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Swimming in AS — SCE Rheumatology MCQ

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HardSpondyloarthropathySwimming in ASSCE Rheumatology

A 35-year-old man with axial spondyloarthritis asks what an exercise programme should contain. Which advice best reflects specialist management?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: DUse a supervised programme combining mobility and conditioning

The best answer is “Use a supervised programme combining mobility and conditioning”. Axial spondyloarthritis physiotherapy combines spinal mobility, stretching, strengthening, postural work, deep breathing and aerobic exercise according to individual need. Aerobic work alone is incomplete, exercise does not accelerate ankylosis, range-of-motion work is important, and hydrotherapy can help but is not the sole effective setting.

Reference: NICE NG65 spondyloarthritis recommendations: https://www.nice.org.uk/guidance/ng65/chapter/Recommendations