僵直性脊椎炎患者之運動策略與效益

The strategies and benefits of exercise participation for ankylosing spondylitis patients

僵直性脊椎炎為脊椎關節炎的病症之一，屬長期漸進風濕性關節炎症，發病時會引起背痛、疲勞及風濕性關節炎等等病灶，嚴重影響患者身體各項功能與生活品質。治療僵直性脊椎炎之策略包含藥物、復健及外科手術等方式，其中運動訓練介入的復健治療，能有效改善病情的惡化，並增進身體活動能力。本文以文獻回顧方式，針對運動介入對僵直性脊椎炎患者的疾病活性、身體功能及心理層面之助益進行探討。綜合先前文獻結果發現，透過高頻率且中等強度的整合式運動訓練，應能有效減緩僵直性脊椎炎病痛指數、提昇身體功能及增進患者心理健康狀態。期望透過本文，提供僵直性脊椎炎患者在運動處方上的參考，並有助減少病痛及增進日常生活的活動能力與生活品質。

Ankylosing spondylitis (AS) is a chronic and progressive rheumatoid arthritis of spondylarthritis. AS related back pain, fatigue, and rheumatoid arthritis seriously and negatively affect the capacity of physical activity and life quality. Strategies for treating AS includes medication, surgery and rehabilitation. And, exercise-related rehabilitation can ameliorate disease condition and benefit to physical activity capacity. Through literature review, we discussed the effects of exercise interventions on disease activity, physical function and the psychological aspects of AS patients. In summary, AS conditions (e.g. pain indices, physical function and mental health) can be ameliorated through high frequency and moderate intensity integrated exercise participation. The current review provided exercise related prescription for AS patients in purpose of reducing AS related pain and improving physical activity capacity and life quality.