The relative value of spinal and thoracic mobility measurements in ankylosing spondylitis.

Abstract:

:The relative value of nine spinal and thoracic mobility measurements was investigated in 73 male patients with ankylosing spondylitis (AS). The value of a test was obtained by the relative ranks of validity, reliability and sensitivity to change. Validity was determined as age-adjusted correlation of the test result with AS-specific radiological changes in the lumbar spine. Reliability was determined as inter-observer error. Sensitivity to change was determined as change in test result during an intensive rehabilitation course. The five most valuable tests were rotation of the thoracolumbar spine (TR), finger-to-floor distance (FFD), the Schober test, thoracolumbar flexion and occiput-to-wall distance. Of these, FFD had high reliability and sensitivity ranks, but poor correlation with AS-specific spinal changes. TR had high validity and sensitivity ranks, and improvement of the measurement technology would probably result in a superior test for the follow-up of AS. Chest expansion and vital capacity had low ranks in all comparisons.

journal_name

Scand J Rheumatol

authors

Viitanen JV,Kautiainen H,Suni J,Kokko ML,Lehtinen K

doi

10.3109/03009749509099291

subject

Has Abstract

pub_date

1995-01-01 00:00:00

pages

94-7

issue

2

eissn

0300-9742

issn

1502-7732

journal_volume

24

pub_type

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