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Self- and manual mobilization improves spine mobility in men with ankylosing spondylitis
Clinical Rehabilitation, 06/22/09
Widberg K et al. – Findings show that 8 wks of self- and manual-mobilization treatment improved chest expansion, posture, and spine mobility in pts with ankylosing spondylitis.
Methods- Study of effects of physiotherapeutic intervention in terms of self- and manual-mobilization treatment on chest expansion, vital capacity, posture, spine mobility and disease sequelae in ankylosing spondylitis pts
- Prospective, randomized controlled study of 32 men, age 23-60 yrs, with ankylosing spondylitis
- Randomization to active or no treatment for 8 wks
- Physiotherapeutic intervention: individualized self- and manual mobilization for 1 hr twice weekly and individualized home exercises
- Assessments by 2 blinded investigators of chest expansion, posture, and spinal mobility before/after treatment
- Bath Ankylosing Spondylitis (BAS) scale completion: of 4 scales, 3 by pt and 1 by physiotherapist
- In treatment group chest expansion increased at level of processus xiphoideus, with no difference in vital capacity vs control group
- Posture improvement of in cervical (C7-wall distance) and in thoracic spine
- Improvement of thoracic and lumbar spine flexion and of sagittal range of motion
- BAS Metrology Index total scoring improvement in treatment vs control group
- Other 3 BAS scales showed no differences between groups
- At 4 mo follow-up of treatment group, cervical spine posture, lumbar flexion, range of motion and BAS Metrology Index still improved
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