Effective Exercises For Bechterew's Disease - 15 Exercises

2024 Author: Josephine Shorter | [email protected]. Last modified: 2024-01-07 17:49

Exercises for ankylosing spondylitis

Therapeutic exercises are intended for patients with ankylosing spondylitis (AS or ankylosing spondylitis).

Content:

• The goals and basics of therapeutic exercises for ankylosing spondylitis
• The main exercise of physiotherapy exercises
• A set of exercises for ankylosing spondylitis
• Physiotherapy exercises for ankylosing spondylitis with low disease activity
• Physiotherapy exercises for ankylosing spondylitis for patients with high disease activity
• Lecture by A. G. Bochkova at the School for Patients with Bechterew's Disease

The goals and basics of therapeutic exercises for ankylosing spondylitis

Exercise therapy classes effectively resist bone fusion and joint destruction - the main negative consequences of the disease. The use of exercises, if performed regularly, regardless of the degree of pain tolerated, reduces pain syndrome. In order not to provoke unpleasant sensations, you need to understand the purpose and basic provisions of physiotherapy exercises.

The patient independently determines the number of therapeutic exercises and their duration, analyzing his condition for a certain period of time (year, month, week, day).

Morning gymnastics

Performing the morning set of exercises is strictly required! Without hygienic gymnastics, it is impossible to imagine an optimal motor regimen during the day. The inflammatory and ankylosing process is most intense during a night's sleep. The morning set of exercises relieves joint stiffness and restores range of motion.

Daytime "five minutes"

During the day, you need to perform mini-sets of exercises 2-4 times. If the patient has to take a forced or uncomfortable posture for a long time during work, "five minutes" are held every hour.

The main exercise of physiotherapy exercises

The implementation of the main complex of exercise therapy falls on time intervals of 11-14 hours or 17-20 hours. These are the most sensitive periods of exposure to dosed loads. The purpose of the lesson is to develop endurance, flexibility, strength.

The complex excludes axial loads on the spinal column:

• Jumping,
• Weighted squats
• Exercise on a treadmill
• Weighted slopes.

Do not include in the complex exercises during which the spine is in a fixed position for a long time (cycling). When performing strength exercises in the gym, you need to pay attention to stretching the muscle group that has received the strength load during the pause. Pain is tolerated to a minimum, although it is best to do without pain. Pain that persists for a long time after exercise is a reason to reduce the load in the future.

Strength and endurance

Rules for the development of muscle strength:

• Classes for the development of strength and endurance alternate every other day;
• During a week, at least 3 classes are held to develop strength, since muscles that have received stress during classes need rest to fix the desired result.

Development of flexibility

Exercises for the development of this quality are daily included in the exercise therapy complex.

It is best to include them in classes after resistance exercise:

• Dynamic gymnastics,
• Dumbbell Exercises,
• Training on simulators,
• Exercises with a rubber bandage.

Resistance exercises warm up muscles, ligaments, joint capsules. As a result, subsequent tissue stretching is carried out in a better quality, with a better effect.

To develop flexibility, it is beneficial to attend the following fitness classes:

• Yoga,
• Swimming pool,
• Pilates classes,
• Gym.

Breath

To preserve the excursion of the chest and increase the vital capacity of the lungs, daily breathing exercises are performed. The optimal breathing technology during therapeutic exercises is inhalation with the upper part of the chest and pulling the diaphragm up by drawing in the abdomen.

