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Disability in ankylosing spondylitis

M Dalyan1, A Güner, S Tuncer

  • 1Ankara Physical Medicine and Rehabilitation Center, Turkey.

Disability and Rehabilitation
|February 17, 1999
PubMed
Summary

Ankylosing spondylitis (AS) significantly impacts function, with spinal mobility, disease activity, and duration being key factors. Pain and limited spinal movement are major predictors of disability in AS patients.

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Area of Science:

  • Rheumatology
  • Physiatry
  • Clinical Research

Background:

  • Ankylosing spondylitis (AS) is a chronic inflammatory disease primarily affecting the axial skeleton.
  • Functional limitations and disability are common in AS patients, impacting quality of life.

Purpose of the Study:

  • To investigate functional loss in ankylosing spondylitis.
  • To explore the relationship between disability and various clinical, radiological, and psychosocial factors.

Main Methods:

  • Cross-sectional study involving 42 patients with ankylosing spondylitis.
  • Spearman correlation and multiple regression analyses were employed.

Main Results:

  • Most patients experienced mild to moderate disability.
  • Disability strongly correlated with spinal mobility, disease activity, and disease duration.
  • Cervical rotation, modified Schober's test, and pain were identified as significant predictors of functional loss.

Conclusions:

  • Functional impairment in AS is multifactorial.
  • An integrated physiatric approach is recommended for managing the diverse consequences of AS.

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