Ankylosing Spondylitis

Question 1

Ankylosing Spondylitis

Answer 1

Inflammatory disease primarily of the axial skeleton, SI joints, apophyseal joints, costovertebral joints & intervertebral disk articulations

Question 2

Ankylosing Spondylitis incidence

Answer 2

more common in white and native Americans, diagnosed early (age 15-30), differential diagnosis of mechanical back pain (30-65 years of age), men are 2-3x more likely.

Question 3

Etiology and risk factors of Ankylosing Spondylitis

Answer 3

genetic or environmental link, risk factors are gender, age, race, and family history.

Question 4

Pathology of Ankylosing Spondylitis

Answer 4

Disruption of junction of tendon, ligament, cartilage, or synovium with bone. Replacement of inflamed cartilage by bone = progressive ossification

Question 5

Clinical manifestations of Ankylosing Spondylitis

Answer 5

initially, insidious onset of SI joint pain, duration of greater than 3 months. pain begins as dull ache, becomes more severe and constant. Coughing, sneezing, & twisting worsen pain.

Question 6

Rehab management for Ankylosing Spondylitis

Answer 6

maintain spinal extension, breathing, postural training, endurance, gait training