There is a lack of detailed information to guide exercise prescription, including the type and dosage of exercise required for the greatest benefit, despite Level 1b evidence and international consensus that exercise is beneficial in ankylosing spondylitis. This cooperative undertaking, consolidating proof with clinical ability, was laid out to foster functional proposals to direct feasible activity solution for people with AS.
Utilizing a changed Delphi strategy, 10 clinical inquiries were produced and an orderly writing survey was directed for each. Based on the integration of evidence summaries and expert opinion, draft recommendations were developed during a two-day meeting. Prior to finalization, patient and health professional groups provided feedback. For the following areas, recommendations and practice points were created: assessment; monitoring; safety; infection the board; exercise tailored to the AS; sporting activities; setting, dosage, and adherence. A framework for exercise in other chronic musculoskeletal conditions was developed. The feedback suggests that the final consensus statement contains information that is helpful to those attempting to provide exercise prescriptions for AS patients based on best practices.
The recommendations offer an up-to-date, evidence-based approach to the entire range of issues associated with the use of exercise in AS and highlight evidence gaps that call for additional investigation. Most importantly, this includes looking into the aspects of exercise program design that are necessary to produce the greatest effect, long-term exercise program adherence, and the particular exercise requirements of AS subgroups. To achieve optimal exercise outcomes, the guidelines must be widely disseminated and implemented.
Published Date: 2023-04-27; Received Date: 2023-03-30