A set of exercises for ankylosing spondylitis

• Control. 1: I. p. - sitting on a chair, arms bent at the elbows, raised parallel to the floor, clasp the elbow of one hand with the palm of the other. Chin "outline" the line of raised and bent arms, stretch forward as far as possible. Perform 4 times to the right and to the left.
• Control. 2: I. p. - standing, hands down. Rotate your shoulders back and forth, applying maximum effort. Perform 4 times in each direction.
• Control. 3: I. p. - standing, arms raised above the head, bent elbows are clasped by palms. With the maximum amplitude, bend left and right, applying a tangible effort. Perform 4 times in each direction.
• Control. 4: I. p. - standing, arms bent at the elbows, raised parallel to the floor, elbows clasped with palms. Turns as far as the stop with a noticeable tensile force. Perform slowly, 4 times in both directions.
• Control. 5: I. p. - standing, put your hands down. While tilting, hug your knees with your hands, stretch your chest towards them. Returning to a standing position, bend your chest, spread your arms up and to the sides. Perform 6-8 repetitions.
• Control. 6: I. p. - lying on your back, arms along the body, legs bent at the knees. Alternately slowly take the lower leg of each leg bent at the knee to the side, making a tangible effort. Perform 4 times with each leg.
• Control. 7: I. p. - lying on your back, arms bent at the elbows, forearms in an upright position. Bend in the chest, leaning on the elbows and the back of the head, return to and. n. Do not take the pelvis off the floor, perform movements slowly. A total of 8 repetitions are required.
• Control. 8: I. p. - lying on your back, arms along the body. Raise your head, while your shoulders are pressed to the floor. Pull your feet at the same time. Return to and. etc., repeat 6-8 times.
• Control. 9: I. p. - lying on his stomach, arms extended forward. Lean on your right hand, raise your other hand parallel to the floor. At the same time, raise the chest, without twisting the torso, return to and. n. Perform 4-6 times with each hand.
• Control. 10: I. p. - lying on his stomach, the chin rests on the arms bent at the elbows, legs - near the vertical support. Raise your left leg up, pull your foot towards you, press your right foot on the support, return to and. n. Perform the exercise 4 times with the right and left legs.
• Control. 11: I. p. - lying on his stomach, hands along the body with the edge of the palm up. Raise the upper half of the body up, pressing the chin to the chest. Legs are pressed to the floor, return to and. p. Perform 6-8 repetitions.
• Control. 12 "Cat": I. p. - standing on all fours. Make the back round, bringing the pelvis as close as possible to the head, with an effort to pull up the chest. Then bend in the chest and in the lower back, without raising your head, without bending your arms at the elbows. Perform 6-8 repetitions.
• Control. 12 "The cat looks at its tail": I. p. - the same as in the previous exercise. Turn the body in one direction or the other with a tangible effort, trying to move the pelvis as much as possible towards the shoulder. 4 repetitions in each direction.
• Exercise 14: I. p. - standing on all fours. Pull the right knee towards the left hand, "stepping over" an imaginary obstacle along the way. At the same time, the knee describes an arc; it cannot be taken to the side. Return to and. etc., perform with the other leg. Repeat 4 times.
• Control. 15: I. p. - emphasis on the palms and knees. Alternately slowly raise each leg back-up, pull the toe of the foot. The extended leg should be parallel to the floor. Perform 4 times with each leg.

To achieve a therapeutic effect, the exercise technique must be followed impeccably. It is best to learn the exercise therapy complex under the guidance of a physiotherapy specialist. You should concentrate your attention on muscle sensations, accuracy of movements, change of posture. It will be possible to fix the positive dynamics only after 2-3 months of regular exercise.

Physiotherapy exercises for ankylosing spondylitis with low disease activity

The set of exercises No. 1 proposed in the video is intended for patients with low pain syndrome and low AS activity, with peripheral joints not affected by the disease. The author of the complex, a specialist in physiotherapy exercises Kuzyakov S. N., in addition to the main part, included warm-up exercises in it.

It is impossible to maintain the range of motion of the joints and spine in ankylosing spondylitis without doing therapeutic exercises, since only physical activity is able to resist ankylosing spondylitis.

Physiotherapy exercises for ankylosing spondylitis for patients with high disease activity

Exercises of the complex number 3 are intended for patients with high activity of ankylosing spondylitis with high pain syndrome. The author of the complex, Kuzyakov S. N., included warm-up exercises in it, so there is no need to carry it out additionally.

With ankylosing spondylitis, exercise is vital to maintain physical activity. Only through remedial gymnastics will the joints and spine be able to maintain range of motion.

Lecture by A. G. Bochkova at the School for Patients with Bechterew's Disease

Video lecture "Ankylosing spondylitis - general information and basic aspects of the disease."