What is important for a patient with AS to improve ROM and function?

• A. PT and ROM exercises
• B. High-dose steroids
• C. Surgery
• D. Methylprednisolone

Answer: (A)

Maintaining mobility through targeted exercise and physical therapy is key for improving range of motion and function in ankylosing spondylitis. A structured program of ROM exercises and therapeutic stretching helps preserve spinal flexibility, maintain posture, and improve chest expansion, all of which translate into better daily functioning and less stiffness. Medications like high-dose steroids can reduce inflammation acutely but do not preserve or enhance long-term mobility, and they carry risks with repeated use. Surgery is reserved for severe deformity or joint damage when other treatments have failed, not as a routine way to improve ROM. So, regular PT and ROM exercises directly address the mobility limitations that matter for daily function.