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Exercise in ankylosing spondylitis

Therapeutic exercises are intended for patients with ankylosing spondylitis (as, or Bechterew disease).

The content of the article:


Purpose and fundamentals of physiotherapy in ankylosing spondylitis

Physiotherapy exercises effectively resist coalescence of the bones and destruction of joints are the main negative consequences of the disease. Use exercises, if done regularly, regardless of the degree of transferred pain, reduces the pain syndrome. So as not to provoke discomfort, you need to understand the purpose and main provisions of the physical therapy.

The patient determines the quantity of medical gymnastics and their duration by analyzing its state for a certain period of time (year, month, week, day).

Morning gymnastics

Performing morning exercises a must! Without hygienic gymnastics it is impossible to imagine the optimal motor mode during the day. And ankylosing inflammatory process occur most intensely during the night. Morning exercises relieves stiffness of joints and restores their range of motion.

Daily "five minutes"

During the day have 2-4 times to perform mini-sets of exercises. If the patient during operation, have long or forced to take an uncomfortable position, "five minutes" are held every hour.


The main occupation physical therapy

The implementation of the main complex of therapeutic exercises is necessary in the periods 11 to 14 hours or 17-20 hours. This is the most sensitive periods of exposure on the body of the metered loads. The aim of the lesson is the development of endurance, flexibility, strength.

Complex excluded axial load on the spine:

  • Jumping,
  • Squats with weights,
  • Exercise on a treadmill
  • The slopes with weights.

Should not be included in the set of exercises in which the spinefor a long time is in a fixed position (Cycling). Performing strength exercises in the gym, you need during the pause to give attention to stretching the muscle group that received the power load. Pain allowed to a minimum extent, although it is better to do without pain. Long-lasting after class pain – a reason to reduce the load in the future.

Strength and endurance

The rules of strength training:

  • Classes to develop strength and endurance interspersed through the day;
  • For the week there is at least 3 classes for the development of the forces, so as to fix the desired result, the muscles that received the stress during training, need to rest.

The development of flexibility

Exercises to develop this quality daily is included in the complex therapeutic exercises.

It is best to include them in lessons after the exercises on the weights:

  • Dynamic gymnastics,
  • Exercise with dumbbells,
  • Classes at the gym,
  • Exercises with rubber bandage.

Exercises weights warm up the muscles, ligaments, capsules of joints. As a result, subsequent stretching of the tissues are more robust, with better effect.

Of flexibility useful to visit the following fitness classes:

  • Yoga,
  • Pool,
  • Pilates classes,
  • Gym.

Breath

To save the excursion of the chest and increase lung capacity daily breathing exercises. The optimal technology of breathing during physiotherapy exercises – breath in the upper part of the chest and pulling the diaphragm up due to the retraction of the abdomen.

The complex of exercises for ankylosing spondylitis

  • UPR. 1: I. p. - sitting on a chair, arms bent at the elbows raised parallel to the floor, the elbow of one hand to clasp the other hand. The chin "to delineate" the line is raised and folded hands, stretch forward as far as possible. Perform 4 times in the right and left side.

  • UPR. 2: I. p. – standing, hands down. Rotate the shoulders forward and back, applying maximum force. To run 4 times in each direction.

  • UPR. 3: I. p. – standing, arms raised above head, elbows bent clenchedpalms. Maximum amplitude to lean left and right, putting noticeable effort. Perform 4 times each side.

  • UPR. 4: I. p. - standing, arms bent at the elbows raised parallel to the floor, elbows clenched hands. The turns to lock with the application of appreciable tensile loads. To run slowly, 4 times in both directions.

  • UPR. 5: I. p. – standing, lower your hands down. While the inclination is to hold hands knees, pulled him to your chest. Returning to the standing position, bend the chest, raise the hands up and to the side. Perform 6-8 repetitions.

  • UPR. 6: I. p. – lying on your back, arms along the body, legs bent at the knees. Alternately slowly swung to the side bent at the knee, the tibia of each leg, making a tangible effort. Perform 4 times each leg.

  • UPR. 7: I. p. – lying on your back, arms bent at the elbows, the forearms in a vertical position. To cave in your chest, resting on your elbows and the back of the head, to return to I. p. Pelvis to off the floor to perform the movement slowly. You need a total of 8 repetitions.

  • UPR. 8: I. p. – lying on your back, arms along the body. Raise your head, shoulders while pressed to the floor. At the same time to pull of the foot. To return to I. p. repeat 6-8 times.

  • UPR. 9: I. p. – lying on his stomach, arms stretched forward. To rely on the right hand, raise the other arm parallel to the floor. At the same time raise the chest, not twisting while the trunk, return to I. p. to Perform 4-6 times with each hand.

  • UPR. 10: I. p. – lying on his stomach, chin rests on bent at the elbows hands, feet – near a vertical support. Lift up your left leg, pull the foot, push right foot on a support, to return to I. p. to Perform the exercise for 4 times right and left leg .

  • UPR. 11: I. p. – lying on his stomach, arms along the body edge of his hand up. Lift up the top half of the torso, pinning his chin to his chest. Feet pressed to the floor, return to I. p. to Perform 6-8 repetitions.

  • UPR. 12 "Cat": I. p. – standing on all fours. To make your back round, as close to the pelvis to the head, with a force pulling up chest. Then bend your chest and lower back without lifting his head, without bending elbows. Perform 6-8 repetitions.

  • UPR. 12 "Cat looks at its tail": I. p. is the same as in the previous exercise. Rotate your torso to the opposite side with a tangible force, trying to push the pelvis towards the shoulder. 4 repeat in each direction.

  • UPR.14: I. p. – standing on all fours. Pull the right knee towards the left hand, under the path of "stepping" the imaginary obstacle.The knee describes an arc towards it to take it is impossible. To return to I. p., to fulfill the other leg. Repeat 4 times.

  • UPR. 15: I. p. – emphasis on the hands and knees. Alternately slowly raise each leg back up, pull the toe of the foot. Pull up the foot should be parallel to the floor. Perform 4 times each leg.

To achieve a therapeutic effect of the technique of exercises must be respected impeccably. It is best to learn the complex physical therapy under the guidance of a physiotherapist. You should focus on muscle sensations, precision movements, the change of posture. To fix positive dynamics will be possible only after 2-3 months of regular exercise.


Exercise therapy in ankylosing spondylitis with low disease activity

Proposed in the video a set of exercises No. 1 is designed for patients with a low pain and low activity of ACE, with peripheral joints, is not affected. The author of the complex, physiotherapist kuzyakov S. N., in addition to the main parts included in it and warm-up exercises.

It is impossible to keep the amplitude of movements of joints and spine in ankylosing spondylitis without medical gymnastics as only physical activity is able to withstand ankylosing spondylitis.


Exercise therapy in ankylosing spondylitis patients with high disease activity

Exercise №3 is intended for patients with high activity of ankylosing spondylitis with high pain. The author of the complex kuzyakov S. N. include exercises to warm-up, so in addition to carry out.

In ankylosing spondylitis for the preservation of motor activity exercise is vital. Only through therapeutic exercises the joints and spine will be able to maintain the range of motion.


Lecture Bochkova A. G. at the School for patients with ankylosing spondylitis

Video lectures "Bechterew's Disease – General information and basic aspects of the disease".


Source: http://bbehtereva.ru/lfk