Spondyloarthritis & psoriatic arthritis

Clinical Relevance of Axial Radiographic Damage in Axial Spondyloarthritis: Evaluation of Functional Consequences by an Objective Electronic Device

J RheumatolPublished Cross-sectional study

Authors' conclusion

The ES scores, in accordance with mobility measurements, correlated well with the presence and extent of radiographic damage in the spine and the SIJs.

Study context

Population
Consecutively examined patients with axial spondyloarthritis (axSpA)
Participants
103 participants
Exposure
r-axSpA vs nr-axSpA; ES measurements vs radiographic damage
  • r-axSpAn = 72
  • nr-axSpAn = 31reference
Outcome
Performance of the Epionics SPINE device (ES; RoM and RoK) relative to radiographic damage in the axial skeleton
Methodological detailsconsecutive patients, analyses of covariance, Spearman correlation
  • Consecutive patients
  • Analyses of covariance
  • Spearman correlation

Main finding

As reported in the abstract

Number of syndesmophytes vs BASMI (Spearman r)

r 0.38

P = 0.02

Number of syndesmophytes vs chest expansion (Spearman r)

r −0.39

P = 0.02

Number of syndesmophytes vs ES measurements (except range of motion (RoM) and RoK for rotation and RoK for extension of lumbar and thoracic spines)

−0.53 ≤ r ≤ −0.34

all P < 0.03

Extent of SIJ radiographic damage vs ES scores and metric measurements

−0.49 ≤ r ≤ −0.33

all P < 0.001

Observational data: associations, not effects.

Further findings

ES scores for RoM, RoK and chest expansion, r-axSpA vs nr-axSpA

Significantly worse in r-axSpA than nr-axSpA

Original publication

Clinical Relevance of Axial Radiographic Damage in Axial Spondyloarthritis: Evaluation of Functional Consequences by an Objective Electronic Device. J Rheumatol. Published 15 April 2023. doi:10.3899/jrheum.2022-1240

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