Study on Beneficial effects of Protocol based Rehabilitation of Pulmonary Function for OPD patients with Early Ankylosing Spondylitis

Dr. Swapan Kumar Mishra; Dr. Yesh Veer Singh; Dr. Ushnish Mukherjee; Dr. Prabir Mandal; Dr. Tushar Kanti Saha

Volume : X, Issue : VIII, August - 2020

Study on Beneficial effects of Protocol based Rehabilitation of Pulmonary Function for OPD patients with Early Ankylosing Spondylitis

Dr. Swapan Kumar Mishra, Dr. Yesh Veer Singh, Dr. Ushnish Mukherjee, Dr. Prabir Mandal, Dr. Tushar Kanti Saha

Abstract :

Introduction: Rehabilitation management of Ankylosing Spondylitis (AS) focused mostly on the musculoskeletal system in majority of the centers though good numbers of sufferers have respiratory disability. Aims & Objectives: Measurement of pulmonary functional disability in Ankylosing Spondylitis patients with pulmonary rehabilitation its role in improvement of quality of life (QoL). Materials & Methods: More than 28% of Ankylosing Spondylitis were identified under Modified New York Criteria and selected for the prospective study and were managed by pharmacological and non pharmacological approaches considering inclusion of focused pulmonary rehabilitation protocol including home exercise schedule and the outcome were assessed by pulmonary function data (e.g.VC, TLC, FEV1, FEV1/FVC Ratio) and data of aerobic capacity (e.g. MET Score & 6–Minutes Walk Distance), disease activity (by BASDAI) and functional index ( by BASFI) for Ankylosing Spondylitis, then they were evaluated FOUR TIMES like before starting treatment and at 3–months, 6–months & 9–months after. Results: Statistically Significant improvement (p<0.0001) of pulmonary functional parameters & aerobic capacity had been observed in all patients. BASFI and BASDI were used to measure the improvement of functional activity and disease activity respectively and both found statistically significant (p<0.0001 and p<0.001 respectively). Conclusions: AS specific pulmonary rehabilitation programme can improve cardio respiratory functions if added with musculo–skeletal rehabilitation protocol in AS and can improve disease activity and overall functional ability.