Mémoire réalisé par Rockey NATHAN
The ankylosing spondylitis (AS) is a chronic inflammatory rheumatic disease of unknown etiology, belonging to the group of spondylarthropathies, and usually associated with the presence of HLA-B27 antigen. It primarily affects the axial skeleton and the pelvis – chronic inflammatory processes of bone, connective fibrous tissue, entheses and progressive calcification can lead to ankylosis of the affected joints. Since the musculoskeletal system is reached, we witness in these patients with structural and postural changes and limited range of motion, which can lead them to adopt inappropriate postures.
Nowadays, the prognosis for patients with AS is poor, and some continue to have inadequately controlled disease, suggesting the need to develop new treatment options. The purpose of this paper has been, given the results, to evaluate the consequences of musculoskeletal alterations on postural balance, and evaluate the impact of manual therapy on joint mobility, pulmonary function, the disease activity, pain, fatigue and quality of life, in order to offer new solutions in the management of these patients