a. Facilitate skeletal mobility.
b. Prevent contractures.
2. Exercises. F.i,9.y.r§...,56:.l, .F.ig.yi§...56z2., .Figure, 56-3, F,i.g.u.re,..,5.6.-.4, Figure. .56-5, .F,i.g.u.r.e,..5.6.-6 and Fig.yie 5.6-Z are examples of appropriate exercises used in the treatment of patients with back involvement in ankylosing spondylitis and other seronegative spondyloarthropathies.
FIG. 56-1. Chest mobilization (inspiration). Bend away from right side during inspiration.
FIG. 56-2. Chest mobilization (expiration). Bend toward right side during expiration. Push fisted hand into the lateral aspect of chest as you bend toward the right side.
FIG. 56-3. Belt exercises for lateral costal expansion. Reinforce lateral costal expansion during inspiration. Assist with pressure along the rib cage during expiration. (Reprinted from the Saunders Group, Inc. © 1996.)
FIG. 56-4. Deep breathing with an incentive inspirometer. For inspiration, use right side up and breathe in. For expiration, use upside down and breathe out.
FIG. 56-5. Pectoral stretching (shoulder blade pinch). Stand or sit straight and tall. Pull your shoulders back, squeezing your shoulder blades together.
FIG. 56-6. Pectoral stretching (hands behind head). Stand or sit. Place your hands behind your head with elbows in front. Move your elbows back as far as possible.
FIG. 56-7. Pectoral stretching (standing). Stand facing a corner. Put the palms of your hands on the wall. Slowly lean your chest into the corner. (Reprinted from the Saunders Group, Inc. © 1996.)
C. Osteoporosis. Weight-bearing activities such as brisk walking, biking, jogging, and working with a selected group of exercise machines can be an effective way to maintain and strengthen muscles while stimulating bone formation. These types of exercises and activities are referred to as impact-loading or weight-bearing exercises. An exercise program should consist of postural retraining, education in proper body mechanics, deep breathing, stretching, strengthening, and impact-loading activities. Extreme caution should be taken during forward flexion exercises of the spine because of the longer lever arm produced with increased flexion. An osteoporotic vertebral body may not be able to tolerate this load, and compression fracture with wedging may occur.
Was this article helpful?
Grab This Breath Modulation Audio Product Right Now And Unlock The Secrets To Achieving Success With Audio. What If You Have All The Tools And Techniques You Will Ever Need To Change Your Success And Health And Share That With Others? This Product Will Do Just That.