What are the methods of living regimen and exercise for ankylosing spondylitis?
1, diet should be regular, pay attention to health. The actual fact is that you will be able to get a lot more than just a few of the most popular and popular items. There are no contraindications to eating, the daily diet should be rich in protein and vitamins, such as beef, mutton, chicken, etc.. You can also use astragalus, rehmannia, angelica, wolfberry and other drugs with meat and other foods cooked together as a dietary therapy to eat meat and drink soup, etc.
2, the spine and hip joints have mild flexion deformity of patients, 1-2 times a day can be prone 1 to 2 each time 15-30 minutes. Use their own body weight for antagonistic traction to correct the deformity. Exercise should be performed on a daily basis and should be gradual and consistent. The purpose is to maintain the physiological curvature of the spine, prevent deformity; maintain good thoracic bracing degree, to avoid affecting the respiratory function; prevent or reduce muscle atrophy due to disuse of limbs and maintain bone density and strength, to prevent osteoporosis. Its importance is no less than drug therapy ‘exercise should include: to maintain the flexibility of the spine, such as the neck, waist movement in all directions, rotation, etc.; to maintain the mobility of the thorax, such as deep breathing, chest expansion exercises; limb exercises; a wide variety, such as walking, for some gymnastics, etc.. Our taijiquan and qigong, with their slow and gentle movements, are helpful for this disease. Swimming in the appropriate water temperature, including both chest expansion exercise; and physical activity, but also conducive to maintaining the normal physiological curvature of the spine, is a better exercise method. The buoyancy of the water can reduce the weight of the limbs to facilitate the movement of the affected joints, but diving is strictly prohibited to prevent serious consequences caused by cervical spine injury; hot baths, mineral baths and other methods of heat penetration are also helpful for this disease. Running may aggravate the symptoms of ankylosing spondylitis, especially the hip joint involvement should not be advocated, competitive sports should also be avoided. After the exercise may increase joint pain, if the short-term rest can be relieved, it is normal; if the new pain after the exercise lasts more than two hours, or exercise caused by fatigue, discomfort is difficult to recover, it means that the exercise has been excessive, should be appropriate to adjust the amount of exercise, type of exercise, or even suspended for rest.
3, to sleep on a hard bed, mostly in a supine position,, avoiding positions that promote flexion deformity. Sleep should be low pillow, once the upper thoracic and cervical spine involvement, should stop using the pillow. This will not only avoid deformity, but also reduce pain and stiffness at night. Remember that regular height measurement and keeping height records is a good measure to prevent early spinal curvature that is not easily detected. Except for a few patients who need short periods of bed rest due to severe systemic symptoms and significant pain, most patients can keep working, but should avoid overexertion and exposure to wind, cold and humidity. Reduce or avoid physical activities that cause persistent pain. To prevent hunchback deformity, patients should avoid long-term stooped work and strengthen postural training. No matter in the acute or chronic stage of the disease, patients should pay attention to maintain normal posture: stand with chest up, abdomen in and eyes level, and sit with back as straight as possible.
4, optimism and happy mood is one of the necessary conditions to maintain good health, the impact on patients with chronic diseases is particularly obvious. The ancients even suggested: “A good doctor first heals his mind, and then his body”, emphasizing the importance of spiritual treatment. According to Chinese medicine, “thinking hurts the spleen”, worrying about illness and pain all day long can damage the spleen and stomach and affect its digestion and absorption functions, and can lead to “loss of nourishment of the mind and spirit” and insomnia, dreaming and other symptoms, affecting rest, which are not conducive to the recovery of patients. Have the confidence and determination to overcome the disease; cultivate a variety of hobbies; participate in some work or social activities that are within your ability and permitted by your condition, etc. are effective ways to keep your mood optimistic and happy.
5.Introduce several exercise methods.
① Pedal air flexion and extension method: patients lying on their backs, hands on the side of the body, or hold the bed, the torso and upper limbs do not move, both lower limbs alternately bend the hip and knee, the lower leg hanging in the air, like pedaling a bicycle for 3 to 5 minutes, the number of times gradually increased. Indications: Patients with muscle atrophy of the affected limb, limited hip and knee flexion function, unable to walk on crutches.
