Clinical Assessment of Spinal Mobility Measurements in Ankylosing Spondylitis: A Compact Set for Follow-up and Trials?

Viitanen, J. V.; Heikkilä, S.; Kokko, M L; Kautiainen, Hannu

doi:10.1007/s100670050031

Cited by 68 publications

(48 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…For example, in the present study, BASMI correlations with the other measures were not as strong as those of the UCOASMI, which may be related to measure variability. Second, the UCOASMI includes an item with high validity but it cannot be easily measured without an automated motion capture system, namely trunk rotation (2).…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Is Spinal Mobility in Patients With Spondylitis Determined By Age, Structural Damage, and Inflammation?

Calvo‐Gutiérrez

Garrido-Castro

Gil-Cabezas

et al. 2014

Arthritis Care & Research

View full text Add to dashboard Cite

Objective. To explore the association between mobility, inflammation, and structural damage in ankylosing spondylitis (AS). Methods. Patients with AS were included in a cross-sectional study in which spinal mobility was measured by the Bath Ankylosing Spondylitis Metrology Index (BASMI) and by the University of Có rdoba Ankylosing Spondylitis Metrology Index (UCOASMI), based on an automated motion analysis. Structural damage was measured by the modified Stoke Ankylosing Spondylitis Spine Score (mSASSS), and activity by the Ankylosing Spondylitis Disease Activity Score (ASDAS) and the Bath Ankylosing Spondylitis Disease Activity (BASDAI). We analyzed the correlations between variables, as well as interaction by multiple linear regression models to reach a predictive equation. Results. Fifty AS patients, mainly men in their mid-40s and with moderate levels of disease activity and structural damage, were included in the study. BASMI and UCOASMI scores showed a strong correlation (r ‫؍‬ 0.89). UCOASMI scores correlated stronger than BASMI with structural damage (r ‫؍‬ 0.72 versus r ‫؍‬ 0.67) and patient's age (r ‫؍‬ 0.68 versus r ‫؍‬ 0.56). Correlations of mobility were weaker with disease activity by the ASDAS (r ‫؍‬ 0.38) and BASDAI (r ‫؍‬ 0.49), and disease duration (r ‫؍‬ 0.40). Multiple linear regression showed that factors associated to mobility by UCOASMI were age, the BASDAI, mSASSS, ASDAS (0:<2.1, 1:>2.1), and disease duration >15 years. The largest weight in the equation corresponded to the mSASSS. The association between the ASDAS and UCOASMI is dependent on disease duration. Conclusion. Mobility in AS is influenced by both structural damage and activity, but definitely also by age and disease duration. Improved mobility should be a relevant target in AS, even more prominently than activity, given its closer relation to structural damage.

show abstract

Section: Discussionmentioning

confidence: 99%

“…The assessment of spinal mobility is widely used in the followup of patients with AS (1,2). Most measures of spinal mobility are indirect, such as the finger to floor distance, and few, like the Schober test, are direct measures of spine flexibility.…”

Section: Introductionmentioning

confidence: 99%

Is Spinal Mobility in Patients With Spondylitis Determined By Age, Structural Damage, and Inflammation?

Calvo‐Gutiérrez

Garrido-Castro

Gil-Cabezas

et al. 2014

Arthritis Care & Research

View full text Add to dashboard Cite

show abstract

“…The finger-to-floor distance depends on the extensibility of hamstring muscles and the thoracolumbar lateral flexion is influenced by the extensibility of spine muscles. The occiput-to-wall distance is defined by curvature and mobility of the spine, tilt of the pelvis, and stiffness around the hip and spine [20,33]. Normal chest expansion requires normal costovertebral, costosternal, manubriosternal, and sternoclavicular joints.…”

