Özet:

Purpose: The aim of this study was to examine the factors affecting spinal mobility in individuals with Ankylosing Spondylitis (AS). Methods: A total of 154 participants, aged between 18-65 years, who were diagnosed with AS, with a mean age of 43.37±11.56 years, were included in the study. After the demographic (sex, age, height, weight, diagnosis year, education year, employment status, family history, exercise habit, smoking) and clinical data (morning stiffness, history of chronic respiratory disease) of the participants were recorded, their mobility was assessed with the Bath Ankylosing Spondylitis Metrology Index (BASMI). Mann Whitney U test was used to compare independent group differences. Relationships between continuous variables were evaluated with Pearson Correlation Analysis. Results: When BASMI scores were compared between the groups; the tragus to wall distance (p=0.013), lateral lumbar flexion (p=0.001), lumbar flexion (modified Schober) (p=0.001) scores of men were higher than women in terms of sex; maximal intermalleolar distance (p=0.001) and total (p=0.019) scores of the unemployed were higher than employee in terms of occupation; cervical rotation (p=0.013) scores of those with a history of chronic respiratory disease were higher than those without. When the relationship between BASMI scores and continuous variables is examined; age had moderate correlation with all BASMI scores except tragus to wall distance; diagnosis year had low and moderate correlation with all BASMI scores except maximal intermalleolar distance; education year had low and moderate correlation with all BASMI scores (p<0.05). Conclusion: Men individuals with AS have more kyphosis, less trunk lateral flexion movements and less lumbar spine flexion movements. Working any job can increase hip abduction and overall mobility. A history of chronic respiratory disease may result in decreased cervical rotation. In addition, while mobility may decrease with increasing age and disease duration, mobility may be less affected as years of education increase.

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