② straight leg elevation method: patients lying supine on the bed, hands on the side of the body, or support the bed, the torso and upper limbs do not move, the affected limb straight hip flexion upward lift, the lower leg hanging in the air. Slowly lift, slowly lower, alternating legs, 3-5 exercises each time, 3-5 times a day, the number of times gradually increased. Indications: Patients with obvious atrophy of the quadriceps muscle of the affected limb, limited hip flexion function and unable to walk on crutches.
③ supine knee hold method: patients supine on the bed, the affected limb bend hip, bend knee, hands forked fingers together palm hold the front of the proximal tibia, pull the affected limb to the chest with force, for 1 minute, repeat the above actions, alternate legs, each exercise 3-5, 3 to 5 times a day, the number of times gradually increased, hip flexion force and amplitude gradually increased. Indications: Muscle atrophy of the affected limb, narrowing of the hip joint space, and severe limitation of flexion function. Patients who cannot walk on crutches.
4) 4-character downward pressure method: The patient lies supine on the bed or sits on the bed, the left affected limb is straight, the right affected limb is flexed, hip flexed and abducted, the foot is placed on the upper or lower end of the knee of the left leg, and the right knee joint is pressed down with the right hand. Each time, ask for slow downward pressure, each lasting 1 minute, repeat the above movements, alternating legs, 3-5 exercises each time, 3-5 times a day. The number of times gradually increases, the force and amplitude gradually increase, avoid rapid downward pressure and force, so as not to strain the soft tissue. Indications: narrow hip joint space of the affected limb, severely restricted abduction function, heavy hip osteoarthritis, and patients who cannot walk on crutches.
⑤ squatting method of holding things: hands outstretched in front, hold the fixed object, body upright, body and fixed object half arm distance, feet apart and shoulder width, or try to separate the feet, slowly squatting, squatting 3-5 minutes before standing up. 1-3 each time, 5 times a day. Indications: Patients with mild functional limitation of squatting at the hip joint.
1, diet should be regular, pay attention to hygiene. Overeating and eating unclean food will increase the chances of intestinal diseases, increase the onset of ankylosing spondylitis and aggravate the disease. There are no contraindications to eating, the daily diet should be rich in protein and vitamins, such as beef, mutton, chicken, etc.. You can also use astragalus, rehmannia, angelica, wolfberry and other medicines cooked with meat and other foods as a dietary therapy (eat meat and drink soup), etc.
2, the spine and hip joints have mild flexion deformity of patients, 1-2 times a day can be prone 1 to 2 each time 15-30 minutes. Use their own body weight for antagonistic traction to correct the deformity. Exercise should be performed on a daily basis and should be gradual and consistent. The purpose is to maintain the physiological curvature of the spine, prevent deformity; maintain good thoracic bracing degree, to avoid affecting the respiratory function; prevent or reduce muscle atrophy due to disuse of limbs and maintain bone density and strength, to prevent osteoporosis. Its importance is no less than drug therapy ‘exercise should include: to maintain the flexibility of the spine, such as neck, waist movement in all directions, rotation, etc.; to maintain the mobility of the thorax, such as deep breathing, chest expansion exercise; limb movement; a wide variety, such as walking, for some gymnastics, etc.. Our taijiquan and qigong, with their slow and gentle movements, are helpful for this disease. Swimming in the appropriate water temperature, including both chest expansion exercise; and physical activity, but also conducive to maintaining the normal physiological curvature of the spine, is a better exercise method. The buoyancy of the water can reduce the weight of the limbs to facilitate the movement of the affected joints, but diving is strictly prohibited to prevent serious consequences caused by cervical spine injury; hot baths, mineral baths and other methods of heat penetration are also helpful for this disease. Running may aggravate the symptoms of ankylosing spondylitis, especially the hip joint involvement should not be advocated, competitive sports should also be avoided. After the exercise may increase joint pain, if the short-term rest can be relieved, it is normal; if the new pain after the exercise lasts more than two hours, or exercise caused by fatigue, discomfort is difficult to recover, it means that the exercise has been excessive, should be appropriate to adjust the amount of exercise, type of exercise, or even suspended for rest.
