Abstract
The purpose of the study was to evaluate the parameters which have an important role in shoulder involvement and disability in ankylosing spondylitis (AS). Ninety patients with AS were divided into two groups according to the presence of shoulder involvement. Bath AS metrology index (BASMI), ankylosing spondylitis quality of life (ASQoL) and shoulder pain and disability index (SPADI) were used. Ranges of movements of limited shoulders were measured. Mean disease duration, age, BASMI, and ASQoL were higher and hip involvement was more frequent in the shoulder-involved group. Disease duration was found to be the most significant factor in shoulder involvement. A significant relationship was found between all SPADI scores and ASQoL. The SPADI disability score was affected by flexion limitation. Patients with hip involvement and longer disease duration should be evaluated for shoulder involvement. Flexion limitation of shoulder affected shoulder disability and shoulder disability impaired quality of life.
Similar content being viewed by others
References
Emery RJ, Ho EK, Leong JC (1991) The shoulder girdle in ankylosing spondylitis. J Bone Joint Surg Am 73:1526–1531
Will R, Kennedy G, Elswood J, Edmunds L, Wachjudi R, Evison G, Calin A (2000) Ankylosing spondylitis and shoulder: commonly involved but infrequently disabling. J Rheumatol 27:177–182
Polley HF (1955) The diagnosis and treatment of rheumatoid spondylitis. Med Clin North Am 12:509–528
Marks SH, Barnett M, Calin A (1983) Ankylosing spondylitis in women and men: a case-control study. J Rheumatol 10:624–628
Klippel JH, Dieppe PA (1998) Rheumatology. Mosby, London
Guest CM, Jacobson HG (1951) Pelvic and extrapelvic osteopathy in rheumatoid spondylitis: a clinical and roentgenographic study of ninety cases. Am J Roentgenol 65:760–768
Resnick D, Niwayama G (1988) Diagnosis of bone and joint disorders. W B Saunders, Philadelphia
Falkenbach A, Franke A, van der Linden S (2003) Factors associated with body function and disability in patients with ankylosing spondylitis: a cross-sectional study. J Rheumatol 30:2186–2192
Beaton DE, Richards RR (1996) Measuring function of the shoulder. A cross-sectional comparison of five questionnaires. J Bone Joint Surg Am 78:882–890
Goie The HS, Steven MM, van der Linden SM, Cats A (1985) Evaluation of diagnostic criteria for ankylosing spondylitis: a comparison of the Rome, New York and modified New York criteria in patients with a positive clinical history screening test for ankylosing spondylitis. Br J Rheumatol 24:242–249
Jones SD, Porter J, Garrett SL, Kennedy LG, Whitelock H, Calin A (1995) A new scoring system for the bath ankylosing spondylitis metrology index (BASMI). J Rheumatol 22:609
Doward LC, Spoorenberg A, Cook SA, Whalley D, Helliwell PS, Kay LJ, McKenna SP, Tennant A, van der Heijde D, Chamberlain MA (2003) Development of the ASQoL: a quality of life instrument specific to ankylosing spondylitis. Ann Rheum Dis 62:20–26
DeLisa JA, Gans BM (1988) Rehabilitation medicine principles and practice. Lippincott-Raven, Philadelphia
Vinje O, Dale K, Moller P (1985) Radiographic evaluation of patients with Bechterew’s syndrome (ankylosing spondylitis). Findings in peripheral joints, tendon insertions and the pubic symphysis and relations to non-radiographic findings. Scand J Rheumatol 14:279–288
Lambert RG, Dhillon SS, Jhangri GS, Sacks J, Sacks H, Wong B, Russell AS, Maksymowych WP (2004) High prevalence of symptomatic enthesopathy of the shoulder in ankylosing spondylitis: deltoid origin involvement constitutes a hallmark of disease. Arthritis Rheum 5:681–690
Dwosh IL, Resnick D, Becker MA (1976) Hip involvement in ankylosing spondylitis. Arthritis Rheum 19:683–692
Calin A, Elswood J (1988) The relationship between pelvic, spinal and hip involvement in ankylosing spondylitis: one disease process or several? Br J Rheumatol 27:393–395
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Eksioglu, E., Bal, A., Gulec, B. et al. Assessment of shoulder involvement and disability in patients with ankylosing spondylitis. Rheumatol Int 27, 169–173 (2006). https://doi.org/10.1007/s00296-006-0182-8
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00296-006-0182-8