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 Schober index, lumbar lateral bending, chest expansion, occiput to wall, and finger to floor, all in dices 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.
Subject(s)
Female , Humans , Male , Baths , Fingers , Retrospective Studies , Spondylitis, Ankylosing , ThoraxABSTRACT
Pancoast tumor is a specific lung carcinoma that has symptoms according to the location. It often involves the extrathoracic structure more than parenchyme of lung, that cause shoulder pain. A 61-years old man had been complaining of shoulder pain and limitation of range of motions of shoulder joint. Conservative management of the shoulder pain was not effective with physical therapy and injection therapy and the symptom of right upper extremity radiating pain had been aggravated. We had examination of the eletro-diagnostic test in 17 months after shoulder pain was developed. The findngs of the electrodiagnostic test was suspected as the injury of lower trunk of brachial plexus, so we had checked MRI on brachial view. The pancoast tumor was found in the extrathoracic region that invaded the lower trunk of the brachial plexus. The shoulder pain related with tumor was rare and could cause brachial plexopathy.