Nonpharmacologic therapies in spondyloarthritis

Andreas M. Reimold, Vinod Chandran

Research output: Contribution to journalReview article

8 Scopus citations

Abstract

It is accepted that the optimal management of spondyloarthritis requires a combination of non-pharmacological and pharmacological interventions. Non-pharmacologic therapy in spondyloarthritis has generally focused on the exercise regimens whose purpose is to maintain mobility and strength, relieve symptoms, prevent or decrease spinal deformity, contribute to long-term cardiopulmonary health, and improve overall function and quality of life. Exercise programs such as home exercise, group exercise, inpatient programs, and spa exercise have all been the subject of multiple reports that are reviewed here. Studies reviewed support the use of exercise, spa therapy, manual therapy, and electrotherapeutic modalities. Additional topics that are finding relevance in spondyloarthritis are the behavioral interventions that maximize knowledge, motivation for compliance, and healthy lifestyle choices including smoking cessation, weight management, diet, and probiotics. However, the quality and generalizability of the studies are limited.

Original languageEnglish (US)
Pages (from-to)779-792
Number of pages14
JournalBest Practice and Research: Clinical Rheumatology
Volume28
Issue number5
DOIs
StatePublished - Jan 1 2014

Keywords

  • Behavioral therapy
  • Diet
  • Obesity
  • Physiotherapy
  • Rehabilitation
  • Smoking

ASJC Scopus subject areas

  • Rheumatology

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