Abstract
The aim of this study was to determine the role of global postural reeducation for people with ankylosing spondylitis. We compared the effects of treatments on pain, dysfunction (using the Bath Ankylosing Spondylitis Disease Activity Index and Bath Ankylosing Spondylitis Functional Index), range of motion, and chest expansion in a specific population aged over 18 years old with ankylosing spondylitis. We performed a systematic review and meta-analysis following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) statements. The search was conducted using the PubMed, Physiotherapy Database (PEDro), Scientific Electronic Library Online (SciELO), and Web of Science (WoS) databases. Clinical trials and systematic reviews/meta-analysis were reviewed. Results: 154 studies were found. Finally, four were included. Conclusions: global postural reeducation is beneficial for ankylosing spondylitis, but no more so than other conventional treatments, except for spinal mobility, where Global Postural Reeducation demonstrated an advantage.
Highlights
Ankylosing spondylitis (AS) is a specific spondyloarthritis that affects the axial skeleton and has extra-axial manifestations, such as uveitis or psoriasis
The samples of the studies analysed comprised a greater number of men (75.58%) than women (24.42%), and the ages of the participants ranged from 33.30 (± 10.49) to 44.27 (± 10.55)
The anti-tumor necrosis factor (TNF) plus global postural reeducation (GPR) exercise therapy resulted in greater improvements than the anti-TNF plus conventional exercise therapy in pain, walking performance, mobility parameters
Summary
Ankylosing spondylitis (AS) is a specific spondyloarthritis that affects the axial skeleton and has extra-axial manifestations, such as uveitis or psoriasis. AS occurs predominantly in young males and is characterized by pain and stiffness of joints (ankylosis) with inflammation at tendon insertions [1,2]. At the level of the spine, there is vertebral bodies fusion, which is the so-called “bamboo spine” [3]. Rigidity of the chest wall and persistent immobility appear, which can affect respiratory function [4,5]. This pathology is characterized by a strong genetic association between the HLA B27 allele. AS has been reported but other genes are involved in the so-called IL-17 A/IL-23 inflammatory immune axis. There are molecular polymorphisms that determine the occurrence of the disease [1]
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