Rehab May Improve Function in AS - Report - MDSpire

Rehab May Improve Function in AS

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  • Andrea Surnit

  • May 21, 2026

  • 6 min

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Clinical Report: Rehab May Improve Function in AS

Overview

A review highlights that multimodal rehabilitation may enhance function and bone health in patients with ankylosing spondylitis (AS). Supervised rehabilitation shows greater benefits compared to unsupervised programs, particularly in improving disease activity and spinal mobility.

Background

Ankylosing spondylitis (AS) significantly increases the risk of fractures due to spinal rigidity and kyphosis, which can lead to severe complications. Effective rehabilitation strategies are essential for preserving function and improving quality of life in these patients. This review synthesizes evidence on the impact of rehabilitation on various outcomes in AS, emphasizing the need for a comprehensive approach beyond pharmacological treatments.

Data Highlights

No specific numerical data provided in the source material.

Key Findings

  • Multimodal rehabilitation may preserve function and improve bone health in AS patients.
  • Supervised rehabilitation is associated with greater improvements in disease activity and spinal mobility compared to unsupervised home exercise.
  • Exercise programs generally yield moderate improvements in physical function and spinal mobility.
  • Aquatic therapy shows significant benefits for patients with pain limiting land-based exercise.
  • Bone mineral density improvements were noted, particularly at the hip and femoral neck, with resistance training showing the highest efficacy.
  • Limited evidence exists regarding rehabilitation's effect on the biological pathways of structural ankylosis.

Clinical Implications

Healthcare professionals should prioritize supervised rehabilitation programs for patients with AS to maximize functional outcomes and enhance bone health. Incorporating aquatic therapy may be beneficial for patients with pain that restricts participation in traditional exercise programs.

Conclusion

The review underscores the importance of a comprehensive rehabilitation approach in managing ankylosing spondylitis, highlighting the potential for improved patient outcomes through structured exercise and supervised interventions.

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  8. Physical Activity Patterns and C-Reactive Protein Levels as Indicators of Spinal Immobility Progression in Ankylosing Spondylitis Patients
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  10. https://academic.oup.com/rheumatology/article/64/6/3242/8108015
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