Features of exercise therapy for Bechterew's disease
Bechterew's disease is a chronic inflammatory form of the disease that affects the spine or various groups of joints and ligaments. If wrong or untimely treatment occurs ankylosing( joint fusion), which completely paralyzes its mobility. Therefore, physical therapy with Bekhterev's disease is included in the complex therapy with drug treatment.
In the case of Bekhterev's disease( another name for the disease is ankylosing spondylitis) a pathological process develops, which can lead to a partial loss of working capacity and even disability.
Causes of spondylitis
The disease affects men more often than men between the ages of 20-45, but women are no exception. This ailment has not been studied to the end. Traditionally, it is commonly believed that spondylitis is affected due to the following reasons:
- various injuries;
- bacterial infections;
- disruptions in the endocrine system;
Treatment for Bechterew's disease consists in taking various medications. These can be medicines that have antipyretic, non-steroidal, anti-inflammatory effects. Therapeutic exercise plays an important role in eliminating painful manifestations.
The role and importance of physical exercises
In Bechterew's disease, the pain affects the spine. Sometimes patients with discomfort in the lumbar region refer to the manifestation of osteochondrosis. However, this may be the first signals to this disease. If ankylosing spondylitis has been diagnosed, the physician will prescribe exercise therapy( physiotherapy exercises).
For patients with this disease, a set of exercises is developed to support the work of joints. After all, they can lose their mobility, and this leads to the fact that the patient can not have a smooth gait, can not turn or bend freely. Therefore, to preserve the mobility of joints and ligaments, it is extremely necessary to give time for exercise therapy.
It can be said that physical exercises, gymnastics are vital for patients with Bekhterev's disease. The duration of physical exercises is determined by regimes calculated for a day, a week, a month and even years.
What exercises are shown to patients?
To maintain health with Bechterew's disease, traditional physical education can not always be used. Rehabilitation centers develop specific activities, which sparingly affect the patient's body. If there is no possibility to undergo rehabilitation, you can at home, using video lessons, do a set of exercise exercises.
A good exercise for a patient with Bechterew's disease is a normal walking tour, which must be done every day. It is not necessary to walk very much from the first days. In the early days, walk 2-3 km. After a while, increase the distance to 5 km per day.
It's better to start the morning with gymnastics. During an overnight sleep, inflammatory mechanisms work more intensively. Therefore, morning exercises will help to remove stiffness and restore motor functions. During the day it is recommended to do small classes. This is especially true for those patients who work and are in the same position. Change your work position at least 4 times a day in 1 hour.
LFK should be performed once a day. Its goal is to help develop the strength, vitality and strength of joints. Three times a week, visit the gym.
Another group of treatment procedures is respiratory exercises. They also need to be done daily. They are designed to maintain good mobility of the chest and lung capacity. During such exercises, it is required to draw in the stomach( for the diaphragm to be at the top) and to make inhalations with a thoracic area.
The spine stretching exercises are good for the patient's body. Physiotherapy should not cause severe pain. Tolerable painful sensations are tolerated. If the pain after a long time is felt, you should notify the doctor about it.
Restorative procedures include a swimming pool, skiing.
Favorable time for the impact of exercise therapy on human health is the time from 11.00 to 14.00 hours and from 17.00 to 20.00.
Complex of exercises in sitting position
Take position, sitting on a chair. Raise your elbows with your hands and raise the formed "ring" of your hands so that they are parallel to the floor. Now, with your chin, circle the line in both directions. Do this exercise 5 times in both directions.
The next type of exercise, do this: put your hands parallel to the body. Do not bend your arms at the elbows. Slowly twist the shoulder piece. First forward 4-6 times and back. When turning back, apply maximum force.
Grasp your elbows with your hands and raise your hands in this position of the "square" above your head. Now gently bend to the sides. Do not exceed 5 inclines in the sides, while stretching the body.
