis: a narrative review
title_fullStr Rehabilitation of patients with spondyloarthritis: a narrative review
title_full_unstemmed Rehabilitation of patients with spondyloarthritis: a narrative review
title_short Rehabilitation of patients with spondyloarthritis: a narrative review
title_sort rehabilitation of patients with spondyloarthritis a narrative review
topic exercise
physical therapy modalities
rehabilitation
spondylarthritis rehabilitation
url http://ljkzedo.ba/mgpdf/mg31/31_Grazio_1047_A.pdf
work_keys_str_mv AT simeongrazio rehabilitationofpatientswithspondyloarthritisanarrativereview
AT franegrubisic rehabilitationofpatientswithspondyloarthritisanarrativereview
AT vedranbrnic rehabilitationofpatientswithspondyloarthritisanarrativereview