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physiopraxis 2024; 22(05): 20-25
DOI: 10.1055/a-2273-1722
DOI: 10.1055/a-2273-1722
Therapie
Hochintensiv gegen Schmerzen – Physiotherapie bei axialer Spondylarthritis
Menschen mit axialer Spondylarthritis klagen oft über chronisch entzündlich Rückenschmerzen. Gleichzeitig treten Gelenkschwellungen, Sehnen- und Bänderentzündungen auf. Mitunter sind auch Augen, Haut und Darm betroffen. Jean-Pascal Grenier will mehr Bewusstsein für die Anzeichen sowie für therapeutischen Maßnahmen schaffen. Für die Therapie empfehlen sich regelmäßige körperliche Aktivität, intensives Krafttraining, ein gesunder Lebensstil sowie der sofortige Rauch-Stopp.
Publication History
Article published online:
17 May 2024
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Literaturverzeichnis
- 1 Chen S, Chen M, Wu X. et al Global, regional and national burden of low back pain 1990–2019: A systematic analysis of the Global Burden of Disease study 2019. Journal of Orthopaedic Translation 2022; 32: 49-58
- 2 Ferreira ML, Luca K de, Haile LM. et al Global, regional, and national burden of low back pain, 1990–2020, its attributable risk factors, and projections to 2050: a systematic analysis of the Global Burden of Disease Study 2021. The Lancet Rheumatology 2023; 05: e316-e329
- 3 Bardin LD, King P, Maher CG. Diagnostic triage for low back pain: a practical approach for primary care. Med J Aust 2017; 206: 268-273
- 4 Oliveira CB, Maher CG, Pinto RZ. et al Clinical practice guidelines for the management of non-specific low back pain in primary care: an updated overview. Eur Spine J 2018; 27: 2791-2803
- 5 Wiles LK, Hibbert PD, Stephens JH. et al What Constitutes "Appropriate Care" for Low Back Pain?: Point-of-Care Clinical Indicators From Guideline Evidence and Experts (the STANDING Collaboration Project). Spine (Phila Pa 1976) 2022; 47: 879-891
- 6 Chiarotto A, Koes BW. Nonspecific Low Back Pain. N Engl J Med 2022; 386: 1732-1740
- 7 Hartvigsen J, Hancock MJ, Kongsted A. et al What low back pain is and why we need to pay attention. The Lancet 2018; 391: 2356-2367
- 8 Maher C, Underwood M, Buchbinder R. Non-specific low back pain. The Lancet 2017; 389: 736-747
- 9 Deyo RA, Mirza SK. CLINICAL PRACTICE. Herniated Lumbar Intervertebral Disk. N Engl J Med 2016; 374: 1763-1772
- 10 Jensen RK, Harhangi BS, Huygen F. et al Lumbar spinal stenosis. BMJ 2021; 373: n1581
- 11 Khorami AK, Oliveira CB, Maher CG. et al Recommendations for Diagnosis and Treatment of Lumbosacral Radicular Pain: A Systematic Review of Clinical Practice Guidelines. J Clin Med 2021: 10
- 12 Ritchlin C, Adamopoulos IE. Axial spondyloarthritis: new advances in diagnosis and management. BMJ 2021; 372: m4447
- 13 Braun J, Sieper J. Ankylosing spondylitis. The Lancet 2007; 369: 1379-1390
- 14 Magrey MN, Danve AS, Ermann J. et al Recognizing Axial Spondyloarthritis: A Guide for Primary Care. Mayo Clin Proc 2020; 95: 2499-2508
- 15 Feldtkeller E. Erkrankungsalter und Diagnoseverzögerung bei Spondylarthropathien. Z Rheumatol 1999; 58: 21-30
- 16 Winter JJ de, Paramarta JE, Jong HM de. et al Peripheral disease contributes significantly to the level of disease activity in axial spondyloarthritis. RMD Open 2019; 05: e000802