Bend over and grasp the knee joints with your hands. Stretch your chest toward them. Then straighten up, spread your arms to the sides, up and try to bend to strengthen the thoracic area. Do this procedure 7-8 times.
Classes in the prone position
The next kind of loads of physiotherapy exercises requires taking the original position in the prone position. Lie on your back. Bend your legs in your lap. Put your hands parallel to the torso. Now plant the lower leg to the side in turn. Do not bend your knees much. Do the leg divisions 4 times.
Lying in the starting position, lift the head, with the shoulders do not tear off. Pull your feet to yourself and look at them. Now slowly lower your head and straighten them. Perform the procedure no more than 8 times.
In order for the gymnastics to produce a curative effect, it is necessary to carry out the movements correctly. To do this, carefully read the tasks through the video lessons.
Physical training can initially cause discomfort. Results after exercise therapy are observed after 3-4 months.
Bechterew's disease( ankylosing spondylitis): signs, symptoms and treatment
Bechterew's disease( other names - ankylosing spondylitis, ankylosing spondylitis, Strempel-Marie-Bechterew disease) - a systemic chronic joint disease( mainly the spine), accompanied by a restrictiontheir mobility.
This disease belongs to the class of spondylopathies. For the first time it was described in 1893 by the Russian physician Vladimir Bekhterev.
Who and why may occur
Bechterew's disease( ankylosing spondylitis) occurs in 2 people out of 1000, develops 2-3 times more often in men, more often affects at the age of 20-40.
spine is normal( left) and with Bechterew's disease
The causes of the development of Bekhterev's disease are not fully understood. Genetic predisposition is considered the most probable, as 90-95% of patients and 20-30% of their relatives had a genetic marker HLA B27, which occurs in the entire population of only 7-8%.
This marker is determined in the laboratory when studying leukocytes, however, it should be emphasized that the presence of HLA B27 is not a sign of the disease, but only a predisposing factor to its development. Less often, the disease occurs in people without HLA factor B27.Apparently, there are other hereditary aspects that contribute to the onset of the disease ankylosing spondylitis.
At the moment it is not yet established whether psychological, physical stress affects the course of the disease, but about a third of those who contacted Bekhterev's illness with a doctor reported that the symptoms began to appear after emotional or physical traumatic effects.
One thing is certain - Bekhterev's disease is not transmitted from person to person, is not contagious.
With the onset of ankylosing spondylitis, the following symptoms appear:
pain is one of the main symptoms of ankylosing spondylitis
deep pains in the spinal column that give back to the hips;
- limitation of mobility in the spine;
- started not sudden, but stretches for several weeks;
- duration of violations - more than 3 months;
- predominantly in the morning a person is concerned about pain and stiffness;The
- condition improves when the joints are "developed" and worsens at rest.
Although this disease develops mainly in the spine, pain may not be limited to the back area. If Bechterew's disease is affected by the joints between the ribs and the spine, pains in the chest that arise when inhaling, and spreading to the ribs, may appear. In this case, you should continue to train the thoracic, and not the abdominal breathing, so the condition will improve.
Tightness in the chest - the inability to take a deep breath, as it is difficult to expand the ribs. In fact, in this case, the diaphragm is not affected, the lungs can continue to work.
There may be pain in the sciatic region, spread along the hips from behind or lower back. These symptoms appear in the lesion of the sacroiliac region( sacrum and pelvic bones)People who are often ill with ankylosing spondylitis can wake up from pain, but after some movements, warm-up, warm shower, the intensity of these sensations decreases or they completely disappear. But they can appear again after a long sitting or working in one position.
Most often the symptoms of Bechterew's disease allow patients to continue working until retirement without limiting themselves in anything and without changing their habitual way of life. In most cases, the disease occurs in the lower parts of the spine and gradually "rises" higher.
In addition to the very first manifestations, the symptoms of Bechterew's disease include:
- asymmetric non-inflammatory joint damage( oligoarthritis);
- discomfort and pain in the heels, attachment points of other tendons( entesopathy);
- damage to the eyes - iritis, uveitis( inflammation of the iris);
Inflammation of the eye with Bechterew's disease in women( or men) is accompanied by considerable pain. Be sure to consult a doctor at the first symptoms!
