Rapid Functional Enhancement of Ankylosing Spondylitis with Severe Hip Joint Arthritis and Muscle Strain
10.35827/cp.2019.18.2.121
- Author:
Sangwon HWANG
1
;
Sang Hee IM
;
Ji Cheol SHIN
;
Jinyoung PARK
Author Information
1. Department of Rehabilitation Medicine and Research Institute, Yonsei University College of Medicine, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Ankylosing spondylitis;
Muscle relaxation;
Multimodal treatment
- MeSH:
Arthritis;
Combined Modality Therapy;
Crutches;
Exercise;
Hip Joint;
Hip;
Hot Temperature;
Humans;
Inflammation;
Joints;
Muscle Relaxation;
Muscles;
Musculoskeletal Manipulations;
Quality of Life;
Range of Motion, Articular;
Relaxation;
Shock;
Spondylitis, Ankylosing;
Young Adult
- From:
Clinical Pain
2019;18(2):121-125
- CountryRepublic of Korea
- Language:Korean
-
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.
