Does physical therapy still have a place in the treatment of ankylosing spondylitis?

@article{Elyan2008DoesPT,
  title={Does physical therapy still have a place in the treatment of ankylosing spondylitis?},
  author={Mazen Elyan and Muhammad Asim Khan},
  journal={Current Opinion in Rheumatology},
  year={2008},
  volume={20},
  pages={282–286}
}
Purpose of reviewTo review studies of various physical therapy programs in ankylosing spondylitis and identify their benefits and potential indications in the treatment of this disease. Recent findingsVarious exercise and physical therapy programs have been evaluated in clinical studies. Home exercise programs have been shown to improve symptoms, mobility, function and overall quality of life. Formal physical therapy under the supervision of a physical therapist has been shown to improve… 
Effects of physical therapy for the management of patients with ankylosing spondylitis in the biological era
TLDR
The results support a multimodal approach, including educational sessions, conducted in a group setting, supervised by a physiotherapist and followed by a maintaining home-based regimen, and spa exercise and McKenzie, Heckscher, and Pilates methods seem promising in AS rehabilitation.
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TLDR
Home-based exercise program is an effective therapy in increasing functional capacity and joint mobility, decreasing disease activity, improving emotional state, fatigue and quality of life for ankylosing spondylitis patient receiving TNFα inhibitors.
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TLDR
The results of this review help to understand who might benefit from certain interventions, as well as barriers to management, and further examination into physiotherapy modalities, beyond exercise-based intervention, needs to be explored.
Rehabilitation Treatment in Patients with Ankylosing Spondylitis Stabilized with Tumor Necrosis Factor Inhibitor Therapy. A Randomized Controlled Trial
TLDR
Combining intensive group exercise with an educational-behavioral program can provide promising results in the management of patients with clinically stabilized AS on TNF inhibitor treatment.
From rehabilitation to remission in ankylosing spondylitis.
TLDR
It was shown that the clinical efficacy of continuous NSAIDs/coxib treatment for AS was similar to intermittent ‘‘on demand’’ use and it was suggested that the continuous treatment with NSAIDs /coxib could slow the radiographic disease progression over 2 years.
PHYSICAL-KINETIC THERAPY IN ANKYLOSING SPONDYLITIS WITH HIP ARTHROPLASTY
Patient diagnosed with ankylosing spondylitis in 1985, who underwent left hip arthroplasty in 2006 has presented for cervical pain, right hip joint pain, difficulties in walking. Complaints are
Exercise in Ankylosing Spondylitis: Discrepancies Between Recommendations and Reality
TLDR
Patients with AS perceive the benefits of exercise, with average EBBS benefits scores comparable to historical controls with similar conditions, and despite positive perceptions, the majority of patients with AS did not report participating in exercise on a frequent basis.
Physiotherapy rehabilitation in patients with ankylosing spondylitis
TLDR
In the 2016 update of the ASAS-EULAR recommendations for axial AS, multidisciplinary, non-pharmacological (along with pharmacological) treatment is required to ensure optimal management of the disease.
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References

SHOWING 1-10 OF 29 REFERENCES
Is group physical therapy superior to individualized therapy in ankylosing spondylitis? A randomized controlled trial.
TLDR
Group physical therapy proved superior to individualized therapy in improving thoracolumbar mobility and fitness, and had an important effect on global health reported by the patients.
Exercise and changes in health status in patients with ankylosing spondylitis.
TLDR
Health status is improved when patients perform recreational exercise at least 30 minutes per day and back exercises at least 5 days per week, but these effects differ with the duration of AS.
Rehabilitation in ankylosing spondylitis
TLDR
Exercise therapy should remain a mainstay of ankylosing spondylitis treatment complementing medical therapy, and the need for a standardized approach to exercise therapy is demonstrated.
The effectiveness of intensive group exercise on patients with ankylosing spondylitis
TLDR
Group exercise in hospital may be more effective than home-based exercises at reducing impairment associated with ankylosing spondylitis.
Two Exercise Interventions for the Management of Patients with Ankylosing Spondylitis: A Randomized Controlled Trial
TLDR
The experimental protocol developed by the research group, based on the GPR method and specific strengthening and flexibility exercises of the muscle chains, offers promising results in the management of patients suffering from Ankylosing Spondylitis.
Cost effectiveness of combined spa-exercise therapy in ankylosing spondylitis: a randomized controlled trial.
TLDR
Combined spa-exercise therapy besides standard treatment with drugs and weekly group physical therapy is more effective and shows favorable cost-effectiveness and cost-utility ratios compared with standard treatment alone in patients with AS.
The effect of balneotherapy on patients with ankylosing spondylitis
TLDR
Balneotherapy has a supplementary effect on improvement in disease activity and functional parameters in ankylosing spondylitis patients immediately after the treatment period, but only for the parameters of patient's global evaluation and MST at 24 weeks.
Effects of a multimodal exercise program for people with ankylosing spondylitis.
TLDR
A 12-week, multimodal exercise program including aerobic, stretching, and pulmonary exercises provided in conjunction with routine medical management yielded greater improvements in spinal mobility, work capacity, and chest expansion.
Effectiveness of rehabilitation in active ankylosing spondylitis assessed by the ASAS response criteria.
TLDR
The effectiveness of rehabilitation as assessed by the ASAS 20, a validated instrument for treatment response, suggesting its usage in rehabilitation settings is shown, with results showing that the effectiveness of the intensive inpatient rehabilitation declined over time.
The effects of comprehensive home physiotherapy and supervision on patients with ankylosing spondylitis--an 8-month followup.
TLDR
The home physiotherapy treatment program must be delivered as rigorously as it was in the initial trial to be effective, and the benefit from this treatment program can be maintained with very little intervention.
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