[article] 
inAnnals of physical and rehabilitation medicine > Vol. 49, n°6 (juillet 2006) . - p.398-391

Titre :	Fatigue in ankylosing spondylitis
Type de document :	texte imprimé
Auteurs :	MISSAOUI B., Auteur ; Michel Revel, Auteur
Année de publication :	2006
Article en page(s) :	p.398-391
Langues :	Anglais (eng)
Résumé :	Objective To review the literature on fatigue in ankylosing spondylitis (AS), the tools of its measurement, relation with the other parameters of the disease, treatment and its relation with exercises. Materials and methods Medline, Embase, Pascal and Cochrane library databases were searched with the keywords fatigue, spondyloarthropathy, ankylosing spondylitis, evaluation, assessment, outcome, exercise, and rehabilitation. A total of 21 papers were reviewed. Results Fatigue is a frequent complaint of patients with AS. It is assessed mainly on a visual analog scale and is one of the parameters of the disease activity index Bath Ankylosing Spondylitis Disease Activity Index BASDAI. Fatigue has a strong relation with the other symptoms of AS (stiffness and pain). It is negatively influenced by sleep disorders. Quality of life of these patients is considerably reduced. Anti-TNF therapy seem to ameliorate fatigue more than nonsteroidal anti-inflammatory drug therapy. Regular physical activity is recommended to help alleviate the fatigue. Discussion No valid, relevant composite tool of multidimensional and multifactorial characters exists to assess fatigue in AS. Treatment such as anti-TNF therapy may facilitate rehabilitation. Regular physical activity helps alleviate fatigue and improves quality of life.
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[article] Fatigue in ankylosing spondylitis [texte imprimé] / MISSAOUI B., Auteur ; Michel Revel, Auteur . - 2006 . - p.398-391.
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 49, n°6 (juillet 2006) . - p.398-391

Résumé :

Objective To review the literature on fatigue in ankylosing spondylitis (AS), the tools of its measurement, relation with the other parameters of the disease, treatment and its relation with exercises. Materials and methods Medline, Embase, Pascal and Cochrane library databases were searched with the keywords fatigue, spondyloarthropathy, ankylosing spondylitis, evaluation, assessment, outcome, exercise, and rehabilitation. A total of 21 papers were reviewed. Results Fatigue is a frequent complaint of patients with AS. It is assessed mainly on a visual analog scale and is one of the parameters of the disease activity index Bath Ankylosing Spondylitis Disease Activity Index BASDAI. Fatigue has a strong relation with the other symptoms of AS (stiffness and pain). It is negatively influenced by sleep disorders. Quality of life of these patients is considerably reduced. Anti-TNF therapy seem to ameliorate fatigue more than nonsteroidal anti-inflammatory drug therapy. Regular physical activity is recommended to help alleviate the fatigue. Discussion No valid, relevant composite tool of multidimensional and multifactorial characters exists to assess fatigue in AS. Treatment such as anti-TNF therapy may facilitate rehabilitation. Regular physical activity helps alleviate fatigue and improves quality of life.

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