Rheumatology Medical News about men with ankylosing spondylitis;mobilization;spine mobility

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Self- and manual mobilization improves spine mobility in men with ankylosing spondylitis
Clinical Rehabilitation, 06/23/09

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

Results

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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