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REHABILITATION TREATMENT IN ANKYLOSING SPONDYLITIS

Medicines


REHABILITATION TREATMENT IN ANKYLOSING SPONDYLITIS

Introduction



Ankylosing Spondilitis is prototype of the seronegative Spondyloarthropathies, a chronic inflammatory disease of unknown cause effecti 858b18i ng primarily axial skeleton. The disease is frequent in men and is associated with HLA-B27 haplotype. It involves the Spine and peripheral joints of hands and feet and also presents with extra-articular manifestations like uvitis, pulmonary fibrosis, and nodules.

Objective

The objective of my research was to prove the fact that rehabilitation treatment is benifecial in treatment of AS and it controls pain stiffness with modifying the articular abnormalities. It also helps to maintain the body contracture.

Material and Methods

I have carried out a prospective study on a group of 20 patients diagnosed with ankylosing spondylitis, defined according to the New York criteria modified in 1984.

The subjects of the group were randomly selected from the patients of the Clinical Rehabilitation Hospital, Felix Spa from the period of October 1st 2006 to June 1st 2007 and observed in time period of 18 days under rehabilitation tratment



Clinical variables: the course of the disease

Erythrocyte sedimentation rate (ESR)

Chest expansion

Global evaluation (BASDAI) - index of the course of the disease

Conclusion

Physical and medical rehabilitation treatment has a beneficial effect on a patient with AS on both the disease activity and the functional status

The greatest impact was recorded with the BASDAI index which fell from a mean value 38,8 (Day 0) to 31 (Day 18).

Clearly the treatment was most effective in the early stages of the disease, than in the later stages




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