Work Characteristics and Axial Spondyloarthritis: Evaluation from a Broad Perspective with Clinical, Laboratory, Radiography and Ultrasonography

Nuray Gülgönül; Ebru Karaca Umay; Bilge Kesikburun; Fatma Hülya Şahin; Rabia Sökmen

doi:10.4274/atfm.galenos.2022.27880

Work Characteristics and Axial Spondyloarthritis: Evaluation from a Broad Perspective with Clinical, Laboratory, Radiography and Ultrasonography

Abstract

Objectives: The aim of this study is to investigate the effect of work conditions that require physical performance on axial spondyloarthritis with clinical, laboratory and radiological measurements. In addition, the performance of ultrasonographic examination in showing the effect of work characteristics on enthesopathy was evaluated. Materials and Methods: The present study is a single-center cross-sectional analysis conducted on 51 axial spondyloarthritis (axSpA) patients who were diagnosed according to the Assessment of Spondyloarthritis International Society criteria between October 2020 and December 2020 (24 females, 27 males, mean age: 46.98±9.30 years, 15 ankylosing spondylitis patients, 36 nr-axSpA). Demographic and clinical characteristics, along with disease related laboratory data of the patients, were recorded. Results: Work duration was found to be positively correlated with Maastricht ankylosing spondylitis enthesitis score (MASES), foot deformity, and erythrocyte sedimentation rate (ESR), while negatively correlated with thoracal Schober. Physical activity level at work was positively correlated with the Bath ankylosing spondylitis metrology index, Bath ankylosing spondylitis disease activity index, ankylosing spondylitis disease activity score-ESR, MASES, foot deformity and ESR, while it was negatively correlated with thoracal Schober. Leisure activity level was only positively correlated with foot deformity. In the findings in radiological parameters, it was measured that the work duration was positively correlated with the thickness of the distal patellar and Achilles tendon. The level of physical activity at work positively correlates with distal patellar tendon thickness, Achilles tendon thickness, and plantar fascia thickness. It was seen that the activity level in leisure time was only positively correlated with distal patellar tendon thickness. Conclusion: Physical activity level at work in axSpA patients is related to the severity of disease activity and decreased spinal mobility. In particular, increase of mechanical workload causes acute inflammation at the lower extremity and all enthesopathy points, independently from radiological progression and disease activity. The addition of ultrasonographical examination may supply a better evaluation of the effects of physical activity level at work on patients.

Keywords

Ethical Statement

Approval of the study was obtained from University of Health Sciences Turkey, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Clinical Research Ethic Committee (approval no: 98/03, date: 19.10.2020).

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Details

Primary Language

English

Subjects

Physical Medicine and Rehabilitation

Journal Section

Research Article

Authors

Nuray Gülgönül ^* This is me
0000-0001-6089-8439
Türkiye

Ebru Karaca Umay
0000-0002-4137-7731
Türkiye

Bilge Kesikburun
0000-0001-6110-2252
Türkiye

Fatma Hülya Şahin This is me
0000-0002-0158-5050
Türkiye

Rabia Sökmen This is me
0000-0003-4936-123X
Türkiye

Publication Date

October 18, 2022

Submission Date

May 2, 2021

Acceptance Date

May 6, 2022

Published in Issue

Year 2022 Volume: 75 Number: 3

DOI

https://doi.org/10.4274/atfm.galenos.2022.27880

IZ

https://izlik.org/JA38XY25RH

Cite

RIS / Bibtex

APA

Gülgönül, N., Umay, E. K., Kesikburun, B., Şahin, F. H., & Sökmen, R. (2022). Work Characteristics and Axial Spondyloarthritis: Evaluation from a Broad Perspective with Clinical, Laboratory, Radiography and Ultrasonography. Ankara Üniversitesi Tıp Fakültesi Mecmuası, 75(3), 454-461. https://doi.org/10.4274/atfm.galenos.2022.27880

AMA

1.Gülgönül N, Umay EK, Kesikburun B, Şahin FH, Sökmen R. Work Characteristics and Axial Spondyloarthritis: Evaluation from a Broad Perspective with Clinical, Laboratory, Radiography and Ultrasonography. Ankara Üniversitesi Tıp Fakültesi Mecmuası. 2022;75(3):454-461. doi:10.4274/atfm.galenos.2022.27880

Chicago

Gülgönül, Nuray, Ebru Karaca Umay, Bilge Kesikburun, Fatma Hülya Şahin, and Rabia Sökmen. 2022. “Work Characteristics and Axial Spondyloarthritis: Evaluation from a Broad Perspective With Clinical, Laboratory, Radiography and Ultrasonography”. Ankara Üniversitesi Tıp Fakültesi Mecmuası 75 (3): 454-61. https://doi.org/10.4274/atfm.galenos.2022.27880.

EndNote

Gülgönül N, Umay EK, Kesikburun B, Şahin FH, Sökmen R (October 1, 2022) Work Characteristics and Axial Spondyloarthritis: Evaluation from a Broad Perspective with Clinical, Laboratory, Radiography and Ultrasonography. Ankara Üniversitesi Tıp Fakültesi Mecmuası 75 3 454–461.

IEEE

[1]N. Gülgönül, E. K. Umay, B. Kesikburun, F. H. Şahin, and R. Sökmen, “Work Characteristics and Axial Spondyloarthritis: Evaluation from a Broad Perspective with Clinical, Laboratory, Radiography and Ultrasonography”, Ankara Üniversitesi Tıp Fakültesi Mecmuası, vol. 75, no. 3, pp. 454–461, Oct. 2022, doi: 10.4274/atfm.galenos.2022.27880.

ISNAD

Gülgönül, Nuray - Umay, Ebru Karaca - Kesikburun, Bilge - Şahin, Fatma Hülya - Sökmen, Rabia. “Work Characteristics and Axial Spondyloarthritis: Evaluation from a Broad Perspective With Clinical, Laboratory, Radiography and Ultrasonography”. Ankara Üniversitesi Tıp Fakültesi Mecmuası 75/3 (October 1, 2022): 454-461. https://doi.org/10.4274/atfm.galenos.2022.27880.

JAMA

1.Gülgönül N, Umay EK, Kesikburun B, Şahin FH, Sökmen R. Work Characteristics and Axial Spondyloarthritis: Evaluation from a Broad Perspective with Clinical, Laboratory, Radiography and Ultrasonography. Ankara Üniversitesi Tıp Fakültesi Mecmuası. 2022;75:454–461.

MLA

Gülgönül, Nuray, et al. “Work Characteristics and Axial Spondyloarthritis: Evaluation from a Broad Perspective With Clinical, Laboratory, Radiography and Ultrasonography”. Ankara Üniversitesi Tıp Fakültesi Mecmuası, vol. 75, no. 3, Oct. 2022, pp. 454-61, doi:10.4274/atfm.galenos.2022.27880.

Vancouver

1.Nuray Gülgönül, Ebru Karaca Umay, Bilge Kesikburun, Fatma Hülya Şahin, Rabia Sökmen. Work Characteristics and Axial Spondyloarthritis: Evaluation from a Broad Perspective with Clinical, Laboratory, Radiography and Ultrasonography. Ankara Üniversitesi Tıp Fakültesi Mecmuası. 2022 Oct. 1;75(3):454-61. doi:10.4274/atfm.galenos.2022.27880