Ankylosing spondylitis self-exercise methods

  Ankylosing spondylitis (AS) is a disease in which inflammation of the sacroiliac joints and spinal attachment points is the main symptom. There is a strong association with HLA-B27. Certain microorganisms (e.g. Klebsiella) have common antigens with the susceptible person’s own tissue and can trigger an abnormal immune response. It is a chronic inflammatory disease characterized by fibrosis and ossification of the large joints of the extremities, as well as the intervertebral disc rings and their adjacent connective tissue, and joint ankylosis.  What are the methods of self-exercise for ankylosing spondylitis?  A. Bed stretching: When you wake up in the morning, use the supine position, arms up over the head, stretching in both directions to the fingers and toes, stretching satisfaction, relax; stretch the legs, heel down stretch, the back of the foot to the knee direction of flexion, to satisfaction and then relax. Can be repeated several times (Figure 1). Figure 1 Second, the knee-thorax exercise: supine position, both feet on the bed plate, bending knees; lift a knee slowly bend in the direction of the chest, hands holding the knee pulled to the chest, to satisfaction, back to the original position of the feet, the other knee for the above exercise. Repeat 2 to 3 times for each knee, relax; do the hands holding both knees movement 2 to 3 times, until the stiffness disappears (Figure 2). Figure 2 three, cat back exercise: kneeling like a cat, head down as much as possible to relax, while arching the back like an arch, until the stretch is satisfactory (Figure 3A); return to the original position, collapse the back, head up and lift the hips, try to stretch until satisfied (Figure 3B). Repeat this five times.  Fourth, abdominal exercises: the purpose is to stretch the abdominal muscles, improve muscle strength and keep the trunk straight posture. Supine position, bend the knees, feet on the ground, arms beside the body; head and shoulders together slowly raised to the hands touching the knees; adhere to 5 seconds, return to the original position, to Bu action repeated 5 times (Figure 4). Figure 4 V. Turning movement: Take a sitting position, bend your arms flat, cross your arms, turn your body to the right, look at the right elbow; adhere to 5 seconds and then recover. Conversely, turn the body to the left, looking at the left elbow. Repeat 5 times on each side (Figure 5).  Sixth, turn the neck exercise: sitting with both feet on the ground, head to the left or to the right. And look at the same side of the shoulder, and then recover, repeat 5 times on each side. The same can also take the neck forward flexion, jaw as far as possible to the chest, recovery; tilt the head as far back as possible, recovery, repeat 5 times in each direction (Figure 6).  Seven, chest expansion exercise: Purpose: stretch the upper chest and shoulder muscles to maintain or improve the chest and back posture. Feet shoulder-width apart, facing the corner and stand, hands flat shoulder support two walls, line deep breathing (Figure 7A); shoulders forward and stretch the head and upper back, adhere to 5 seconds (Figure 7B). Return to the original position and repeat 5 times.