Ankylosing Spondylitis CAT Flashcards
1
Q
Ankylosing spondylitis AKA
A
Marie-Strumpell disease
2
Q
What is ankylosing spondylitis?
A
- Systemic condition characterized by chronic inflammation of the spine and larger peripheral joints
- Destroys ligamentous-osseous junction w/ subsequent fibrosis and ossification
3
Q
Which joints are commonly affected by AS?
A
- SI joint, intervertebral discs, spine, costovertebral and apophyseal joints
- Larger peripheral joints (hips, knees, and shoulders)
4
Q
Common demographics w/ AS?
A
- Men > women
- 20-40 years old
5
Q
Common clinical presentation w/ AS
A
Early on
- Recurrent and insidious episodes of LBP
- Morning stiffness
- Impaired spinal extension
- Limited ROM in affected joints
Advanced stages
- Pain increases in severity
- Pain progresses to midback/neck
- Loss of lordosis (due to muscle spasms)
6
Q
Labs/imaging for AS
A
- X-ray negative at first, visible as disease advances
- Blood work to rule out other diseases
- Elevated ESR
7
Q
Goals of medical management of AS
A
- Reduce inflammation
- Maintain functional mobility
- Relieve pain
- NSAIDs
- Indomethacin to relieve pain
8
Q
PT management of AS
A
- Postural exercises emphasizing extension, general ROM, pain management, and energy conservation
- Low-impact and aerobic exercise focusing on extension and rotation
- High-impact and flexion based exercise contraindicated
9
Q
What can occur with excessive exercise in patients w/ AS?
A
Increase of inflammation
10
Q
Which form of exercise is especially recommended for AS?
A
Swimming
11
Q
Sjogren’s syndrome
A
- Another spondyloarthropathy
- Usually found in combo w/ RA or lupus