- 17 Winter JJ de, van Mens LJ, van der Heijde D. et al Prevalence of peripheral and extra-articular disease in ankylosing spondylitis versus non-radiographic axial spondyloarthritis: a meta-analysis. Arthritis Res Ther 2016; 18: 196
- 18 Stolwijk C, van Tubergen A, Castillo-Ortiz JD. et al Prevalence of extra-articular manifestations in patients with ankylosing spondylitis: a systematic review and meta-analysis. Ann Rheum Dis 2015; 74: 65-73
- 19 Wang D-M, Zeng Q-Y, Chen S-B. et al Prevalence and risk factors of osteoporosis in patients with ankylosing spondylitis: a 5-year follow-up study of 504 cases. Clin Exp Rheumatol 2015; 33: 465-470
- 20 Ghozlani I, Ghazi M, Nouijai A. et al Prevalence and risk factors of osteoporosis and vertebral fractures in patients with ankylosing spondylitis. Bone 2009; 44: 772-776
- 21 Vosse D, Landewé R, van der Heijde D. et al Ankylosing spondylitis and the risk of fracture: results from Überblick über die Epidemiologie, Klinik, Komorbiditäten sowie den pharmakologischen und nicht-pharmakologischen Therapieoptionen bei AxSpa a large primary care-based nested case-control study. Ann Rheum Dis 2009; 68: 1839-1842
- 22 Baena-Díez JM, Garcia-Gil M, Comas-Cufí M. et al Association between chronic immune-mediated inflammatory diseases and cardiovascular risk. Heart 2018; 104: 119-126
- 23 Bengtsson K, Forsblad-d'Elia H, Lie E. et al Are ankylosing spondylitis, psoriatic arthritis and undifferentiated spondyloarthritis associated with an increased risk of cardiovascular events? A prospective nationwide population-based cohort study. Arthritis Res Ther 2017; 19: 102
- 24 Peters MJ, van der Horst-Bruinsma IE, Dijkmans BA. et al Cardiovascular risk profile of patients with spondylarthropathies, particularly ankylosing spondylitis and psoriatic arthritis. Semin Arthritis Rheum 2004; 34: 585-592
- 25 Zhao S, Thong D, Miller N. et al The prevalence of depression in axial spondyloarthritis and its association with disease activity: a systematic review and meta-analysis. Arthritis Res Ther 2018; 20: 140
- 26 Scriffignano S, Perrotta FM, Socio A de. et al Role of comorbidities in spondyloarthritis including psoriatic arthritis. Clin Rheumatol 2019; 38: 3-10
- 27 Dures E, Farisoğulları B, Santos EJF. et al 2023 EULAR recommendations for the management of fatigue in people with inflammatory rheumatic and musculoskeletal diseases. Ann Rheum Dis 2023
- 28 Rudwaleit M, van der Heijde D, Khan MA. et al How to diagnose axial spondyloarthritis early. Ann Rheum Dis 2004; 63: 535-543
- 29 van der Linden SM, Khan MA, Li Z. et al Factors predicting axial spondyloarthritis among first-degree relatives of probands with ankylosing spondylitis: a family study spanning 35 years. Ann Rheum Dis 2022; 81: 831-837
- 30 Rudwaleit M, van der Heijde D, Landewé R. et al The development of Assessment of SpondyloArthritis international Society classification criteria for axial spondyloarthritis (part II): validation and final selection. Ann Rheum Dis 2009; 68: 777-783
- 31 Braun J, Bollow M, Remlinger G. et al Prevalence of spondylarthropathies in HLA-B27 positive and negative blood donors. Arthritis & Rheumatism 1998; 41: 58-67
- 32 Brown MA, Kennedy LG, MacGregor AJ. et al Susceptibility to ankylosing spondylitis in twins: the role of genes, HLA, and the environment. Arthritis & Rheumatism 1997; 40: 1823-1828
