How is physiotherapy used in Axial Spondyloarthritis?
Daily home exercises need to be performed to maintain good posture and chest expansion and to minimize deformities in both active and stable axSpA patients. Hydrotherapy (swimming) provides the best environment to maximize the exercise program. Patients should sleep on a firm mattress fully supine with a small neck-support pillow to prevent progressive deformity. Lying prone for 15 to 30 minutes daily or sleeping prone at night helps prevent kyphosis. Cigarette smoking should be avoided in light of potential diminished chest expansion, apical lobe fibrosis, and its untoward cardiovascular effects.