3, to sleep on a hard bed, mostly in a supine position,, avoiding positions that promote flexion deformity. Sleep should be low
pillow, once the upper thoracic and cervical spine involvement, should stop using the pillow. This will not only avoid deformity, but also reduce pain and stiffness at night. Remember that regular height measurement and keeping height records is a good measure to prevent early spinal curvature that is not easily detected. Except for a few patients who need short periods of bed rest due to severe systemic symptoms and significant pain, most patients can keep working, but should avoid overexertion and exposure to wind, cold and humidity. Reduce or avoid physical activities that cause persistent pain. To prevent hunchback deformity, patients should avoid long-term stooped work and strengthen postural training. No matter in the acute or chronic stage of the disease, patients should pay attention to maintain normal posture: stand with chest up, abdomen in and eyes level, and sit with back as straight as possible.
4, optimism and happy mood is one of the necessary conditions to maintain good health, the impact on patients with chronic diseases is particularly obvious. The ancients even suggested: “A good doctor first heals his mind, and then his body”, emphasizing the importance of spiritual treatment. According to Chinese medicine, “thinking hurts the spleen”, worrying about illness and pain all day long can damage the spleen and stomach and affect its digestion and absorption functions, and can lead to “loss of nourishment of the mind and spirit” and insomnia, dreaming and other symptoms, affecting rest, which are not conducive to the recovery of patients. Have the confidence and determination to overcome the disease; cultivate a variety of hobbies; participate in some work or social activities that are within your ability and permitted by your condition, etc. are effective ways to keep your mood optimistic and happy.
5.Introduce several exercise methods.
① Pedal air flexion and extension method: patients lying on their backs, hands on the side of the body, or hold the bed, the torso and upper limbs do not move, both lower limbs alternately bend the hip and knee, the lower leg hanging in the air, like pedaling a bicycle for 3 to 5 minutes, the number of times gradually increased. Indications: Patients with muscle atrophy of the affected limb, limited hip and knee flexion function, unable to walk on crutches.
② straight leg elevation method: patients lying supine on the bed, hands on the side of the body, or support the bed, the torso and upper limbs do not move, the affected limb straight hip flexion upward lift, the lower leg hanging in the air. Slowly lift, slowly lower, alternating legs, 3-5 exercises each time, 3-5 times a day, the number of times gradually increased. Indications: Patients with obvious atrophy of the quadriceps muscle of the affected limb, limited hip flexion function and unable to walk on crutches.
③ supine knee hold method: patients supine on the bed, the affected limb bend hip, bend knee, hands forked fingers together palm hold the front of the proximal tibia, pull the affected limb to the chest with force, for 1 minute, repeat the above actions, alternate legs, each exercise 3-5, 3 to 5 times a day, the number of times gradually increased, hip flexion force and amplitude gradually increased. Indications: Muscle atrophy of the affected limb, narrowing of the hip joint space, and severe limitation of flexion function. Patients who cannot walk on crutches.
4) 4-character downward pressure method: The patient lies supine on the bed or sits on the bed, the left affected limb is straight, the right affected limb is flexed, hip flexed and abducted, the foot is placed on the upper or lower end of the knee of the left leg, and the right knee joint is pressed down with the right hand. Each time, ask for slow downward pressure, each lasting 1 minute, repeat the above movements, alternating legs, 3-5 exercises each time, 3-5 times a day. The number of times gradually increases, the force and amplitude gradually increase, avoid rapid downward pressure and force, so as not to strain the soft tissue. Indications: narrow hip joint space of the affected limb, severely restricted abduction function, heavy hip osteoarthritis, and patients who cannot walk on crutches.
⑤ squatting method of holding things: hands outstretched in front, hold the fixed object, body upright, body and fixed object half arm distance, feet apart and shoulder width, or try to separate the feet, slowly squatting, squatting 3-5 minutes before standing up. 1-3 each time, 5 times a day. Indications: Patients with mild functional limitation of squatting at the hip joint.