Background: There is currently little insight in lumbar spine loading during activities of daily living in patients with axial spondyloarthritis. Furthermore, it is unclear how inflammation or ankylosis-related mobility limitations in patients with axial spondyloarthritis affect lumbosacral loading, and if lumbar movement profiles have an effect on lumbosacral loading as well. Therefore, the aim of this study is to get more insight in the differences in peak and cumulative lumbosacral loading in patients with axial spondyloarthritis during activities of daily living.
View Article and Find Full Text PDFBackground: The effects of inflammation and ankylosis on spinal kinematics of patients with axial spondyloarthritis (axSpA) are poorly understood. Furthermore, existence of (mal)adaptive movement profiles within axSpA, and differences between movement profiles in sensation of pain or fear of movement has never been investigated.
Objectives: To investigate differences in range of motion in six spinal regions and the hips between inflammatory and ankylosed patients with axSpA, and to increase insight in different movement profiles of patients with axSpA and their association with pain and fear.
Clinically, sagittal spinal mobility is objectively assessed by forward bending range of motion (ROM) tests such as the modified-Schober test (m-Schober test). However, evidence comparing ROM during forward bending and daily activities is limited. In this study, a kinematic model including six spinal regions, pelvic/sacral and femur segment was used to characterize associations between m-Schober test and return from forward bending (RFB), and between RFB and lifting.
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