- pain when sneezing, coughing over the sternum;
- during the first 2 days there was a significant improvement in the intake of anti-rheumatic nonsteroidal drugs( without cortisone), as well as worsening when they were withdrawn.
We offer you to watch an interesting video about this disease:
Timely detection of the disease: diagnosis
The earlier the diagnosis of ankylosing spondylitis is established, the faster will be the therapeutic exercise and other equally important aspects of targeted therapy. But most often the first symptoms go unnoticed for several years.
To make an accurate diagnosis, the doctor examines the patient and examines his tests to exclude a number of similar symptoms of the disease.
The doctor differentiates Bechterew's disease in women( and men) from:
- Rheumatoid arthritis: it is a symmetrical polyarthritis that affects small joints, including only the cervical region, is accompanied by eye, lung, rheumatoid nodules, inflammatory synovitis, HLA-DR4 and rheumatoid factor;X-ray is determined by erosive symmetrical arthritis.
timely diagnosis - the basis of a good prognosis of the disease
In contrast, Bechterew's disease in women and men on x-rays is confirmed by asymmetric non-erosive arthritis, which tends to ossification( ankylosing), syndesmophytes, sacroiliitis;analyzes confirm the presence of HLA-B27, the absence of rheumatoid factor, damage to the eyes and lungs has a different character. In addition, the defeat of the spine is not limited only to the cervical department.
- Diseases of Forestier. This idiopathic diffuse lesion of the skeleton, manifested by its hyperostosis at the sites of attachment of ligaments and tendons of the spine, develops in people of age. Unlike Bekhterev's disease, there is no sakroileitis, peripheral arthritis, laboratory signs of inflammatory activity in this disease.
- Sacroiliitis in brucellosis: it has a more typical picture of an infectious disease, does not lead to ankylosis, deformities of the spine.
- Tuberculosis of the spine: it afflicts one or more vertebrae, there is no spondyloarthritis, ossification of ligaments, and limited destructive phenomena are observed, a positive test for tuberculosis.
- Other seronegative spondylitis - psoriatic arthritis, Reiter's disease, articular syndrome with Crohn's disease, ulcerative colitis. These diseases may have some similar signs with Bechterew's disease, but also differ in many clinical manifestations from other organs and their systems.
Complications of Bechterew's disease
Complication of the disease - spontaneous bone fractures
With Bechterew's disease, as described above, the stiffness of the spine's movements develops.
This leads to a deterioration in blood supply and nutrition, so there is a risk of osteoporosis - bone fragility due to lack of calcium.
Osteoporosis in Bechterew's disease can provoke the appearance of spontaneous fractures, so do not delay the visit to the doctor and delivery of all necessary tests.
In case of defeat of Bekhterev's disease of the sacral region, young women sometimes have difficulties during childbearing and during childbirth.
In most cases, physiological birth occurs, but with significant ossification of the pelvic bones and other joints, there is a need for a cesarean section.
Treatment of Bechterew's disease
Medical treatment of
Treatment of ankylosing spondylitis should be performed by the doctor
At present, ankylosing spondylitis is considered an incurable disease, however, there are a number of drugs that can reduce its symptoms and make the patient's life as comfortable as possible. For this purpose, painkillers and anti-inflammatory drugs are prescribed.
Non-steroidal anti-rheumatic drugs - a means that do not allow the production of some mediators of inflammation in the body - prostaglandins. But these drugs are not equally tolerated by all patients with this disease.
Some of them may have serious side effects when they are taken, because prostaglandins are needed to protect the stomach mucosa, and hence - the possible consequences: gastric ulcer, gastric bleeding. There may also be headaches, dizziness, allergic manifestations.
However, the drugs of the NSAID group are widely used in the treatment of the disease, since they are really strong in the fight against pain and inflammation.
