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  • Essay / Effect of physiotherapy interventions on AS

    Experimental studies: In one of the studies carried out by Y Analay et al (2002), the researcher compared a supervised group exercise program with a physiotherapy program at home. A total of 45 subjects were randomly divided into two groups. Group I (N=23) was treated with stretching, mobilization, strengthening, cycling, postural, and breathing exercises. Each session lasted 50 minutes and was provided 3 days/week for 6 weeks. While group II (N=22) performed the same exercises at home for six weeks. After 6 weeks, pain levels remained constant, aerobic capacity improved significantly in Group I compared to baseline, but no significant differences were found between groups. Another study carried out by M. Yurtkuran et al (2005), three groups treated with different options were compared. Balneotherapy (N = 21) was administered to group I for 20 minutes per day, 5 days per week for 3 weeks. Group II (N=20) was treated with BT and NSAIDs (1000 mg naproxen) for the same period, while group III (N=20) only took NSAIDs. All groups were required to perform breathing and postural exercises for 20 minutes per day. After 6 months of follow-up, they showed significant improvement in all groups for all parameters except ESR, finger-to-ground distance and Schober's test. Pilot Study: In 10-15% of AS cases, jaw complications also appear and most subjects undergo surgical intervention like osteotomy, etc. A study was carried out by DW Oh et al (2008), in which a physiotherapy program was administered for TMJ pain and restricted mouth opening (N=10, mouth opening <30 mm). The treatment session lasted 1 hour, administered 3 times per week for 4 weeks, with a 6-week follow-up. In total, 12 sessions of somatognathic alignment exercises with home exercise program were carried out (Fig. 4). ATD showed improvement after...... middle of article...... therapy program in ankylosing spondylitis. Rheumatol Int, 32, 3931-3936.37. Analay, Y., Ozcan, E., Karan, A., Diracoglu, D. and Aydin, R. (2003). The effectiveness of intensive group exercises in patients with ankylosing spondylitis. Clinical Rehabilitation, 17, 631-636.38. Turan, Y., Bayraktar, K., Aydin, E., Tastaban, E. and Berkit, IK (2014). Is magnetic therapy applied to bilateral hips effective in patients with ankylosing spondylitis? a randomized, double-blind, controlled study. Rheumatol Int, 34, 357-365.39. Widberg, K. and Karimi, H. (2009). Personal and manual mobilization improves spinal mobility in men with ankylosing spondylitis – a randomized study.Clinical Rehabilitation, 23, 599-608.40. Tubergen, A.V. and Hidding, A. (2002). Spa treatment and exercise in ankylosing spondylitis: reality or fantasy?. Best practices and research in clinical rheumatology, 16(4), 653-666.