{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T18:43:03Z","timestamp":1791830583319,"version":"4.3.4"},"reference-count":21,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,6,13]],"date-time":"2025-06-13T00:00:00Z","timestamp":1749772800000},"content-version":"vor","delay-in-days":12,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,6,1]],"date-time":"2025-06-01T00:00:00Z","timestamp":1748736000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Musculoskeletal Care"],"published-print":{"date-parts":[[2025,6]]},"abstract":"ABSTRACT<\/jats:title>\n \n Background<\/jats:title>\n Ankylosing spondylitis (AS) is a chronic, immune\u2010mediated inflammatory condition that primarily affects the axial skeleton, leading to pain, stiffness, and functional limitations. While physiotherapy plays a critical role in the management of AS, access to in\u2010person services remains limited, particularly in rural or underserved areas.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n This narrative review aims to synthesise current evidence on the effectiveness and feasibility of tele\u2010rehabilitation for individuals with ankylosing spondylitis and to identify future directions for optimising remote physiotherapy in clinical practice.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n A comprehensive search was conducted across four major databases: PubMed, Scopus, Web of Science, and Google Scholar. Studies published between 2008 and 2025 were selected using keywords such as ankylosing spondylitis, tele\u2010rehabilitation, remote physiotherapy, and digital health. Eligible studies included randomized controlled trials, systematic reviews and observational studies that evaluated remote physiotherapy interventions for AS. Inclusion criteria focused on non\u2010pharmacological, exercise\u2010based interventions delivered via digital or telecommunication platforms.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n The reviewed studies demonstrate that tele\u2010rehabilitation can provide outcomes comparable to traditional physiotherapy in terms of pain reduction, improved mobility, and enhanced patient satisfaction. Digital platforms were also found to improve accessibility, adherence, and cost\u2010efficiency. However, challenges such as inconsistent programme designs, technological barriers, and limited long\u2010term outcome data were noted.<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Tele\u2010rehabilitation represents a promising adjunct or alternative to conventional physiotherapy for managing ankylosing spondylitis. Future research should aim to develop standardized protocols, improve technological accessibility, and conduct long\u2010term evaluations to support integration into mainstream healthcare.<\/jats:p>\n <\/jats:sec>","DOI":"10.1002\/msc.70144","type":"journal-article","created":{"date-parts":[[2025,6,13]],"date-time":"2025-06-13T23:50:38Z","timestamp":1749858638000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Tele\u2010Rehabilitation in Ankylosing Spondylitis: Current Evidence and Future Directions in Remote Physiotherapy"],"prefix":"10.1002","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-7566-7764","authenticated-orcid":false,"given":"Himanshu","family":"Gakhar","sequence":"first","affiliation":[{"name":"Department of Neurology Physiotherapy Faculty of Physiotherapy SGT University Gurugram India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Khushi","family":"Khurana","sequence":"additional","affiliation":[{"name":"Faculty of Physiotherapy SGT University Gurugram India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dr Chitra","family":"Kataria","sequence":"additional","affiliation":[{"name":"ISIC Institute of Rehabilitation Sciences New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,6,13]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1017\/dmp.2022.219"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1155\/2022\/7366063"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.67388"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/1357633x17723368"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40945\u2010022\u201000155\u20100"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/ket387"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/rmdopen\u20102024\u2010004218"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.explore.2024.103078"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare10010132"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.rdc.2017.04.006"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.2196\/36028"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1080\/10833196.2023.2195214"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.33590\/emj\/10314487"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.rehab.2023.101791"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1249\/jsr.0000000000000974"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11845\u2010024\u201003846\u20108"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1093\/ptj\/pzab053"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ctcp.2022.101672"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.2196\/38501"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1177\/1357633x20980291"},{"key":"e_1_2_10_22_1","volume-title":"StatPearls","author":"Wenker K. J.","year":"2023"}],"container-title":["Musculoskeletal Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/msc.70144","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/msc.70144","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/msc.70144","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T14:37:23Z","timestamp":1772980643000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/msc.70144"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6]]},"references-count":21,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025,6]]}},"alternative-id":["10.1002\/msc.70144"],"URL":"https:\/\/doi.org\/10.1002\/msc.70144","archive":["Portico"],"relation":{},"ISSN":["1478-2189","1557-0681"],"issn-type":[{"value":"1478-2189","type":"print"},{"value":"1557-0681","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,6]]},"assertion":[{"value":"2025-05-06","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-06-09","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-06-13","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70144"}}