To protect yourself from the side effect of the drug, you need to maintain the intake dose at a low level. That is, take it just enough to ensure a good night's sleep and constant daytime physical activity.
Corticosteroids are hormonal anti-inflammatory drugs used only in emergency cases, because they are accompanied by harmful side effects. Often a cortisone prick is necessary for an active rheumatic attack. In the treatment of eye inflammation, cortisone, on the contrary, is safe. His urgent appointment can even save his eyesight.
Basic therapy is a treatment that is prescribed for chronic polyarthritis. If the disease is accompanied by a strong inflammation of the joints, then this approach will have an effect. In other cases, it is more harmful than useful.
Painkillers, Enzymes, Vitamin E for Ankylosing Spondylitis Arthritis
Vitamin E is an antioxidant that protects cells from free radicals that are produced by inflammation. Enzyme preparations have also helped many patients with Bekhterev's disease. Anesthetics are prescribed already at a late stage of the disease, when the attacks of pain are provoked not by the fact of inflammation, but by muscle tension due to poor posture, poorly healed fractures, ruptures in the vertebral body in case of osteoporosis.
Therapeutic physical culture( LFK) with Bechterew's diseaseA patient with Bechterew's disease must, individually, be assigned a special exercise program, which he will regularly perform, especially in the morning.
She is a specialist in exercise therapy.
Treatment of ankylosing spondylitis with cold, heat, irradiation
Heat therapy consists in performing heat-improving procedures for warmth: warm baths before bedtime, application of heaters, heating pads, mud wraps before and after massage. The hospital can be assigned the heat of thermal baths, warm mud baths. Successfully applied electrotherapy, infrared radiation.
Cold has analgesic and anti-inflammatory effect. Especially it is effective directly in case of pain attacks. You can apply a cooled gel or ice on joints or visit cold chambers( the air temperature in them is minus 110 ° C).After the cold, you need to start physical exercises.
Radiation therapy - X-ray treatment( this method of therapy for Bechterew's disease is no longer used because of the risk of developing leukemia and the onset of early menopause in women), the use of radioactive radon gas( insignificant radiation load and high efficacy of the method attracts many patients with Bekhterev's disease);Injections of the radium isotope( used in severe cases when the drugs did not give effect or were not tolerated by the patient. This reduced pain and inflammatory activity, but did not stop ossified(ee).
Alternative methods of therapy for ankylosing spondylitis
Alternative therapies: acupuncture, homeopathy, methods of body cleansing, magnetic field therapy, osteopathy, folk Chinese medicine.
reflexotherapy of ankylosing spondylitis
These methods may reduce the need for medication to some extent, but it is worthwhile to beware of charlatans and non-patented drugs. Do not take them!
The most effective group psychotherapy, auto-training, which will allow you to learn to relax, which will be beneficial for your ability to overcome pain.
Operative methods for treatment of ankylosing spondylitis
Sometimes Bekhterev's disease in women and men leads to severe deformations of the spine and large joints of the body. Often such patients put endoprostheses in the hip joints - straightening the spine operation.
All this depends on the timeliness of the diagnosis, the correct purpose of treatment and patient compliance. The most important thing is to move, "develop" joints. This is the key to keeping your body toned for this disease.
Bechterew's disease is not a verdict. With it you can live, work and enjoy all the blessings of our existence: to travel, have children, make love.
However, after the diagnosis is made, it is necessary to regularly take tests to detect the onset of side effects on any drugs in time and correctly replace them, as well as live in constant movement.
Bechterew's disease is an ailment caused by a genetic malfunction. The first symptoms can not be prevented. However, the disease is not a sentence for an ordinary way of life. In time the diagnosed illness and correctly selected therapy can stop the development of the disease at the initial stage. Along with medicamental methods of struggle, therapeutic gymnastics with Bekhterev's disease is of great importance. It is this that allows the patient to overcome the limitation of mobility.
