Hip involvement in ankylosing spondylitis: epidemiology and risk factors associated with hip replacement surgery

Cruyssen, Bert Vander; Muñoz-Gomáriz, Elisa; Font, Pilar; Mulero, Juan; Vlam, Kurt de; Boonen, Annelies; Vázquez‐Mellado, Janitzia; Flores, D.; Vastesaeger, Nathan; Collantes, Eduardo

doi:10.1093/rheumatology/kep174

Cited by 182 publications

(174 citation statements)

References 12 publications

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“…Hip pain can be a result of inflammation of the subchondral bone marrow. This inflammation is different from classical spine problems in that it is not formation of new bone, but an erosive process that can often lead to hip replacement (6) . Furthermore, AS can affect organs such as the eyes, heart, and kidneys; lung capacity can also be restricted because of the effects of AS on the ribcage.…”

Section: Introductionmentioning

confidence: 82%

The Effects of Massage on Pain, Stiffness, and Fatigue Levels Associated with Ankylosing Spondylitis: A Case Study

Chunco¹

2011

IJTMB

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Objectives:To study the effects of massage on pain, stiffness, and fatigue in a patient recently diagnosed with ankylosing spondylitis (AS).Methods: A 47-year-old woman with AS diagnosed 11 months earlier received 7 massages across a 28-day period. Her pain, stiffness, and fatigue were recorded using visual analogue scales daily during the study period. Spinal mobility was measured at each massage session with finger-to-floor measurements for both forward and lateral flexion. The client also used a daily journal to supply pertinent information on quality of life.Results: Improvement was recorded in all dependent variables, with stiffness intensity showing the greatest improvement, to a final value of 0.75 from an initial value of 5. Duration of stiffness also showed improvement, to a final value of 1.2 from an initial value of 3.5. Improvement was also found in general pain (final value: 1; initial value: 4), fatigue (final value: 1.5; initial value 5), and forward and lateral flexion (forward flexion distance-final: 4 inches; initial: 6 inches; lateral flexion, left distance: final, 16.5 inches; initial, 21 inches; right distance: final, 16.5 inches; initial, 20.5 inches).Conclusions: Massage shows promise as a treatment for symptoms associated with AS. Further study is needed to validate these effects and to determine the feasibility of massage as an adjunct to standard care for AS patients with mild-tomoderate symptoms of AS.

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Section: Introductionmentioning

confidence: 82%

The Effects of Massage on Pain, Stiffness, and Fatigue Levels Associated with Ankylosing Spondylitis: A Case Study

Chunco¹

2011

IJTMB

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“…Hip involvement in patients with SpA is a common, disabling problem and is believed to be predictive of worse outcomes. 7,8 Previous studies indicate that synovitis is the most common MRI finding of hip involvement in patients with SpA. Synovitis is often the only sign observed at the early stages of hip involvement.…”

Section: Introductionmentioning

confidence: 99%

The application of T2W SPIR-FLAIR in the diagnosis of hip synovitis in patients with spondyloarthritis

Zhenguo¹,

Chen²,

Shi³

et al. 2016

BJR

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“…Hip involvement is another important feature of axial SpA and is present in approximately one-third of the patients (8). Hip involvement is associated with impaired functioning; it may increase the burden of disease and influence the prognosis (8).…”

Section: Introductionmentioning

confidence: 99%

“…Hip involvement is associated with impaired functioning; it may increase the burden of disease and influence the prognosis (8). Therefore, measurement of hip involvement is considered an important outcome measure in axial SpA.…”

Section: Introductionmentioning

confidence: 99%

Comparison of Tests for Lumbar Flexion and Hip Function in Patients With and Without Axial Spondyloarthritis

Stolwijk

Ramiro

Vosse

et al. 2015

Arthritis Care & Research

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Objective. To compare the 15-cm Schober test with the 10-cm Schober test and the intermalleolar distance (IMD) with the internal hip rotation (IHR). Methods.A cross-sectional study was conducted among both healthy individuals and patients with axial spondyloarthritis (SpA).The spinal and hip mobility tests were assessed in all subjects. Agreement between the different tests was assessed with correlation coefficients, Bland and Altman agreement, and by cumulative probability plots. The component scores for lumbar flexion in the Bath Ankylosing Spondylitis Metrology Index (BASMI) with use of either the 10-cm Schober test or the 15-cm Schober test were compared. Results. A total of 393 healthy individuals (51% males; mean age 44 years) and 90 patients with axial SpA (53% males; mean age 49 years) were included. A strong correlation was found between the 10-cm and 15-cm Schober test, in both healthy individuals (r ‫؍‬ 0.89) and in patients (r ‫؍‬ 0.93). The 10-cm Schober test was systematically lower than the 15-cm test with a mean ؎ SD difference of 1.5 ؎ 0.8 cm in patients, resulting in a higher total mean ؎ SD BASMI score of 0.4 ؎ 0.2 points. The correlation between IMD and IRH was weak, both in healthy individuals (r ‫؍‬ 0.29) and in patients (r ‫؍‬ 0.40). Conclusion. The 10-cm and 15-cm Schober tests are highly correlated but, as expected, the 10-cm method is systematically lower than the 15-cm method. Therefore, these measures cannot be interchangeably used in the BASMI. The IMD and IHR are not correlated, indicating that they measure different aspects of hip mobility. Therefore, the IHR cannot be used as a substitute for the IMD.

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Hip involvement in ankylosing spondylitis: epidemiology and risk factors associated with hip replacement surgery

Cited by 182 publications

References 12 publications

The Effects of Massage on Pain, Stiffness, and Fatigue Levels Associated with Ankylosing Spondylitis: A Case Study

The Effects of Massage on Pain, Stiffness, and Fatigue Levels Associated with Ankylosing Spondylitis: A Case Study

The application of T2W SPIR-FLAIR in the diagnosis of hip synovitis in patients with spondyloarthritis

Comparison of Tests for Lumbar Flexion and Hip Function in Patients With and Without Axial Spondyloarthritis

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