- 33 Rojas-Vargas M, Muñoz-Gomariz E, Escudero A. et al First signs and symptoms of spondyloarthritis--data from an inception cohort with a disease course of two years or less (REGISPONSER-Early). Rheumatology (Oxford) 2009; 48: 404-409
- 34 Hermann J, Giessauf H, Schaffler G. et al Early spondyloarthritis: usefulness of clinical screening. Rheumatology (Oxford) 2009; 48: 812-816
- 35 Brandt HC, Spiller I, Song I-H. et al Performance of referral recommendations in patients with chronic back pain and suspected axial spondyloarthritis. Ann Rheum Dis 2007; 66: 1479-1484
- 36 Sieper J, Rudwaleit M, Baraliakos X. et al The Assessment of SpondyloArthritis international Society (ASAS) handbook: a guide to assess spondyloarthritis. Ann Rheum Dis 2009; 68 (Suppl. 02) ii1-44
- 37 Hooge M de, van Gaalen FA, Renson T. et al Low specificity but high sensitivity of inflammatory back pain criteria in rheumatology settings in Europe: confirmation of findings from a German cohort study. Ann Rheum Dis 2019; 78: 1605-1606
- 38 Poddubnyy D, Callhoff J, Spiller I. et al Diagnostic accuracy of inflammatory back pain for axial spondyloarthritis in rheumatological care. RMD Open 2018; 04: e000825
- 39 Poddubnyy D, Vahldiek J, Spiller I. et al Evaluation of 2 screening strategies for early identification of patients with axial spondyloarthritis in primary care. The Journal of Rheumatology 2011; 38: 2452-2460
- 40 Sieper J, Srinivasan S, Zamani O. et al Comparison of two referral strategies for diagnosis of axial spondyloarthritis: the Recognising and Diagnosing Ankylosing Spondylitis Reliably (RADAR) study. Ann Rheum Dis 2013; 72: 1621-1627
- 41 Dubreuil M, Sieper J.. Editorial: Inflammatory Back Pain and Axial Spondyloarthritis: Lessons for Clinical Practice and Epidemiologic Research. Arthritis & rheumatology (Hoboken, N.J.) 2018; 70: 981-983
- 42 Grinnell-Merrick LL, Lydon EJ, Mixon AM. et al Evaluating Inflammatory Versus Mechanical Back Pain in Individuals with Psoriatic Arthritis: A Review of the Literature. Rheumatol Ther 2020; 07: 667-684
- 43 Braun J, Inman R. Clinical significance of inflammatory back pain for diagnosis and screening of patients with axial spondyloarthritis. Ann Rheum Dis 2010; 69: 1264-1268
- 44 McVeigh CM, Cairns AP. Diagnosis and management of ankylosing spondylitis. BMJ 2006; 333: 581-585
- 45 Baraliakos X, Richter A, Feldmann D. et al Frequency of MRI changes suggestive of axial spondyloarthritis in the axial skeleton in a large population-based cohort of individuals aged <45 years. Ann Rheum Dis 2020; 79: 186-192
- 46 Weber U, Jurik AG, Zejden A. et al Frequency and Anatomic Distribution of Magnetic Resonance Imaging Features in the Sacroiliac Joints of Young Athletes: Exploring "Background Noise" Toward a Data-Driven Definition of Sacroiliitis in Early Spondyloarthritis. Arthritis Rheumatol 2018; 70: 736-745
- 47 Renson T, Depicker A, Craemer A-S de. et al High prevalence of spondyloarthritis-like MRI lesions in postpartum women: a prospective analysis in relation to maternal, child and birth characteristics. Ann Rheum Dis 2020; 79: 929-934
- 48 Agten CA, Zubler V, Zanetti M. et al Postpartum Bone Marrow Edema at the Sacroiliac Joints May Mimic Sacroiliitis of Axial Spondyloarthritis on MRI. AJR Am J Roentgenol 2018; 211: 1306-1312