Features of the ailment
Often, Bechterew's disease initially affects the area of connection of the iliac bones and sacrum. Subsequently, the disease spreads to the lumbar region and gradually covers the entire spine.
During the progression of the disease, lesions are diagnosed in virtually any joint of the body. And most often there is localization in the knee and ankle joint. Quite often in the calcaneal region a cyst is formed, called the spur among the people.
Sometimes unpleasant symptoms in the heel area can be the first sign of the development of ailment. And the inflammatory process in the spine and joint are connected later and are secondary symptoms of the disease.
Education in the knee joint
The cyst of Bekhterev is quite common. Although this name is used very rarely. Most often, the disease is called Becker's cyst.
Externally, the formation is manifested in the form of protrusion, which has a rounded shape. The cyst in the popliteal region is localized.
The initial stage is characterized by a small symptomatology. The patient may experience discomfort in the knee joint while walking. Sometimes there is aching pain, which is permanent. This symptom is sometimes mistakenly correlated with the development of arthritis.
The gradual accumulation of fluid leads to the penetration of the latter into the bag, increasing in size. Thus, a cyst is formed. The patient has pain, because the cyst, as a rule, compresses the nerve endings. Sometimes the pain is localized in the calf muscles. This sign provokes a blockage of the veins. According to Bechterew's cyst size, it can reach 10 cm.
All patients who are diagnosed with Bekhterev's disease are wondering how to treat an ailment? Doctors recommend only complex therapy. Great importance is given to drug therapy. It helps to get rid of inflammation.
However, the most important way of fighting is exercise therapy. Only medical gymnastics is able to overcome the growing immobility and ossification occurring in the joint and spine.
Exemplary gymnastics complex
LFK exercises are simply vital for patients who have diagnosed Bechterew's disease. Since only the motor activity will save the volume of movements.
Therapeutic gymnastics are quite diverse. Exercises for Bechterew's disease are selected in accordance with the stage of the ailment, the patient's preparation. Many other factors are taken into account. In this regard, it is desirable that the course of exercise therapy is chosen by a doctor.
The approximate complex, given below, will give an idea of the gymnastics recommended for diagnosis - Bekhterev's disease.
Complex in the sitting position
Elbows should be wrapped around the palms. Raise them parallel to the floor. With your chin, draw lines of folded hands in the air. Initially in one direction. Then repeat in the other direction. Try to stretch forward with your chin.
Put your hands down. Without bending your elbows, rotate your shoulders with your shoulders. One should describe the circles in one and the other side. An important condition for the diagnosis - Bechterew's disease, is the maximum workload for this exercise.
Raise your bent arms over your head, grasping your elbows with your hands. Perform alternate torso torso left and right. It is recommended to make considerable efforts.
Place your elbows in the palm of your hand, parallel to the floor. Carry out slow turns of the trunk in different directions.
Classes in lying position
Initially, lay down on the floor or bed on your back.
On the back
Bend your knees. Alternately, take your shins aside. In this case, the knees should remain closed. Remember that the treatment complex with such a disease as Bekhterev's disease involves considerable effort.
Bend your arms, resting your elbows on the floor surface. Leaning against them and the back of the head, carefully bend in the chest area.
On the stomach of the
Pull your arms forward. Pick up one of them, simultaneously bending in the back. You can not twist the torso with this exercise.
Place your hands under your chin. Pick up one of the legs. Stop is directed at yourself. Another leg presses at this time on the pedestal.
Complex on all fours
Round your back, head down. After this, bend over as much as possible. Do not bend your hands when doing this.
Cross over the left knee, describing the arc, to the right hand. In the direction of the knee should not be taken. It is advisable to pull it forward. Repeat the procedure with the other knee.
Pull your leg back. Place it, parallel to the floor, carefully pulling the sock. Alternately, change your legs.
