Useful References:
AS and Balance:
Zimi Sawacha et al. Biomechanical assessment of balance and posture in subjects with ankylosing spondylitis. Journal of Neuro Engineering and Rehabilitation Link
Cardiovascular risk in AxSpA:
Patients with spondyloarthritis (SpA) were at elevated risk for acute coronary syndrome (ACS) and venous thromboembolism vs the general population.
Stroke was also a higher risk in those with ankylosing spondylitis (AS) and psoriatic arthritis (PsA). "Are ankylosing spondylitis, psoriatic arthritis and undifferentiated spondyloarthritis associated with an increased risk of cardiovascular events". Link
Patients with ankylosing spondylitis (AS) are at a 30%-50% increased risk of incident cardiovascular (CV) events compared with the general population.?Compared with patients with rheumatoid arthritis (RA), those with AS have about the same stroke risk, but only half the risk for thrombotic events or acute coronary syndromes Link
Diagnostic Dilema:
Axial spondyloarthritis, as common as rheumatoid arthritis, goes undiagnosed for years:
Link
Disease Activity:
Is Spinal Mobility in Patients With Spondylitis Determined By Age, Structural Damage, and Inflammation Link
Exercise Interventions:
Behaviour change intervention increases physical activity, spinal mobility and quality of life in adults with ankylosing spondylitis: a randomisedtrial.
Link
Exercise, physical activity, and self-determination
theory: A systematic review
Link
Exercise therapy for spondyloarthritis: a systematic review
Link
Swiss ball exercises improve muscle strength and walking performance in ankylosing spondylitis: a randomized controlled trial.
Link
A comparison of respiratory muscle strength, pulmonary function tests and endurance in patients with early and late stage ankylosing spondylitis
Link
Disorders of balance and vestibular function in US adults. ArchIntern Med. 2009;169(10):938–944.
Tai Chi and fall reductions in older adults: a randomized controlled trial. J Gerontol. 2005;60A:187–194.
Beneficial effect of proprioceptive physical activities on balance control in elderly human subjects. Neuroscience Lett. 1999;273:81–84.
Postural orientation and equilibrium: what do we need to know about neural control of balance to prevent falls? Age Ageing.2006;35(suppl 2):ii7–ii11
Preventing Falls: What Works—A Compendium of Effective Community-based Interventions from Around the World. National Center for Injury Prevention and Control. Atlanta, GA; 2008.
Fracture Risk:
Clinical outcomes following spinal fracture in patients with ankylosing spondylitis Link
Inflammatory associated diseases:
Patients with IBD often suffer from extraintestinal rheumatic manifestations, prevalently including inflammatory back disorders like ankylosing spondylitis (AS), axial spondylarthropathy (axial SpA) and inflammatory back pain (IBP):
The prevalence of axial spondylarthropathy (SpA) and (ankylosing spondylitis) AS in IBD patients late in the disease course was higher than the prevalence reported in general populations. Link
Presented at the annual 2017 meeting of the European Crohn's and Colitis Organisation:
Spondyloarthritis (SpA)-associated musculoskeletal manifestations were frequently reported by inflammatory bowel disease (IBD) patients on TNF inhibitors; increased recognition of SpA accompanied use of a SpA self-reported questionnaire, which could alter management and improve patient outcomes.
Link
Enthesitis is thought to be the key to the inflammatory arthritis, this site provides information on the latest research and expert knowledge on the way forward.
Evaluation and Treatment of Enthesitis-Related Arthritis
Uveitis in spondyloarthritis including psoriatic arthritis, ankylosing spondylitis, and inflammatory bowel disease .
Medical Guidelines:
Efficacy and safety of non-pharmacological and non-biological pharmacological treatment: a systematic literature review informing the 2016 update of the ASAS/EULAR recommendations for
Link
Certolizumab pegol and secukinumab for treating active psoriatic arthritis after inadequate response to DMARDs. National Institute for Health and Care Excellence. 2017 May 24. Link
In patients with active psoriatic arthritis, secukinumab inhibited radiographic disease progression.
Link
Link
Treating axial spondyloarthritis and peripheral spondyloarthritis, especially psoriatic arthritis, to target: 2017 update of recommendations by an international task force Link
Pregnancy and Risk Factors:
Patients with RA or AS often experience disease flares during pregnancy, but it is unknown whether changes in treatment around the time of conception influence flare risk
This study suggests; to prevent flares, consider continuing medication for axial spondyloarthritis (AS) and rheumatoid arthritis (RA) after conception in pregnant patients.Link
Pregnancy outcome in patients with ankylosing spondylitis. Link
Published peer reviewed abstracts:
Martindale, J, Dickinson, S, Bampouras, T. Is falling really a problem for people living with Ankylosing Spondylitis? A survey of National Ankylosing Spondylitis Society members. Rheumatology 2017: 6: Supplement 2; E71
Gregory, W, McCall, G, Shaw, K, Martindale, J. Audit and clinical evaluation of the North West spondyloarthritis physiotherapy services. Rheumatology 2017: 6: Supplement 2; E03
Shukla, R, Martindale, J, Gladston- Chelliah, E, Goodacre, J. Lets talk inflammatory back pain: A qualitative study regarding experiences of disclosure in people with Ankylosing Spondylitis/Axial Spondylitis. Rheumatology 2017:56 Supplement 2: 019
Respiratory function and AS:
Rehabilitation of pulmonary dysfunction in patients with ankylosing spondylitis, ERJ.
Link
OLS É N M F et al. Measuring chest expansion; A study comparing two different instructions, Advances in Physiotherapy.
Link
The Effect(s) of a Six-Week Home-Based Exercise Program on the Respiratory Muscle and Functional Status in Ankylosing Spondylitis, JCR:
Link
Chest wall kinematics and respiratory muscle action in ankylosing spondylitis patients,
Link
Work and Lyfestyle Issues:
The impact of ankylosing spondylitis/axial spondyloarthritis on work productivity.Link
The relationship between body weight and inflammation:
Link
Cigarette smoking has a dose depend impact on structural damage in the spine in patients with Spondyloarthritis:
Link
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