Rapid Functional Enhancement of Ankylosing Spondylitis with Severe Hip Joint Arthritis and Muscle Strain
Clinical Pain
; (2): 121-125, 2019.
Article
em Ko
| WPRIM
| ID: wpr-811482
Biblioteca responsável:
WPRO
ABSTRACT
Arthritis of hip joints deteriorates the quality of life in ankylosing spondylitis (AS) patients. Secondary to the articular inflammatory process, the shortened hip-girdle muscles contribute to the decreased joint mobility which may lead to the functional impairment. As the limitation of range of motion (ROM) usually progress slowly, clinicians regard it as a chronic condition and prescribe long-term therapy. However, by short-term intensive multimodal treatment, a 20-year-old man diagnosed as AS with severely limited hip joint ROM who relied on crutches doubled the joint angle and could walk independently only within 2 weeks. The combination included intra-articular steroid injection, electrical twitch obtaining intramuscular stimulation, extracorporeal shock wave therapy, heat, manual therapy, and stretching exercises. The management focused on the relaxation of hip-girdle muscles as well as the direct control of intra-articular inflammation. Hereby, we emphasize the effectiveness of intensive multimodal treatment in improving the function even within a short period.
Palavras-chave
Texto completo:
1
Índice:
WPRIM
Assunto principal:
Artrite
/
Qualidade de Vida
/
Relaxamento
/
Choque
/
Espondilite Anquilosante
/
Exercício Físico
/
Amplitude de Movimento Articular
/
Terapia Combinada
/
Muletas
/
Manipulações Musculoesqueléticas
Tipo de estudo:
Guideline
Limite:
Humans
Idioma:
Ko
Revista:
Clinical Pain
Ano de publicação:
2019
Tipo de documento:
Article