- 49 Winter J de, Hooge M de, van de Sande M. et al Magnetic Resonance Imaging of the Sacroiliac Joints Indicating Sacroiliitis According to the Assessment of SpondyloArthritis international Society Definition in Healthy Individuals, Runners, and Women With Postpartum Back Pain. Arthritis & Rheumatology 2018; 70: 1042-1048
- 50 Braun J, Baraliakos X. Active and chronic sacroiliitis, spondylitis and enthesitis, How specific are imaging findings for axial spondyloarthritis?. Rheumatology (Oxford) 2019; 58: 1321-1324
- 51 Hay CA, Packham J, Ryan S. et al Diagnostic delay in axial spondyloarthritis: a systematic review. Clin Rheumatol 2022; 41: 1939-1950
- 52 Zhao SS, Pittam B, Harrison NL. et al Diagnostic delay in axial spondyloarthritis: a systematic review and meta-analysis. Rheumatology (Oxford) 2021; 60: 1620-1628
- 53 Garrido-Cumbrera M, Navarro-Compán V, Bundy C. et al Identifying parameters associated with delayed diagnosis in axial spondyloarthritis: data from the European map of axial spondyloarthritis. Rheumatology (Oxford) 2022; 61: 705-712
- 54 Sørensen J, Hetland ML. Diagnostic delay in patients with rheumatoid arthritis, psoriatic arthritis and ankylosing spondylitis: results from the Danish nationwide DANBIO registry. Ann Rheum Dis 2015; 74: e12
- 55 Voigt A, Seipelt E, Bastian H. et al Verbesserte Frühdiagnostik rheumatischer Erkrankungen : Monozentrische Erfahrungen mit einer offenen fachärztlich rheumatologischen Sprechstunde. Z Rheumatol 2018; 77: 844-849
- 56 Ziade N, Maroof A, Elzorkany B. et al What is the best referral strategy for axial spondyloarthritis? A prospective multicenter study in patients with suspicious chronic low back pain. Joint Bone Spine 2023; 90: 105579
- 57 Ramiro S, Nikiphorou E, Sepriano A. et al ASAS-EULAR recommendations for the management of axial spondyloarthritis: 2022 update. Ann Rheum Dis 2023; 82: 19-34
- 58 Baraliakos X, Kiltz U, Kononenko I. et al Treatment overview of axial spondyloarthritis in 2023. Best Pract Res Clin Rheumatol 2023; 37: 101858
- 59 Rausch Osthoff A-K, Niedermann K, Braun J. et al 2018 EULAR recommendations for physical activity in people with inflammatory arthritis and osteoarthritis. Ann Rheum Dis 2018; 77: 1251-1260
- 60 Martey C, Sengupta R. Physical therapy in axial spondyloarthritis: guidelines, evidence and clinical practice. Curr Opin Rheumatol 2020; 32: 365-370
- 61 Bull FC, Al-Ansari SS, Biddle S. et al World Health Organization 2020 guidelines on physical activity and sedentary behaviour. Br J Sports Med 2020; 54: 1451-1462
- 62 Perrotta FM, Musto A, Lubrano E. New Insights in Physical Therapy and Rehabilitation in Axial Spondyloarthritis: A Review. Rheumatol Ther 2019; 06: 479-486
- 63 Coulter EH, McDonald MT, Cameron S. et al Physical activity and sedentary behaviour and their associations with clinical measures in axial spondyloarthritis. Rheumatol Int 2020; 40: 375-381
- 64 Chow LS, Gerszten RE, Taylor JM. et al Exerkines in health, resilience and disease. Nat Rev Endocrinol 2022
- 65 Heissel A, Heinen D, Brokmeier LL. et al Exercise as medicine for depressive symptoms? A systematic review and meta-analysis with meta-regression. Br J Sports Med 2023
- 66 Cooney GM, Dwan K, Greig CA. et al Exercise for depression. Cochrane Database Syst Rev 2013: CD004366
- 67 Kvam S, Kleppe CL, Nordhus IH. et al Exercise as a treatment for depression: A meta-analysis. J Affect Disord 2016; 202: 67-86
