Erratum zu: Epionics SPINE – Anwendung einer objektiven Untersuchungsmethode der Wirbelsäulenbeweglichkeit bei Patienten mit axialer Spondyloarthritis

Kiefer, David; Baraliakos, Xenofon; Bühring, Björn; Kiltz, Uta; Braun, J.

doi:10.1007/s00393-019-00715-z

Cited by 2 publications

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“…45 Patients with axSpA are in general less active and have a decreased mobility compared with HCs. [46][47][48] If this lack of exercise plays a role in the pathogenesis of morning stiffness in patients with axSpA has not yet been investigated.…”

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confidence: 99%

Clinically relevant differences in spinal mobility related to daytime performance in patients with axial spondyloarthritis

Kiefer,

Schneider,

Braun

et al. 2024

RMD Open

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ObjectivePatients with axial spondyloarthritis (axSpA) suffer from clinical symptoms like morning stiffness and back pain. Mobility of patients with axSpA is often impaired. The aim of this study is to compare the performance of patients with axSpA regarding mobility measures including performance-based tests and objective electronic assessments with the Epionics SPINE device (ES) at different times of the day compared with healthy controls (HC).MethodsObservational trial, consecutive inpatients with axSpA (n=100) and 20 HCs were examined in the morning (V1: before 10:00 am) and in the afternoon (V2: after 02:00 pm) by the Bath Ankylosing Spondylitis Metrology Index (BASMI), the AS physical performance index (ASPI), the Short Physical Performance Battery (SPPB) and ES measurements, including range of motion (RoM) and range of kinematics (RoK).ResultsThe assessments of patients with axSpA performed in the morning clearly differed from those in the afternoon, especially regarding performance-based tests. Significant improvements were seen for BASMI (4.0±3.8 to 3.8±1.9; p<0.001), ASPI (36.2±18.3 to 28.8±11.9 s; p<0.001), SPPB (10.1±1.5 to 10.7±1.4 points; p<0.001) and for ES measures of speed (RoK; p<0.018) but not for RoM, except for lateral flexion (13.3±7.4 to 14.7±8.2°; p=0.002). This time of assessment-related variability was not observed in HC.ConclusionThe spinal mobility of patients with axSpA was worse in the morning but significantly improved in the afternoon. This was captured best by performance-based measures and was not seen in HC. The diurnal variation of mobility has implications for clinical studies, suggesting that the time of assessments needs to be standardised.

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Section: Rmd Open Rmd Open Rmd Openmentioning

confidence: 99%

Clinically relevant differences in spinal mobility related to daytime performance in patients with axial spondyloarthritis

Kiefer,

Schneider,

Braun

et al. 2024

RMD Open

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Successful Evaluation of Spinal Mobility Measurements With the Epionics SPINE Device in Patients With Axial Spondyloarthritis Compared to Controls

et al. 2021

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Objective To evaluate ES for quantification of spinal mobility in patients with axSpA. Methods A total of 153 individuals, 39 females and 114 males, were examined:134 axSpA patients, 40 non-(nr-) and 94 radiographic (r)-axSpA, and 19 healthy controls (HC), respectively. The results were compared using mean ES scores and modeling was performed using multivariable logistic regression models resulting in good validity and high discriminative power. Results ES measurements showed meaningful differences between axSpA patients and HC (all p<0.001) as well as between r- and nr-axSpA (p<0.01). In axSpA patients a negative correlation between ES and BASMI values was found: -0.76≤r≤-0.52 (p<0.05). BASFI scores showed a similar trend (r > -0.39). Patients with r-axSpA had a more limited and slower spinal mobility than those with nr-axSpA. Other patient reported outcomes did almost not correlate. Conclusion This study shows that the ES is an objective performance measure and a valid tool to assess spinal mobility in axSpA, also based on OMERACT criteria. RoK and RoM scores provide additional information on physical function of axSpA patients.

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Erratum zu: Epionics SPINE – Anwendung einer objektiven Untersuchungsmethode der Wirbelsäulenbeweglichkeit bei Patienten mit axialer Spondyloarthritis

Cited by 2 publications

References 0 publications

Clinically relevant differences in spinal mobility related to daytime performance in patients with axial spondyloarthritis

Clinically relevant differences in spinal mobility related to daytime performance in patients with axial spondyloarthritis

Successful Evaluation of Spinal Mobility Measurements With the Epionics SPINE Device in Patients With Axial Spondyloarthritis Compared to Controls

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