THE IMPACT OF PHYSICAL ACTIVITY ON QUALITY OF LIFE IN PATIENTS WITH ANKYLOSING SPONDYLITIS (AS) - A REVIEW OF CLINICAL AND FUNCTIONAL BENEFITS

Introduction: Ankylosing spondylitis (AS) is a chronic and progressive systemic disease of unknown cause, characterized by inflammation and ossification. This disease affects the sacroiliac joints and the joints of the spine, including the costovertebral and costotransverse joints, as well as the peripheral joints and tendon attachment sites. Due to the long-term and difficult course of AS, improving quality of life is one of the key goals of therapeutic measures. Regular physical activity is considered an important element of comprehensive treatment, supporting both pharmacological and rehabilitative treatment. Objectives: The aim of this study is to analyze the impact of physical activity on the quality of life of patients with AS. Specific objectives include: examining differences in quality of life in the context of physical activity levels (assessed, among others, using the SF-36 and ASQoL questionnaires), to identify the most effective forms of exercise (e.g., stretching, swimming, yoga, Nordic walking), to analyze the relationship between physical activity and pain intensity and mobility, and to assess compliance with activity recommendations in this group of patients. Methodes: This work is based on review materials, the most recent research, and compilations and comparisons of materials. Results: An analysis of existing studies emphasizes that regular physical activity helps reduce pain, improves mobility, has a positive effect on mental well-being, and may slow the progression of the disease. Conclusion: In summary, physical activity is a key element in improving the quality of life of people with AS. Its importance as part of therapy should be emphasized in daily clinical practice, and the greatest benefits are achieved by tailoring the exercise plan to the specific needs of the patient.