Ankylosing Spondylitis

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Siobahn is a 17-year-old male with a medical diagnosis of Juvenile Rheumatoid Arthritis and Ankylosing Spondylitis. Upon examination, the patient’s spine is hypomobile but denies pain with palpation and during spinal movements. Which of the following interventions is the MOST recommended:   

A. Postural education to reduce lumbar lordosis 

B. Supine abdominal crunches 

C. Grade 4 mobilizations at ankylosed segments   

D. Scapular stabilization exercises

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