Influence of Manual Therapy and Stretching Exercises on Mobility Status and Pulmonary Function Tests Among Patients with Ankylosing Spondylitis
Introduction: AS (ankylosing spondylitis) is a systemic disease that impairs entire body functioning of a patient. The most common dysfunctions concern the area of the chest, spine and upper limb. As a consequence of these dysfunctions, the lungs of patients work in abnormal conditions, impairing th...
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Univeristy of Physical Education in Krakow
2023-11-01
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| Series: | Rehabilitacja Medyczna |
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| Online Access: | http://rehmed.pl/gicid/01.3001.0054.0124 |
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| author | Daniel Szewczyk Teresa Sadura-Sieklucka Beata Tarnacka Tomasz Targowski |
| author_facet | Daniel Szewczyk Teresa Sadura-Sieklucka Beata Tarnacka Tomasz Targowski |
| author_sort | Daniel Szewczyk |
| collection | DOAJ |
| description | Introduction: AS (ankylosing spondylitis) is a systemic disease that impairs entire body functioning of a patient. The most common dysfunctions concern the area of the chest, spine and upper limb. As a consequence of these dysfunctions, the lungs of patients work in abnormal conditions, impairing their functioning.Objectives: The aim of the study is assessing the impact of rehabilitation among patients with AS on functional and respiratory parameters.Material and methods: The study comprised 45 patients divided into two groups. For 25 patients in the group rehabilitation was focused on manual therapy (TM) while 20 patients were rehabilitated on the basis of stretching exercises (SE). As part of improvement progress assessment, the following were measured: upper limb mobility, chest expansion, Occiput to Wall Distance test, spinal angle, functional examination of the respiratory system, the Bath AS Disease Activity Index (BASDAI), Bath AS Functional Index (BASFI) and Pain Disability Index (PDI) questionnaires.Results: After rehabilitation, the Occiput to Wall Distance test also improved expansion of the chest. The BASDAI, BASFI, questionnaires and the VAS scale improved in both study groups. Among respiratory parameters, inspiratory and respiratory muscle strength further increased.Conclusions: Rehabilitation is a very effective form of improving the patient's functional status and should be an indispensable element of the patient's treatment. Both manual therapy and stretching exercises have been shown to be successful. |
| format | Article |
| id | doaj-art-8563c8acce5f45f6a2508d574537a1a1 |
| institution | Kabale University |
| issn | 1427-9622 1896-3250 |
| language | English |
| publishDate | 2023-11-01 |
| publisher | Univeristy of Physical Education in Krakow |
| record_format | Article |
| series | Rehabilitacja Medyczna |
| spelling | doaj-art-8563c8acce5f45f6a2508d574537a1a12025-08-20T04:00:45ZengUniveristy of Physical Education in KrakowRehabilitacja Medyczna1427-96221896-32502023-11-01273606510.5604/01.3001.0054.012401.3001.0054.0124Influence of Manual Therapy and Stretching Exercises on Mobility Status and Pulmonary Function Tests Among Patients with Ankylosing SpondylitisDaniel Szewczyk0Teresa Sadura-Sieklucka1Beata Tarnacka2Tomasz Targowski3Department of Rehabilitation, National Institute of Geriatrics, Rheumatology and Rehabilitation, Warsaw, PolandDepartment of Geriatrics National Institute of Geriatrics, Rheumatology and Rehabilitation, Warsaw, PolandDepartment of Rehabilitation, National Institute of Geriatrics, Rheumatology and Rehabilitation, Warsaw, PolandDepartment of Geriatrics National Institute of Geriatrics, Rheumatology and Rehabilitation, Warsaw, PolandIntroduction: AS (ankylosing spondylitis) is a systemic disease that impairs entire body functioning of a patient. The most common dysfunctions concern the area of the chest, spine and upper limb. As a consequence of these dysfunctions, the lungs of patients work in abnormal conditions, impairing their functioning.Objectives: The aim of the study is assessing the impact of rehabilitation among patients with AS on functional and respiratory parameters.Material and methods: The study comprised 45 patients divided into two groups. For 25 patients in the group rehabilitation was focused on manual therapy (TM) while 20 patients were rehabilitated on the basis of stretching exercises (SE). As part of improvement progress assessment, the following were measured: upper limb mobility, chest expansion, Occiput to Wall Distance test, spinal angle, functional examination of the respiratory system, the Bath AS Disease Activity Index (BASDAI), Bath AS Functional Index (BASFI) and Pain Disability Index (PDI) questionnaires.Results: After rehabilitation, the Occiput to Wall Distance test also improved expansion of the chest. The BASDAI, BASFI, questionnaires and the VAS scale improved in both study groups. Among respiratory parameters, inspiratory and respiratory muscle strength further increased.Conclusions: Rehabilitation is a very effective form of improving the patient's functional status and should be an indispensable element of the patient's treatment. Both manual therapy and stretching exercises have been shown to be successful.http://rehmed.pl/gicid/01.3001.0054.0124ankylosing spondylitisrespiratory parametersrespiratory muscles |
| spellingShingle | Daniel Szewczyk Teresa Sadura-Sieklucka Beata Tarnacka Tomasz Targowski Influence of Manual Therapy and Stretching Exercises on Mobility Status and Pulmonary Function Tests Among Patients with Ankylosing Spondylitis Rehabilitacja Medyczna ankylosing spondylitis respiratory parameters respiratory muscles |
| title | Influence of Manual Therapy and Stretching Exercises on Mobility Status and Pulmonary Function Tests Among Patients with Ankylosing Spondylitis |
| title_full | Influence of Manual Therapy and Stretching Exercises on Mobility Status and Pulmonary Function Tests Among Patients with Ankylosing Spondylitis |
| title_fullStr | Influence of Manual Therapy and Stretching Exercises on Mobility Status and Pulmonary Function Tests Among Patients with Ankylosing Spondylitis |
| title_full_unstemmed | Influence of Manual Therapy and Stretching Exercises on Mobility Status and Pulmonary Function Tests Among Patients with Ankylosing Spondylitis |
| title_short | Influence of Manual Therapy and Stretching Exercises on Mobility Status and Pulmonary Function Tests Among Patients with Ankylosing Spondylitis |
| title_sort | influence of manual therapy and stretching exercises on mobility status and pulmonary function tests among patients with ankylosing spondylitis |
| topic | ankylosing spondylitis respiratory parameters respiratory muscles |
| url | http://rehmed.pl/gicid/01.3001.0054.0124 |
| work_keys_str_mv | AT danielszewczyk influenceofmanualtherapyandstretchingexercisesonmobilitystatusandpulmonaryfunctiontestsamongpatientswithankylosingspondylitis AT teresasadurasieklucka influenceofmanualtherapyandstretchingexercisesonmobilitystatusandpulmonaryfunctiontestsamongpatientswithankylosingspondylitis AT beatatarnacka influenceofmanualtherapyandstretchingexercisesonmobilitystatusandpulmonaryfunctiontestsamongpatientswithankylosingspondylitis AT tomasztargowski influenceofmanualtherapyandstretchingexercisesonmobilitystatusandpulmonaryfunctiontestsamongpatientswithankylosingspondylitis |