Ankylosing spondylitis (AS) is an autoimmune disease with inflammation of the sacroiliac joints and spinal attachment points as the main symptom. If not treated regularly, it can cause fusion of the spinal joints and physical disability, which seriously affects the life of patients and was once called the “undead cancer”. But now, with the development and advancement of medical technology, patients with ankylosing spondylitis can survive in a “disease-free” state through early diagnosis, early treatment, and regular follow-up, i.e., controlled by a small amount of medication to keep the condition in remission and stable, without progressing to disability. Ankylosing spondylitis mainly affects the sacroiliac joints, the spine and other major joints responsible for trunk movement. For patients, especially once the disease is stabilized, exercise is no less important than medication. Regular exercise and movement can relieve disease symptoms, prevent spinal and joint disability, enhance muscle strength, increase thoracic mobility, and improve quality of life, and are an important part of the overall treatment of ankylosing spondylitis. In general, exercises that strengthen the back and neck help maintain and improve body posture. Deep breathing and aerobic exercises help to maintain thoracic flexibility. However, the exercise program, intensity and duration should vary depending on the duration of the disease and the area involved. If the disease duration is longer and there is already hunchback, flat spine and restricted chest expansion, back exercises and chest expansion exercises should be emphasized, and because of poor spinal mobility and easy combination of osteoporosis, impulsive strenuous exercises should be avoided. Patients with shorter disease duration and better joint and spinal mobility can do some leisure exercises, such as doing radio gymnastics, swimming and Tai Chi. Swimming is a very beneficial exercise, in the water when the body lying flat offset the effect of gravity, all the joints and muscles can be exercised, should be used in as many ways as possible paddling. It is best to avoid strenuous sports and high-intensity sports, such as playing tennis, basketball, table tennis, etc.. Wear training shoes with cushioned insoles to help reduce the trauma to the joints. In addition, the continuity of the exercise is more important than the intensity of the exercise. In general, moderate intensity exercise (2-4 hours/week) is preferable to no exercise and high intensity exercise (>10 hours/week), and at least 30 minutes of exercise five times a week is a reasonable schedule. Once the diagnosis of ankylosing spondylitis is made, the patient’s future sitting, standing and lying posture becomes more important. First, to keep the body upright, avoid long-term bending, flexion, do not use a posture for a long time, appropriate changes in position to maintain the normal physiological curvature of the spine, to prevent spinal deformity. Second, try to sleep on a hard bed, using supine or prone position, avoid side lying, especially the flexion of the leg side lying position. Although the flexion position can reduce pain, but easy to lead to spinal hunchback deformity. If there is cervical spine involvement, the pillow should be low or go to the pillow to lie flat to prevent cervical spine reverse arch deformity. If a pillow is used, it should be as low as possible to maintain a normal forward arch without increasing the posterior protrusion of the upper thoracic vertebrae. Third, when standing, head up, chest up, abdomen, if necessary, can stand with back against the wall to maintain good posture. Sitting should be straight back hard leaning chair, keep the upper body straight, hip and knee flexion of 90 degrees, avoid sitting on short benches and sofas, avoid bending too long to cause spinal deformities. For patients with ankylosing spondylitis, the importance of standardized and reasonable exercise is no less than that of drug therapy. Long-term strict medication and exercise can enable patients to maintain good joint function, delay disease progression, avoid joint deformities and spinal ankylosis, and avoid surgical treatment. In addition, studies have shown that exercise can significantly improve patients’ social confidence and mood. We hope that all patients can regain their confidence through exercise and return to normal life with a more positive attitude! The history of this WeChat platform has published a set of “Ankylosing Spondylolisthesis Daily Rehabilitation Exercises” video (February 17, 2015), which can guide patients with ankylosing spondylolisthesis to carry out scientific and reasonable exercises to improve joint function. Patients can pay attention and learn. (From 2015-05-26 吕良敬 王苏丽 风湿免疫病医患交流平台 风湿免疫病医患交流平台微信号 luliangjing920) luliangjing920