Rapid Functional Enhancement of Ankylosing Spondylitis with Severe Hip Joint Arthritis and Muscle Strain
Clinical Pain
; (2): 121-125, 2019.
Article
in Ko
| WPRIM
| ID: wpr-811482
Responsible library:
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.
Key words
Full text:
1
Index:
WPRIM
Main subject:
Arthritis
/
Quality of Life
/
Relaxation
/
Shock
/
Spondylitis, Ankylosing
/
Exercise
/
Range of Motion, Articular
/
Combined Modality Therapy
/
Crutches
/
Musculoskeletal Manipulations
Type of study:
Guideline
Limits:
Humans
Language:
Ko
Journal:
Clinical Pain
Year:
2019
Type:
Article