Section: Discussionmentioning

confidence: 99%

Treatment of ankylosing spondylitis with biologics and targeted physical therapy

et al. 2013

View full text Add to dashboard Cite

Objective-Biologics are highly effective in ankylosing spondylitis (AS). In this selfcontrolled study, we assessed the additive value of complex physiotherapy in decreasing chest -2 -pain and tenderness and improving respiratory function in AS patients treated with tumor necrosis factor α (TNF-α) inhibitors.Patients and methods-The trial consisted of 2 parts. In study I, clinical data of AS patients with (n=55) or without biological therapy (n=20) were retrospectively analyzed and compared. Anthropometrical data, duration since diagnosis and patient assessment of disease activity, pain intensity, tender points, sacroiliac joint involvement determined by X-ray, functional condition, and physical activity level were recorded. Subjective, functional, and physical tests were performed. In study II, 10 voluntary patients (6 men and 4 women, age 52.4±13.6 years) with definite AS and receiving anti-TNF therapy were recruited. It was a prospective, non-randomized physiotherapeutic trial. BASFI (Bath Ankylosing Spondylitis Functional Index), BASDAI (Bath Ankylosing Spondylitis Disease Activity Index), modified Schober Index, occiput-to-wall distance, and fingertip-to-floor distance were evaluated.Forced vital capacity, forced 1-s expiratory volume, peak expiratory flow, and maximum voluntary ventilation were recorded. Furthermore, typical tender points were recorded. A targeted physiotherapy program was conducted twice a week for 12 weeks and all above parameters were recorded at baseline and after 12 weeks.Results-Differences in patient assessment of disease activity (p=0.019) and pain intensity (p=0.017) were found in study I. Pain and tenderness of the thoracic spine were observed in both groups. Back pain without biologic therapy was slightly higher than other group.In study II, we found that patient assessment of disease activity and pain intensity significantly improved after the physical therapy program (p=0.002 and p<0.001). BASFI and BASDAI increased after treatment (p=0.004 and p<0.001). The finger-to-floor distance, chest expansion, and modified Schober index increased (p=0.008, p<0.001, and p=0.031, respectively). The respiratory functional parameters showed a tendency towards improvement. Conclusion-AS SchlüsselwörterAtemübungen · Physiotherapie · Biologische Therapie · Anti-TNF-Therapie · Atmung

show abstract

“…A 15 cm distance was marked 5 cm below to 10 cm above the spinous crest of the fifth lumbar vertebra at the level of the posterior superior iliac crest (dimples of Venus). 9 The patient was asked to lean forward without bending the knees. Measurement was performed by determining the difference arising in this distance.…”

Section: Methodsmentioning

confidence: 99%

Chest Expansion and Modified Schober Measurement Values in a Healthy, Adult Population

2016

View full text Add to dashboard Cite

Objectives:This study aims to demonstrate chest expansion and lumbar mobility using modified Schober measurement values in healthy male and female populations aged 15 and over, and to identify factors affecting these measurements. Patients and methods:The prospective study included 444 volunteers (195 males, 249 females; mean age 47.13 years; range 15 to 88 years) from among patients presenting to the Akdeniz University Faculty of Medicine Hospital Physical Medicine and Rehabilitation Clinic. Participants were divided into seven 10-year age groups: group 1: 15-24 years, group 2: 25-34, group 3: 35-44, group 4: 45-54, group 5: 55-64, group 6: 65-74, and group 7: over 75. Exclusion criteria comprised factors potentially influencing spinal mobility and chest expansion. All volunteers' chest measurements were performed in three planes (circumferential with a tape measure, and anteroposteriorly and transversely with calipers) and lumbar mobility was measured using the modified Schober method. The same physician performed the measurements. Results: Chest expansion measurements using tape and calipers varied considerably in all age groups and in both sexes. While there was no difference between males and females in circumferential chest expansion measurement, there was a significant difference decrease in both sexes from group 3 and onward. The only difference between the sexes in terms of modified Schober measurement was in group 4, in favor of male sex. Age-related change in both sexes was higher at age 55 and above compared to the young age groups. Conclusion: We may conclude that chest expansion measurement in the circumferential plane is sufficient when appropriate conditions are established and provides the most accurate result by permitting measurement in all planes.

show abstract

Clinical Assessment of Spinal Mobility Measurements in Ankylosing Spondylitis: A Compact Set for Follow-up and Trials?

Cited by 68 publications

References 29 publications

Is Spinal Mobility in Patients With Spondylitis Determined By Age, Structural Damage, and Inflammation?

Is Spinal Mobility in Patients With Spondylitis Determined By Age, Structural Damage, and Inflammation?

Treatment of ankylosing spondylitis with biologics and targeted physical therapy

Chest Expansion and Modified Schober Measurement Values in a Healthy, Adult Population

Contact Info

Product

Resources

About