Spinal Mobility and Radiologic Change after Comprehensive Rehabilitative Management of Ankylosing Spondylitis.

, Kim, Hee Sang; , Ahn, Kyong Hoi; , Lee, Jong Ha; , Kim, Dong Hwan; , Cho, Dong Ik; , Kang, Jun Goo

Original Article

Journal of the Korean Academy of Rehabilitation Medicine 2005;29(1):76-80.

Kim, Hee Sang , Ahn, Kyong Hoi , Lee, Jong Ha , Kim, Dong Hwan , Cho, Dong Ik , Kang, Jun Goo

Department of Rehabilitation Medicine, Kyung Hee University College of Medicine, Korea. ugnissim@naver.com

강직성 척추염에서 재활치료 후 관절 운동 및 방사선학적 검사의 변화

김희상, 안경회, 이종하, 김동환, 조동익, 강준구

경희대학교 의과대학 재활의학교실

Abstract

Objective
To investigate the evidence of improvement of spinal mobility and the radiologic change of ankylosing spondylitis with comprehensive rehabilitative management.
Method
We retrospectively studied spinal mobility index and radiologic changes of the twenty eight patients who had met the modified New York criteria of ankylosing spondylitis.
Results
Patients comprised 25 men and 3 women with age ranged from 22 to 63 (mean 44.9) years. With spinal mobility index, including Schöber index, lumbar lateral bending, chest expansion, occiput to wall, and finger to floor, all indices showed improvement after comprehensive rehabilitative management. When we evaluated the correlation between spinal mobility index and radiologic change scored by Bath ankylosing spondylitis radiology index (BASRI), patients with mild radiologic change (BASRI grade 0-2) showed improvement in spinal mobility. Radiologic change from initial visit to after one year showed no statistical difference.
Conclusion
We found that intensive rehabilitative management increases spinal mobility of the patients with ankylosing spondylitis. (J Korean Acad Rehab Med 2005; 29: 76-80)

Key Words: Ankylosing spondylitis, Spinal mobility, Radiologic change, Comprehensive rehabilitative management