- 68 Morres ID, Hatzigeorgiadis A, Stathi A. et al Aerobic exercise for adult patients with major depressive disorder in mental health services: A systematic review and meta-analysis. Depress Anxiety 2019; 36: 39-53
- 69 Recchia F, Leung CK, Chin EC. et al Comparative effectiveness of exercise, antidepressants and their combination in treating non-severe depression: a systematic review and network meta-analysis of randomised controlled trials. Br J Sports Med 2022
- 70 Korpelainen R, Keinänen-Kiukaanniemi S, Heikkinen J. et al Effect of impact exercise on bone mineral density in elderly women with low BMD: a population-based randomized controlled 30-month intervention. Osteoporos Int 2006; 17: 109-118
- 71 Giangregorio LM, Papaioannou A, Macintyre NJ. et al Too Fit To Fracture: exercise recommendations for individuals with osteoporosis or osteoporotic vertebral fracture. Osteoporos Int 2014; 25: 821-835
- 72 Beck BR. Exercise Prescription for Osteoporosis: Back to Basics. Exerc Sport Sci Rev 2022; 50: 57-64
- 73 Watson SL, Weeks BK, Weis LJ. et al High-intensity exercise did not cause vertebral fractures and improves thoracic kyphosis in postmenopausal women with low to very low bone mass: the LIFTMOR trial. Osteoporos Int 2019; 30: 957-964
- 74 Martyn-St James M, Carroll S. Meta-analysis of walking for preservation of bone mineral density in postmenopausal women. Bone 2008; 43: 521-531
- 75 Ryan AS, Ivey FM, Hurlbut DE. et al Regional bone mineral density after resistive training in young and older men and women. Scand J Med Sci Sports 2004; 14: 16-23
- 76 Watson SL, Weeks BK, Weis LJ. et al High-Intensity Resistance and Impact Training Improves Bone Mineral Density and Physical Function in Postmenopausal Women With Osteopenia and Osteoporosis: The LIFTMOR Randomized Controlled Trial. J Bone Miner Res 2018; 33: 211-220
- 77 Zhao R, Zhao M, Xu Z. The effects of differing resistance training modes on the preservation of bone mineral density in postmenopausal women: a meta-analysis. Osteoporos Int 2015; 26: 1605-1618
- 78 Meigh NJ, Keogh JW, Hing W.. Effect of kettlebell training on bone mineral density in two older adults with osteoporosis: a multiple-case study from the BELL trial. 2021
- 79 El-Khoury F, Cassou B, Charles M-A. et al The effect of fall prevention exercise programmes on fall induced injuries in community dwelling older adults. Br J Sports Med 2015; 49: 1348
- 80 Kannus P, Sievänen H, Palvanen M. et al Prevention of falls and consequent injuries in elderly people. The Lancet 2005; 366: 1885-1893
- 81 Montero-Odasso M, van der Velde N, Martin FC. et al World guidelines for falls prevention and management for older adults: a global initiative. Age Ageing 2022: 51
- 82 Sherrington C, Fairhall N, Wallbank G. et al Exercise for preventing falls in older people living in the community: an abridged Cochrane systematic Review. Br J Sports Med 2019
- 83 Edwards JJ, Deenmamode AHP, Griffiths M. et al Exercise training and resting blood pressure: a large-scale pairwise and network meta-analysis of randomised controlled trials. Br J Sports Med 2023
- 84 Han M, Qie R, Shi X. et al Cardiorespiratory fitness and mortality from all causes, cardiovascular disease and cancer: dose-response meta-analysis of cohort studies. Br J Sports Med 2022; 56: 733-739
- 85 MacDonald HV, Johnson BT, Huedo-Medina TB. et al Dynamic Resistance Training as Stand-Alone Antihypertensive Lifestyle Therapy: A Meta-Analysis. J Am Heart Assoc 2016: 5
