Multidisciplinary evaluation and therapeutic management of patients with ankylosing spondylitis

Authors: Alesandra Florescu 1, Andrei Bondari 2, Ana-Maria Bumbea 3, Otilia Rogoveanu 3, Bogdan Ștefan Bumbea 4, Paulina Ciurea 5, Anca Emanuela Mușetescu 5

 

Affiliation

1 Department of Rheumatology, Emergency Clinical County Hospital of Craiova, Romania

2 Department of Radiology and Medical Imaging, University of Medicine and Pharmacy of Craiova, Romania

3 Department of Medical Rehabilitation, University of Medicine and Pharmacy of Craiova, Romania

4 Department of Orthopaedics, Emergency Clinical County Hospital of Craiova, Romania

5 Department of Rheumatology, University of Medicine and Pharmacy of Craiova, Romania

 

* All authors have equal contributions to this study

 

 

Abstract

Background. Ankylosing spondylitis is a chronic inflammatory disease, from the spondyloarthritis group, characterized by axial skeletal damage (spinal column, sacroiliac joints), peripheral joint and entheseal involvement.

Aims. The purpose of the current study is to assess the disease activity and functional indices of patients diagnosed with ankylosing spondylitis before and after non-pharmacological treatment.

Methods. The study included 30 patients with ankylosing spondylitis hospitalized between 2016-2018 in the Department of Rheumatology of the Emergency Clinical County Hospital of Craiova. Disease activity and functional indices were assessed using standardized scoring systems such as ASDAS, BASDAI and BASFI. Rehabilitation treatment was recommended to all the patients, especially to those with a predominantly axial form of ankylosing spondylitis.

Results. The minimum registered value of BASFI was 1.8, the maximum value was 9.2, with a mean value of 7.52. Indi­vidual and mean BASFI values decreased significantly (p=0.008) after the 3 months of combined treatment, from a mean value of 7.52 to 6.8, minimum and maximum values also decreasing from 1.8 to 1.6 and from 9.2 to 8.2, respectively.

Conclusions. The multidisciplinary approach of patients with ankylosing spondylitis is of great importance, long- and short-term studies demonstrating that both pharmacological and non-pharmacological therapies have a beneficial effect on the quality of life of ankylosing spondylitis patients.

 

Key words: ankylosing spondylitis, physical therapy, BASFI score, multidisciplinary approach.

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Multidisciplinary evaluation and therapeutic management of patients with ankylosing spondylitis

https://doi.org/10.26659/pm3.2019.20.1.4