Exercise Adherence in Patients With Ankylosing Spondylitis

Introduction[edit | edit source]

Ankylosing spondylitis (also called Bechterew's disease or Marie-Strumpell disease) is a seronegative spondyloarthritis of the spine and pelvis. It is a chronic inflammatory rheumatic disease with unknown aetiology. AS causes inflammatory back pain, which can lead to structural and functional impairments and a decrease in quality of life. AS is also called "Bamboo Spine" due to bone formation at the level of the joint capsule and cartilage. Hence, affected joints progressively become stiff and sensitive. The treatment for AS mainly consists of drug therapy (usually nonsteroidal anti-inflammatory drugs), and regular performance of an exercise regimen designed by physiotherapists to improve or maintain mobility and posture [1].

Quality of life in patients with AS[edit | edit source]

Exercise Adherence in patients with AS[edit | edit source]

Factors Affecting Adherence[edit | edit source]

Strategies to Increase Adherence[edit | edit source]

- Supervised exercise[edit | edit source]

- Home Exercise Program (HEP)[edit | edit source]

- Patient education: Exercise following an educational program[edit | edit source]

- Medical Treatment[edit | edit source]

Measurement of Adherence[edit | edit source]

Barriers to exercise adherence[edit | edit source]

Facilitators to exercise adherence[edit | edit source]

Clinical bottom line[edit | edit source]

  1. Barlow, J.H., Macey, S.J., Struthers, G., 1992. Psychosocial factors and self-help in ankylosing spondylitis patients. Clin Rheumatol 11, 220–225. https://doi.org/10.1007/BF02207961