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

Author:

Kiefer DavidORCID,Braun Jürgen,Chatzistefanidi Varvara,Kiltz UtaORCID,Adolf Daniela,Schwarze Ilka,Kabelitz Maria,Lange Uwe,Brandt-Jürgens Jan,Stemmler Edgar,Sartingen Sabine,Baraliakos Xenofon

Abstract

ObjectiveAxial spondyloarthritis (axSpA) is associated with decreased function and mobility of patients as a result of inflammation and radiographic damage. The Epionics SPINE device (ES), an electronic device that objectively measures spinal mobility, including range of motion (RoM) and speed (ie, range of kinematics [RoK]) of movement, has been clinically validated in axSpA. We investigated the performance of the ES relative to radiographic damage in the axial skeleton of patients with axSpA.MethodsA total of 103 patients with axSpA, 31 with nonradiographic axSpA (nr-axSpA) and 72 with radiographic axSpA (r-axSpA), were consecutively examined. Conventional radiographs of the spine (including presence, number, and location of syndesmophytes) and the sacroiliac joints (SIJs; rated by the modified New York criteria) were analyzed with the ES. Function and mobility were assessed using analyses of covariance and Spearman correlation.ResultsThe number of syndesmophytes correlated positively with Bath Ankylosing Spondylitis Metrology Index scores (r0.38,P= 0.02) and correlated negatively with chest expansion (r−0.39,P= 0.02) and ES measurements (−0.53 ≤r≤ −0.34, allP< 0.03), except for RoM and RoK regarding rotation and RoK for extension of the lumbar and thoracic spines. In the radiographic evaluation of the SIJs, the extent of damage correlated negatively with ES scores and metric measurements (−0.49 ≤r≤ −0.33, allP< 0.001). Patients with r-axSpA, as compared to those with nr-axSpA, showed significantly worse ES scores for RoM, RoK, and chest expansion.ConclusionThe ES scores, in accordance with mobility measurements, correlated well with the presence and extent of radiographic damage in the spine and the SIJs. As expected, patients with r-axSpA had more severe impairments than those with nr-axSpA.

Publisher

The Journal of Rheumatology

Subject

Immunology,Immunology and Allergy,Rheumatology

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