Pulmonary Rehabilitation |

Respiratory Rehabilitation in Patients With Spondylitis FREE TO VIEW

Rodica Traistaru, PhD; Mara Popescu-Hagen, PhD; Diana Kamal, MD; Otilia Rogoveanu, MD; Paraschiva Postolache, PhD
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University of Medicine anf Pharmacy Craiova, Craiova, Romania

Chest. 2015;148(4_MeetingAbstracts):915A. doi:10.1378/chest.2270552
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SESSION TITLE: Pulmonary Rehabilitation Posters

SESSION TYPE: Original Investigation Poster

PRESENTED ON: Wednesday, October 28, 2015 at 01:30 PM - 02:30 PM

PURPOSE: Ankylosing spondylitis (AS) is a condition characterized by a chronic immune inflammatory process, which concerns progressive connective tissue of the spine, sacroiliac and peripherals joints. Due to the limitation of chest expansion in advanced stages of the disease, patients present restrictive ventilatory dysfunction rarely associated with hypoventilation. In the smoking patients ventilatory dysfunction is a composite, due to bronchial obstructive component . In this study, we have two objectives : 1 ) to establish the correlation that exists between clinical and functional status , respiratory parameters , exercise capacity and quality of life in patients diagnosed with AS who were compliant rehabilitation program ; 2) to compare the mean values ​​of the indices and parameters set initially and after the rehabilitation program.

METHODS: The study was conducted on a sample of 20 patients with AS (15 men and 5 women, aged between 36 and 54 years) within two years ( 2011-2013 ). The patients were evaluated initially and after the complete rehabilitation program ( educational measures, physical therapy - posture, chest physical therapy, respiratory physiotherapy, aerobic exercise training, massage, electrotherapy, thermotherapy). We have established statistically significant correlations between indices BASFI (Bath ankylosing spondylitis functional index), BASMI ( Bath ankylosing spondylitis metrology index) and lung capacity, and also between the quality of life (HAQ ) and the mean value of 6 MWD test ( to assess exercise capacity ) .

RESULTS: After rehabilitation program, based on physical therapy, we noticed significant improvement of wellbeing and exercise capacity. Our results confirm data from the literature.

CONCLUSIONS: The kinetic program correctly chosen and closely supervised ensures the restoration and the maintenance of spondylitis patient functional parameters and exercise capacity, causing an independent life for these patients.

CLINICAL IMPLICATIONS: Learning the respiratory physical therapy and daily conduct it ensures preservation of respiratory function at the patients with ankylosing spondylitis.

DISCLOSURE: The following authors have nothing to disclose: Rodica Traistaru, Mara Popescu-Hagen, Diana Kamal, Otilia Rogoveanu, Paraschiva Postolache

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