Original Articles
Vol. 67 No. 3 (2015)
https://doi.org/10.4081/reumatismo.2015.853

The role of biomechanical factors in ankylosing spondylitis: the patient’s perspective

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Received: 17 December 2015
Published: 9 February 2016
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Ankylosing spondylitis, enthesitis, injury, exercise, mechanics, physiotherapy, exercise.

Authors

R.C. Ansell
Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds; National Institute for Health Research, Leeds Musculoskeletal Biomedical Research Unit, Leeds, United Kingdom.
T. Shuto
Department of Rheumatology and Orthopaedics, Chiyoda Hospital, Miyazaki, Japan.
N. Busquets-Perez
Department of Rheumatology, Hospital de Granollers, Barcelona, Spain.
E.M.A. Hensor
Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds; National Institute for Health Research, Leeds Musculoskeletal Biomedical Research Unit, Leeds, United Kingdom.
H. Marzo-Ortega
Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds; National Institute for Health Research, Leeds Musculoskeletal Biomedical Research Unit, Leeds, United Kingdom.
D. McGonagle
D.G.McGonagle@leeds.ac.uk
Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds; National Institute for Health Research, Leeds Musculoskeletal Biomedical Research Unit, Leeds, United Kingdom.
Biomechanical factors including occupational joint physical stressing and joint injury have been linked to spondyloarthritis. We explored such factors in ankylosing spondylitis (AS). A retrospective, online survey was developed alongside the UK National Ankylosing Spondylitis Society (NASS). Questions on early entheseal symptoms, potential precipitating trauma, sporting activity, and physiotherapy were asked. A total of 1026 patients responded with 44% recalling an instance of injury or trauma as a potential trigger for their AS. After symptom onset, 55% modified sporting activities and 28% reported that the initial AS recommended exercises exacerbated symptoms. Patients report physical trauma, exercise and physiotherapy as potential triggers for AS symptoms. These findings further support the experimental evidence for the role of biomechanical factors in disease.

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1.
The role of biomechanical factors in ankylosing spondylitis: the patient’s perspective. Reumatismo [Internet]. 2016 Feb. 9 [cited 2026 Aug. 28];67(3):91-6. Available from: https://www.reumatismo.org/reuma/article/view/853

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