- 86 O'Dwyer T, O'Shea F, Wilson F. Physical activity in spondyloarthritis: a systematic review. Rheumatol Int 2015; 35: 393-404
- 87 Sveaas SH, Bilberg A, Berg IJ. et al High intensity exercise for 3 months reduces disease activity in axial spondyloarthritis (axSpA): a multicentre randomised trial of 100 patients. Br J Sports Med 2020; 54: 292-297
- 88 Sveaas SH, Dagfinrud H, Berg IJ. et al High-Intensity Exercise Improves Fatigue, Sleep, and Mood in Patients With Axial Spondyloarthritis: Secondary Analysis of a Randomized Controlled Trial. Phys Ther 2020; 100: 1323-1332
- 89 O'Dwyer T, O'Shea F, Wilson F. Decreased physical activity and cardiorespiratory fitness in adults with ankylosing spondylitis: a cross-sectional controlled study. Rheumatol Int 2015; 35: 1863-1872
- 90 Hilberdink B, Vlieland TV, van der Giesen F. et al Adequately dosed aerobic physical activity in people with axial spondyloarthritis: associations with physical therapy. Rheumatol Int 2020; 40: 1519-1528
- 91 Gianfrancesco MA, Trupin L, Shiboski S. et al Smoking Is Associated with Higher Disease Activity in Rheumatoid Arthritis: A Longitudinal Study Controlling for Time-varying Covariates. The Journal of Rheumatology 2019; 46: 370-375
- 92 Alfredsson L, Klareskog L, Hedström AK. Influence of Smoking on Disease Activity and Quality of Life in Patients With Rheumatoid Arthritis: Results From a Swedish Case-Control Study With Longitudinal Follow-Up. Arthritis Care Res 2023; 75: 1269-1277
- 93 Moltó A, Nikiphorou E. Comorbidities in Spondyloarthritis. Front Med (Lausanne) 2018; 05: 62
- 94 Ramiro S, Landewé R, van Tubergen A. et al Lifestyle factors may modify the effect of disease activity on radiographic progression in patients with ankylosing spondylitis: a longitudinal analysis. RMD Open 2015; 01: e000153
- 95 Poddubnyy D, Haibel H, Listing J. et al Baseline radiographic damage, elevated acute-phase reactant levels, and cigarette smoking status predict spinal radiographic progression in early axial spondylarthritis. Arthritis & Rheumatism 2012; 64: 1388-1398
- 96 Villaverde-García V, Cobo-Ibáñez T, Candelas-Rodríguez G. et al The effect of smoking on clinical and structural damage in patients with axial spondyloarthritis: A systematic literature review. Semin Arthritis Rheum 2017; 46: 569-583
- 97 Zurita Prada PA, Urrego Laurín CL, Guillén Astete CA. et al Influence of smoking and obesity on treatment response in patients with axial spondyloarthritis: a systematic literature review. Clin Rheumatol 2021; 40: 1673-1686
- 98 Smuck M, Schneider BJ, Ehsanian R. et al Smoking Is Associated with Pain in All Body Regions, with Greatest Influence on Spinal Pain. Pain Med 2020; 21: 1759-1768
- 99 Andreas S, Hering T, Mühlig S. et al Smoking Cessation in Chronic Obstructive Pulmonary Disease: An Effective Medical Intervention. Dtsch Arztebl Int 2009; 106: 276-282
- 100 Kanis JA, Johnell O, Oden A. et al Smoking and fracture risk: a meta-analysis. Osteoporos Int 2005; 16: 155-162
- 101 Ding N, Sang Y, Chen J. et al Cigarette Smoking, Smoking Cessation, and Long-Term Risk of 3 Major Atherosclerotic Diseases. J Am Coll Cardiol 2019; 74: 498-507
- 102 Willigendael EM, Teijink JAW, Bartelink M-L. et al Smoking and the patency of lower extremity bypass grafts: a meta-analysis. J Vasc Surg 2005; 42: 67-74