Ankylosing spondylitis (AS) is a chronic inflammatory disorder with primary axial involvement, frequently leading to pain, stiffness, and functional limitation. On this World Ankylosing Spondylitis Day, it’s timely to revisit the evidence base supporting non-pharmacological management strategies, particularly exercise.
A recent review published in PLOS ONE analyzed 10 clinical trials with over 600 participants, comparing various exercise modalities for their impact on AS symptoms. The results offer actionable insights:
The study reviewed 10 clinical trials involving over 600 participants to compare the impact of different forms of physical activity on AS symptoms. The results are promising.
🏃♂️ Running was most effective in reducing pain and stiffness.
🧘♀️ Yoga, Pilates, Tai Chi, and stretching contributed significantly to improved flexibility and mobility.
🎮 Exergaming and Swiss ball training, in contrast, did not demonstrate consistent clinical benefit.
Translating Evidence into Practice
Exercise should not be viewed simply as a lifestyle recommendation but rather as a core component of AS management. The evidence supports integrating personalized, progressive physical activity into care plans to help mitigate symptoms and preserve function. Coordination with physiotherapists and allied health professionals is essential for optimizing patient outcomes.
Therapeutic Movement, Not Just Activity
Given the high burden of stiffness and reduced mobility in AS, physical activity must be prescribed with specificity. Encouraging safe and consistent movement can improve patient quality of life, increase treatment adherence, and potentially reduce inflammatory flare-ups.
This World AS Day, let’s emphasize the clinical importance of exercise and continue to support patients with AS through evidence-based, multidisciplinary care.