Because the ailment is inflammatory and characterized by a chronic course, therefore nutrition with Bechterew's disease should be properly balanced. The diet should completely compensate for the needs of the body. And do not lead to weight gain. As in this case, the load on the body increases. It suffers from this not only the spine, but also the joints. Do not overweight if a cyst is found.
As a rule, a protein diet is prescribed for patients. The main emphasis is on:
Bechterew's disease: therapeutic exercises for improving mobility |Bechterew's disease
Bechterew's disease is a genetic malfunction. The appearance of the first symptoms can not be prevented, but this is not a sentence to the habitual way of life. A timely diagnosis and the right treatment chosen can stop Bechterev's disease at the first stage: medical gymnastics and medical therapy allow the patient to overcome mobility limitations.
Is therapeutic exercise effective?
Many patients relate to curative gymnastics with suspicion, believing that simple at first glance exercises can not have a serious effect on the development of the disease. Chronic diseases can not be cured by morning exercises? Actually this is not true. Cure Bekhterev's disease does not work out, but regular exercises help to keep mobility even for patients with a serious stage of the disease.
Medical gymnastics compensates for lack of movement, when the disease already imposes certain restrictions on the usual rhythm of life. It also allows you to keep the mobility of the joints and does not allow the vertebrae to grow together.
The main advantage of gymnastics is the ease of use. Exercises are easy to master, and the result can be expected in a couple of months.
. Exemplary set of exercises.
. Physiotherapy can be varied, the complex of exercises is selected taking into account the stage and severity of the disease, the initial preparation of the patient and many other additional factors. Therefore it is better if the treatment is prescribed by a doctor.
Below we give an approximate set of exercises, designed for zero level of training. With him, it's easy to start doing gymnastics.
To begin with, exercises that you can do in the morning without getting out of bed. The starting position - lying on the back:
- raise your hands up, feet - on yourself. Hands and heels stretch in opposite directions.
- lift the head and chin to the stomach.
- get your hands behind your head, bring your feet together, pull your feet towards yourself. From this position, raise the body by 45 degrees, hold for a few seconds, return to the starting position.
In the middle of the working day, you can take a short break, after spending a few minutes on simple exercises for the cervical department:
- make a few turns on the semicircle head to the right and left,
- make several head inclines sideways to the shoulder, in both directions,
- put your hands on the waist,connect the shoulder blades, pull the elbows back, the chin at this time, drag forward. When doing the exercise, try to keep your back straight.
A few exercises that you can perform at home at the end of the day:
- familiar from the school gym classes "cat",
- from the initial position lying on its side, make a few swings with your straight leg back and forth,
- sit up straight, you have to wave forward and back, while turning his head towards the hand, which is at that moment behind him,
- get on all fours. From this position, without moving your hand, bend your back with a wheel. Then, while lowering the buttocks to the feet, straighten your back, bending forward, without bending your arms. Hold in this position for ten seconds, then return to the starting position.
Recommendations for the implementation of the
exercises Regardless of which set of exercises you have chosen, the sessions will be most effective if you follow simple recommendations:
- to start doing gymnastics better in the morning, but the greatest effectiveness can be achieved if you do exercises throughout the day. This will help to achieve good results with a small load,
- the main rule is regularity, even if you feel unwell, it is better to do exercises half-heartedly,
- all the exercises should be done at the pace that is comfortable for you,
- for severe Bechterev's disease,seem to be too complicated, but even not done exercises will still bring the result, the
- exercises and medication should be supplemented with a properly formulated diet. There is no special diet for Bechterew's disease, but the menu should be balanced and healthy, improper nutrition exacerbates any health problems,
- increase the difficulty of the exercises gradually, starting with the simplest,
- is a good addition to therapeutic gymnastics in the hospital and at home there can be a visit to the pool. Water helps to relieve the load from the spine, and the exercises are more effective.
For patients with Bechterew's disease, medical gymnastics can be a very effective addition to traditional treatment. The main thing is to pay attention to the exercises every day, even if the disease has already developed to a serious stage. With regular sessions, most patients can significantly improve mobility.